170例前列腺炎化验室资料临床分析

Clinical Analysis of the Data of Prostatitis from the Laboratory Department in Our Hospital

目的了解昆明医科大学附属延安医院及本地区前列腺炎患者感染的病原菌种类及耐药情况,为临床治疗提供依据.方法对170例前列腺炎患者的前列腺液作细菌培养,支原体、衣原体检查.用将培养分离得到的纯菌落在法国梅里埃公司VITEK 2-compact全自动微生物仪器上进行种属鉴定.结果 170例标本中,共检出病原菌72株,阳性率42.35%.细菌种类分为13种,革兰氏阳性球菌11株,占94.44%,以表皮葡萄球菌为主;革兰氏阴性杆菌株,占5.56%,以大肠埃希菌为主.药敏结果显示,各检出菌对临床常用抗菌药物均存在一定的耐药性.结论要重视前列腺炎病原菌耐药性的监测及支原体、衣原体检验,才能做到有效治疗和降低耐药菌的发生率.

Objectives To know the pathogenic bacteria species and drug resistance of prostatitis patients in our hospital and the region around and to provide the basis for clinical treatment. Methods Prostatic fluids of 170 cases of patients with prostatitis were collected under sterile condition and were inoculated for bacterial culture. Positive results of bacterial culture were identified by VITEK 2 Compact. Results Bacteria were identified in 72 of 170 patients with prostatitis. The positive rate was 42.35% There were 11 strains of gram-positive bacteria （94.44%） and 2 strains of gram-negative bacteria （5.56%） in the total 13 strains of bacteria. Most of gram-positive bacteria were Staphylococcus aureus and most of gram-negative bacteria were Escherichia coll. Drug sensitivity test results showed that all the detected bacteria had resistance to the clinical commonly used antimicrobial agents. Conclusion We should put emphasis on prostatitis pathogen resistance monitoring and detecting mycoplasma and Chlamydia, and only in this way we can get effective treatment and reduce the incidence of resistant bacteria.