性病相关性慢性前列腺炎病原体分析

目的分析性病相关性慢性前列腺炎病原体,探讨前列腺炎病原体检测的临床诊断价值。方法随机收集2009年2月至2011年7月性病门诊的108例符合入选标准的慢性前列腺炎患者,采集所有患者的前列腺液,并进行细菌学培养,根据菌落的特征、形态特点和生化反应鉴定细菌,鉴定后进行相关的药敏试验,对实验结果进行统计分析。结果通过检测发现108例患者的前列腺液中有85例分离出细菌,病原体检测阳性率为78.7%,其中主要有解脲支原体、葡萄球菌、沙眼衣原体为主。药敏试验的结果显示分离出的细菌对常用抗生素的耐药性较高,金黄色葡萄球菌和淋病双球菌对头孢曲松钠的敏感性较高,淋病双球菌对罗红霉素的敏感性居中,解脲支原体对红霉素和罗红霉素的敏感性较高,对氧氟沙星的敏感性较低。结论通过对前列腺病原体的分析可以更好的了解性病相关性慢性前列腺炎患者的病原体及其耐药情况,以便于更好地治疗。

Study on pathogens of STD-related chronic prostatitis

Objective To analyze the relevant pathogens of sexually transmitted diseases（STD） in patients with chronic prostatitis in order to explore the clinical significance of pathogens in patients with prostatitis.Methods The clinical data of 108 STD outpatients met the inclusion criteria of chronic prostatitis in this hospital during February 2009 to July 2011 were randomly collected for retrospective study and analysis.The specimens of prostatic fluid collected in all patients were examined for bacteriological culture,the species of bacteria had been identified according to characteristics of colony,morphological characteristics and biochemical characterization,susceptibility testing was examined after identification of these isolates,and statistical analysis of these experimental results was carried out.Results Bacteria were isolated from specimens of prostatic fluid in 85 of 108 patients with the positive rate of pathogen detection of 78.7%,they were mainly Ureaplasma urealyticum,Staphylococcus aureus and Chlamydia trachomatis.The susceptibility testing of isolated bacteria showed high resistance to commonly used antibiotics.Staphylococcus aureus and Gonococcus were highly sensitive to ceftriaxone,Gonococci were also sensitive to roxithromycin.Ureaplasma urealyticum was highly sensitive to erythromycin and roxithromycin,and low sensitive to ofloxacin.Conclusion The analysis of prostate pathogens can better understand the relevance of chronic prostatitis in patients with sexually transmitted diseases in order to facilitate better treatment for this disease.