性病后慢性前列腺炎病原微生物分析

本文对性病后慢性前列腺炎病原微生物进行了研究。９０例患者前列腺液支原体检出率为２４．４４％（２２／９０），其中解脲支原体为２２．００％（１８／９０），人型支原体为４．４４％（４／９０）。另一组２３２例患者进行前列腺液细菌培养鉴定，总检出率为４２．７％（９９／２３２），以金黄色葡萄球菌为主２４．５％（５７／２３２），其它菌依次为表皮葡萄球菌７．３％（１７／２３２），肠球菌４．３％（１０／２３２），非发酵菌２．６％（６／２３２），肠杆菌科细菌２．２％（５／２３２）和Ａ群链球菌１．７％（４／２３２）。作者认为，性病后慢性前列腺炎可能为急性尿道炎期，由于治疗不彻底或忽略非特异性性病病原菌的治疗而使条件致病菌上行感染所致。

ANALYSIS OF PATHOGENIC MICROBIOLOGY IN PATIENTS WITH CHRONIC PROSTATITIS FOLLOWING SEXUALLY TRANSMITTED DISEASES

The pathogenic microbiology in patients with ohronic prostatitis following sexually transmitted diseases (STDs) was studied in this paper. 22 strains(24.44%) of Mycoplasma,18(20.00%) Ureaplasma urealyticum and 4 (4.44%)Mycoplasma hominis, were isolated in expressed prostatic secretions from 90 patients with chronic prostatitis. 99 strains (42.7%) of pathogens were found in another group of 232 patients with chronic prostatitis, in which, Staphylococcus aureus was the majority of cultures,accounting for 24.5% (57/232), while Staphlylococcus epidermidis,Enterococci,Nonfermenters, Enterobacteriaceae and Streptococcus pyogenes were 7.3%(17/232),4.3%(10/232),2.6%(6/232),2.2%(5/232) and 1.7%(4/232),respectively. The analysis suggested that it seemed possible the organisms might cause ascending inflammatory reactions of prostate due to ineffective treatment or ignoring sexually nonspecific pathogens during the acute urethritis.