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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.
Objective To understand the types and drug resistance of pathogenic bacteria in Yan’an Hospital affiliated to Kunming Medical University and patients with prostatitis in the region and provide the basis for clinical treatment.Methods Prostate fluid from 170 patients with prostatitis was used for bacterial culture, mycoplasma and chlamydia. The pure isolated colonies were cultured and identified on the VITEK 2-compact automatic microorganism instrument of Merite AG in France.Results Of 170 samples, 72 strains of pathogens were detected, the positive rate was 42.35% .The bacterial species were divided into 13 species, Gram-positive cocci 11, accounting for 94.44% Staphylococcus epidermidis-based; Gram-negative rod strains, accounting for 5.56%, mainly E. coli susceptibility results show that the detection of bacteria commonly used in clinical Antibacterial drugs have some resistance.Conclusion To pay attention to the monitoring of drug resistance of prostatitis pathogens and mycoplasma, chlamydia test, in order to achieve effective treatment and reduce the incidence of drug-resistant bacteria.