Irkilata Lokman, Aydin Hasan Riza, Aydin Mustafa, Gorgun Selim, Demirel Huseyin Cihan, Adanur Senol, Akgunes Ebubekir, Atilla Aynur, Atilla Mustafa Kemal
Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey.
Department of Urology, Recep Tayyip Erdogan University, Rize, Turkey.
J Pak Med Assoc. 2016 Mar;66(3):312-5.
To evaluate the presence of uropathogens in the periurethral skin and the effect of phimosis on bacterial colonisation.
The observational cohort study was conducted in Samsun Research and Training Hospital, Samsun, Turkey from June to December, 2014, and comprised patients undergoing circumcision. Before circumcision, all children were examined in the operating room and the presence of phimosis was recorded. All patients had circumcision performed by the same surgical team under general anaesthesia. Before the procedure, samples were taken from preputial skin of all patients by swab before cleansing with polyvidone-iodine. The samples were inoculated on 5% sheep blood agar and eosin-methylene blue agar.
The median age of the 117 children was 5 years (range: 1-12). Of the total, 19(16.2%) children had complete phimosis, and 72(61.5%) had partial phimosis. In all,91(77.7%) children had phimosis and 26(22.3%) had no phimosis. Of the 91 patients with different degrees of phimosis, 52(57.1%) had clinically significant uropathogenic bacterial colonisation >100,000 colony-forming units per millilitre [cfu/ml]). Of the 26 patients without phimosis, 13(50%) had clinically significant colonisation. Thus, there was no effect of the presence of phimosis on bacteria colonisation (p=0.655).
Important uropathogens colonise the preputium in uncircumcised male children. There was no effect of phimosis on colonisation.
评估尿道周围皮肤中尿路病原体的存在情况以及包茎对细菌定植的影响。
2014年6月至12月在土耳其萨姆松的萨姆松研究与培训医院进行了一项观察性队列研究，研究对象为接受包皮环切术的患者。在包皮环切术前，所有儿童均在手术室接受检查，并记录包茎情况。所有患者均由同一手术团队在全身麻醉下进行包皮环切术。术前，在用聚维酮碘清洁之前，通过拭子从所有患者的包皮皮肤取样。样本接种在5%羊血琼脂和伊红美蓝琼脂上。
117名儿童的中位年龄为5岁（范围：1 - 12岁）。其中，19名（16.2%）儿童为完全包茎，72名（61.5%）为部分包茎。总共有91名（77.7%）儿童有包茎，26名（22.3%）没有包茎。在91例不同程度包茎的患者中，52例（57.1%）有临床意义的尿路致病性细菌定植（>100,000菌落形成单位/毫升[cfu/ml]）。在26例无包茎的患者中，13例（50%）有临床意义的定植。因此，包茎的存在对细菌定植没有影响（p = 0.655）。
未行包皮环切术的男童包皮中存在重要尿路病原体。包茎对定植没有影响。
