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目的了解男性泌尿生殖道感染的病原学分布,为男性泌尿生殖道感染的预防和治疗提供可靠依据。方法对2123例男性泌尿生殖道标本的微生物学检验进行回顾性总结。结果2123例男性泌尿生殖道标本中共检出病原菌1082株,检出率为50.96%,其中解脲支原体检出率最高,为24.30%。所有送检标本中,尿道拭子标本的病原菌检出率最高,为60.09%,混合感染率为12.74%;精液标本中无乳链球菌检出率明显高于前列腺液(P<0.05)。结论解脲支原体是男性泌尿生殖道感染的主要病原菌,男性泌尿道标本的病原学检查以尿道拭子为宜,男性不孕是否与无乳链球菌的感染有关还有待进一步研究。
Objective To understand the etiological distribution of male genitourinary tract infections and provide a reliable basis for the prevention and treatment of male genitourinary tract infections. Methods The microbiological tests of 2123 male genitourinary tract specimens were retrospectively reviewed. Results A total of 1082 pathogens were detected in 2123 male genitourinary tract samples, the detection rate was 50.96%. The highest detection rate of Ureaplasma urealyticum was 24.30%. The detection rate of pathogenic bacteria in urethral swab specimens was the highest (60.09%) and the mixed infection rate was 12.74%. The detection rate of S. agalactiae in semen specimens was significantly higher than that in prostatic fluid (P <0.05). Conclusions Ureaplasma urealyticum is the main pathogen of male genitourinary tract infection. The etiological examination of male urinary tract specimens is appropriate for urethral swabs. Whether male infertility is related to the infection of Streptococcus agalactiae remains to be further studied.