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目的了解高热、高湿环境下某高校尿路不适女生尿液干化学检测、细菌培养与药敏鉴定分析结果,为临床提供诊断与治疗依据。方法采用尿液分析仪、显微镜、全自动微生物分析仪,对某高校427例尿路不适女生的尿液进行分析。结果该校427例女生尿液分析干化学法、镜检法红细胞阳性率分别为59.02%,44.50%,白细胞阳性率分别为58.31%,46.14%。尿液细菌培养阳性率为48.24%,其中大肠埃希菌、表皮葡萄球菌、腐生葡萄球菌、产碱杆菌、变形杆菌、肺炎克雷伯菌、真菌阳性率为58.25%,10.68%,0.97%,1.94%,13.11%,8.25%,6.80%。结论高热、高湿环境下女大学生尿路感染常见致病菌为大肠埃希菌,首选药物为菌必治;尿液干化学及镜检结果、细菌培养结果、临床症状在诊断上存在差异,需进一步探讨原因。
OBJECTIVE To understand the urine chemical analysis, bacterial culture and drug sensitivity analysis of urinary tract ill students in a university with high heat and high humidity, so as to provide basis for diagnosis and treatment. Methods The urinalysis of 427 urinary tract ill girls in a university was analyzed by urine analyzer, microscope and automatic microbiological analyzer. Results The urine samples of 427 female students in the school were analyzed by dry chemistry method. The positive rates of microscopic examination of erythrocytes were 59.02% and 44.50% respectively. The positive rates of white blood cells were 58.31% and 46.14% respectively. The positive rate of bacterial culture in urine was 48.24%. The positive rates of Escherichia coli, Staphylococcus epidermidis, Staphylococcus saprophyticus, Alcaligenes saprophyticus, Proteus vulgaris and Klebsiella pneumoniae were 58.25%, 10.68%, 0.97% 1.94%, 13.11%, 8.25%, 6.80%. Conclusions The common pathogen of urinary tract infection among female undergraduates under high temperature and high humidity environment is Escherichia coli, and the drug of choice is Bacillus Caldarius. There is a difference in the diagnosis of urine chemical and microscopic examination, bacterial culture and clinical symptoms, Need to further explore the reasons.