Savaş C, Cakmak M, Yorgancigil B, Bezir M
Department of Pediatric Surgery, Süleyman Demirel University Medical School, Isparta, Turkey. savas@tr-net-net-tr
Int Urol Nephrol. 2000;32(1):85-7. doi: 10.1023/a:1007120520884.
The aim of the present study was to examine subpreputial bacteriology and to compare it with the urine cultures of healthy male children. Seventy-two male children were divided into two groups as A and B according to age. In both groups preputial sac and urine cultures were taken simultaneously. Gram (+) enteric cocci were the most common isolated pathogens from the preputial sac in group B. Enterobacter, E. coli and staphylococci species were isolated from the urine cultures of three patients in group B. We could not find any difference between the preputial sac swabs of group A and B patients, but the isolation rate of urine cultures of group A patients was significantly higher than group B (p < 0.05). The findings of the present study support a potential role of the prepuce acting as a reservoir of faecal bacteria in the pathogenesis of UTI in male infants, especially in the first year of life. Improved penile hygiene after the first year of life does not alter the subpreputial bacteriology, but significantly decreases the contamination of urine.
本研究的目的是检查包皮下细菌学，并将其与健康男童的尿液培养结果进行比较。72名男童根据年龄分为A组和B组。两组均同时采集包皮囊和尿液培养样本。革兰氏阳性肠球菌是B组包皮囊中最常见的分离病原体。B组三名患者的尿液培养中分离出肠杆菌、大肠杆菌和葡萄球菌。我们未发现A组和B组患者包皮囊拭子之间存在差异，但A组患者尿液培养的分离率显著高于B组（p<0.05）。本研究结果支持包皮在男婴尿路感染发病机制中作为粪便细菌储存库的潜在作用，尤其是在生命的第一年。一岁以后改善阴茎卫生状况并不会改变包皮下细菌学，但会显著降低尿液污染。
