Krieger J N, McGonagle L A
Department of Urology, University of Washington School of Medicine, Seattle 98195.
J Clin Microbiol. 1989 Oct;27(10):2240-4. doi: 10.1128/jcm.27.10.2240-2244.1989.
Seventy-five patients attending a clinic for chronic prostatitis were evaluated by use of lower urinary tract localization cultures. Coagulase-negative staphylococci, alpha-hemolytic streptococci, and diphtheroids were the most common isolates, but none of these organisms were pathogens, based on the absence of bacteriuria or evidence of an inflammatory response in prostatic secretions. Recognized uropathogens were isolated in 12 (16%) of the 75 cases and included Escherichia coli in 6 cases, Enterococcus spp. in 2 cases, and Klebsiella pneumoniae, Pseudomonas aeruginosa, Enterobacter cloacae, and Staphylococcus saprophyticus in 1 case each. Laboratory evaluation of men with chronic prostatitis should concentrate on the isolation and antimicrobial susceptibility testing of bacteria that have an established pathogenic potential in the genitourinary tract.
对75名前往慢性前列腺炎门诊的患者进行了下尿路定位培养评估。凝固酶阴性葡萄球菌、α溶血性链球菌和类白喉杆菌是最常见的分离菌，但基于无细菌尿或前列腺分泌物中无炎症反应证据，这些微生物均不是病原体。在75例病例中有12例（16%）分离出了公认的尿路病原体，其中6例为大肠杆菌，2例为肠球菌属，肺炎克雷伯菌、铜绿假单胞菌、阴沟肠杆菌和腐生葡萄球菌各1例。对慢性前列腺炎男性患者的实验室评估应集中于分离和检测对泌尿生殖道有确定致病潜力的细菌的抗菌药敏情况。
