性传播疾病性尿道炎后慢性前列腺炎病原学分析

ANALYSIS OF ETIOLOGY IN CHRONIC PROSTATITIS FOLLOWING SEXUALLY TRANSMITTED DISEASE

目的 :了解性传播疾病 (sexuallytransmitteddisease,STD)性尿道炎后慢性前列腺炎患者前列腺液 (expressedprostaticsecretion ,EPS)标本中病原体的感染状况及对常用抗菌药物的敏感性。 方法 :对性传播疾病后慢性前列腺患者的EPS进行病原体检测和药敏试验。结果 :12 6例患者中 96例分离出病原体115株 ,阳性率为 76 2 %。主要病原体为金黄色葡萄球菌 (2 0 0 % )、解脲支原体 (18 3% )、表皮葡萄球菌(14 8% )和淋球菌 (13 9% ) ,混合感染率达 15 1%。药敏试验显示解脲支原体对四环素、红霉素和氧氟沙星耐药 ,而对原始霉素、强力霉素和交沙霉素敏感。葡萄球菌属对万古霉素、呋喃妥因和头孢唑啉最为敏感。结论 :提示EPS的病原体检测对临床诊断和治疗性传播疾病后慢性前列腺炎具有重要意义。

Objective:To understand the infectious condition and the sensitivity to usual antimicrobial agents of pathogens in chronic prostatitis with following STD.Methods:The pathogen and antimicrobial agent sensitivity tests of 126 samples isolated from chronic prostatitis patients EPS. Results: One hundred and fifteen strains of bacteria from 96 samples were isolated and the positivity rate was 76.2%,the dominant pathogens were Mycoplasma urealytium (18.3%),Staphylococcus aureus(20.0%),Staphylococcus epicermidis(14.8%)and Gonococcus(13.9%).The mixed infections was 15.1%.Mycoplasma urealytium had drug resistance to Tetracycline,Erythromycin and Ofloxacin,had susceptible to Pristinamycin,Doxycycline and Josamycin.Vancomycin,Nitrofurantoin and Cefixim were susceptible to Staphylococcus spp.Conclusion:The isolation and drug suscep tibility test for pathogens of EPS are very important for diagnosis and treatment of chronic prostatitis.