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首页> 外文期刊>Nigerian Journal of Surgery >Bacteriology of urine specimens obtained from men with symptomatic benign prostatic hyperplasia
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Bacteriology of urine specimens obtained from men with symptomatic benign prostatic hyperplasia

机译：有症状的前列腺增生症患者尿液标本的细菌学

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Background : Bacteriuria and urinary tract infections are common sequelae of benign prostatic hyperplasia (BPH). Thus, the knowledge of urine bacteriology in men with symptomatic BPH in our environment may play a complementary role in management. Objectives : To determine the incidence of bacteriuria and the antibiotic sensitivity pattern of bacterial isolates in cultured urine samples of men with symptomatic BPH. Patients and Methods: This was a 1 year prospective study. All patients who presented with lower urinary tract symptoms due to BPH and who met the inclusion criteria were studied. Urine samples were obtained from the patients for microscopy, culture, and sensitivity following standard protocol. Results : Ninety?four patients were studied. The age range was 53–80 years with a mean of 65.5 ± 7.8 years. Bacterial isolates were noted in 42 (44.7%) patients. Six of these had two different species of bacterial organisms isolated. Escherichia coli noted in 20 (47.6%) specimens was the most common organism isolated while the least common, Providencia species, was noted in 1 (2.4%). The bacterial isolates were mostly sensitive to imipenem, meropenem, and nitrofurantoin, but showed greater resistance to cefuroxime, gentamicin, and ofloxacin. There was no significant difference between the means for age (P = 0.80), duration of symptoms (P = 0.09), and prostate size (P = 0.52) in the patients with and those without bacteriuria. Conclusion: Bacteriuria is a common finding in patients with symptomatic BPH in our setting. The bacterial isolates showed high level of resistance to oral cephalosporins and fluoroquinolones. There is a need to update guidelines in empiric use of antibiotics in this group of patients.
机译：背景：细菌性尿道和尿路感染是良性前列腺增生（BPH）的常见后遗症。因此，在我们环境中有症状的BPH的男性中，尿细菌学知识可能在管理中起补充作用。目的：测定有症状的BPH男性培养尿液中细菌尿的发生率和细菌分离株的抗生素敏感性模式。患者和方法：这是一项为期1年的前瞻性研究。研究了所有因BPH而出现下尿路症状并符合纳入标准的患者。从患者获得尿液样品，用于显微镜，培养和根据标准方案的敏感性。结果：对94例患者进行了研究。年龄范围为53-80岁，平均65.5±7.8岁。在42名（44.7％）患者中发现了细菌分离株。其中有六个分离出两种不同的细菌。在20个样本中发现大肠杆菌（占47.6％）是最常见的细菌，而在1个样本中发现最不常见的普罗维登斯物种（占2.4％）。细菌分离株对亚胺培南，美洛培南和呋喃妥因最敏感，但对头孢呋辛，庆大霉素和氧氟沙星的耐药性更高。有和没有细菌尿症的患者的平均年龄（P = 0.80），症状持续时间（P = 0.09）和前列腺大小（P = 0.52）之间没有显着差异。结论：细菌性尿液是本病中有症状BPH患者的常见发现。细菌分离株对口服头孢菌素和氟喹诺酮类药物表现出高水平的耐药性。有必要更新该组患者经验性使用抗生素的指南。

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