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      臨床研究

      前列腺感染病原菌培養及藥敏結果的分析

      劉定山

      [文章下載]

      【摘要】  【摘要】目的 了解該院前列腺炎患者感染病原菌及其耐藥性,為臨床診療提供可靠的實驗室依據。方法 統計分析2017年1月至2018年8月該院泌尿外科門診患者的前列腺液細菌培養及藥敏結果。

      【關鍵字】  前列腺,病原菌,耐藥率

      中圖分類號:文獻標識碼:文章編號:

      [Abstract]Objective To understand the pathogenic bacteria and their drug resistance in patients with prostatitis, and to provide reliable laboratory basis for clinical diagnosis and treatment. Methods The results of bacterial culture and drug sensitivity of prostatic fluid in urology outpatient patients from January 2017 to August 2018 were statistically analyzed. Results 84 pathogenic bacteria were detected in 319 samples from January 2017 to August 2018. Among them. The detection rate was 26.3%. The number of isolations in the top 6 are: 34 strains of hemolytic Staphylococcus(40.5%), 18 strains of fecal enterococcus(21.4%), 6 strains of lactococci(7.1%), and 6 strains of E. coli.(7.1%), 4 strains of polyenterobacter(4.8%), and golden yellow Staphylococcus 3 strains(3.6%). 63 strains of gram-positive cocci accounted for 75.0% of the detection rate; 20 Gram-negative bacteria, accounting for 23.8% of the detection rate; Yeast fungus 1 plant, accounting for 1.2% of the detection rate. Conclusion The drug resistance of the pathogen of prostate infection is increasing day by day, and the number of drug-resistant strains is increasing.

      前列腺炎是我國男性最高發的慢性疾病。缺乏運動和熬夜加班等不良工作習慣導致前列腺腺管阻塞,增加了前列腺炎的發生率[1]。辦公室上班族、男性教師、司機等職業為主要好發人群。前列腺炎能夠引起男性患者的性生活能力降低,從而影響其生活質量[2]。由于目前臨床濫用抗菌藥物和經驗用藥,細菌耐藥性的產生越來越泛濫,應針對性地為患者實施抗生素治療,以提高治療效果[3-4]。因此,正確選取敏感抗生素是治療前列腺炎的關鍵因素之一[5]?,F將該院2017年1月至2018年8月前列腺液培養標本中分離出的319株病原菌對抗生素的耐藥情況進行統計分析,為臨床診療提供依據??偨Y如下。 1 資料與方法 1.1 一般資料:2017年1月至2018年8月該院泌尿外科門診患者的前列腺液標本319例,培養分離出病原菌84株。 1.2 檢查方法:無菌采集標本,儀器及配套鑒定藥敏試卡均來自生物梅里埃公司。 1.3 質控菌株:大腸埃希菌ATCC25922,金黃色葡萄球菌ATCC25923,由衛生部藥品和生物制品檢定所提供。

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