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目的:探讨男性尿路感染的易感因素,致病菌的分布及其耐药情况,为临床治疗提供依据。方法:对70例男性尿路感染住院患者易感因素、尿培养药敏试验结果及其治疗进行回顾性分析。结果:70例感染中以老年为主。易感因素以前列腺肥大、留置尿管、器械检查及糖尿病为主。男性UTI临床表现多种多样,且尿路刺激症状不典型。细菌培养得到78株细菌,革兰阴性杆菌共57株,占总菌数73.1%;革兰阳性球菌共9株,占总菌数11.5%;真菌(白假丝酵母菌)检出12株,占总菌数15.4%。53例患者UTI控制,随访6周未见其复发;12例复发;3例治疗失败。结论:积极治疗原发病,去除易感因素,合理使用抗生素并配合中药治疗,调整机体内分泌状态,从而提高尿路感染的治愈率。
Objective: To investigate the predisposing factors of male urinary tract infection, pathogenic bacteria distribution and drug resistance, to provide the basis for clinical treatment. Methods: A total of 70 male urinary tract infection inpatients susceptibility factors, urine culture susceptibility test results and treatment were retrospectively analyzed. Results: 70 cases of infection mainly in the elderly. Susceptibility factors to benign prostatic hyperplasia, indwelling catheter, device checks and diabetes-based. Men’s UTI clinical manifestations varied, and urinary tract irritation symptoms are not typical. 78 strains of bacteria were obtained from bacteria culture, 57 strains of Gram-negative bacilli accounted for 73.1% of the total bacteria, 9 strains of Gram-positive cocci, accounting for 11.5% of total bacteria, 12 strains of fungi (Candida albicans) The total number of bacteria 15.4%. 53 cases of UTI control, no recurrence of 6 weeks follow-up; 12 cases of recurrence; 3 cases of treatment failure. Conclusion: Active treatment of primary disease, removal of susceptible factors, the rational use of antibiotics and Chinese medicine treatment, adjust the body’s endocrine status, thereby increasing the cure rate of urinary tract infection.