查詢結果分析
相關文獻
- Causative Microbial and Susceptibilities of Male Purulent Urethritis
- A Graph-Based Approach to Discovering Multiple-Level Association Rules from Large Databases
- 線上教材瀏覽模式之分析工具--資料探勘模式在網路學習課程之發展與應用實例
- 利用資料探勘語言挖掘感興趣的資訊
- 探勘中文新聞文件
- An Incremental Updating Technique for Discovering Sequential Patterns in Large Databases
- 一對一個人化服務機制
- 高效能多媒體文件分類法則之研究
- 利用決策樹分類法建置資料倉儲中檢核與整合大量企業資料之機制
- 挖掘企業資料的寶藏--淺談資料探勘技術
頁籤選單縮合
題 名 | Causative Microbial and Susceptibilities of Male Purulent Urethritis=男性化膿性尿道炎的治療經驗 |
---|---|
作 者 | 傅延宗; 劉煥昀; 奚聖川; 胡非力; 張俊粱; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 5:2 2009.12[民98.12] |
頁 次 | 頁61-65 |
分類號 | 416.274 |
關鍵詞 | 淋病雙球菌; 化膿性尿道炎; 資料探勘; Neisseria gonorrhoeae infection; Purulent urethritis; Data mining; |
語 文 | 英文(English) |
中文摘要 | 目的:男性化膿性尿道炎是泌尿科門診常見疾病,以奈瑟氏淋病雙球菌是最常見的致病菌。症狀通常是在性行為後的7~10天出現小便疼痛、頻尿及尿道有膿性分泌物,治療和預防這些傳染性疾病的唯一辦法,就是針對致病菌使用正確的抗生素。我們試著去找出常見的致病菌和藥物敏感測試以便治療化膿性尿道炎。方法:我們收集了2007年6月至2008年11月在泌尿外科門診有化膿性尿道炎的病人資料。以無菌棉花棒採集尿道分泌物放入培養皿中;我們先將陰莖龜頭和尿道口消毒之後以無菌棉花棒採集尿道分泌物;同時並收集最前段尿液送至細菌室培養。如果致病菌大於每立方厘米有10000個病原菌,將會進行後續的藥物感受性試驗。結果:藉由資料探勘,在這段時間內共收集到104病人的檢體,其中有94位病人共培養出103株細菌(有9位病人被培養出2種致病菌)。尿道口分泌物的培養率為76.7%,但最前段尿液的培養率只有17.5%。最常見的前5種化膿性尿道炎致病菌為奈瑟氏淋病雙球菌(38.8%)、丁型腸球菌(17.5%)、凝結酶陰性葡萄球菌(8.7%)、乙型鏈球菌(8.7%)和大腸桿菌(5.8%)。藥物敏感測試報告顯示Ciprofloxacin只能對22.5%的奈瑟氏淋病雙球菌有效抑菌。而前3種對奈瑟氏淋病雙球菌有效的抗生素為amoxicillin-clavalanicacid (100%)、nitrofurantoin(100%)和cefazolin(97.5%)。結論:根據我們的初步報告,發現尿道口分泌物培養比前段尿液培養能提供更多化膿性尿道炎的致病菌資料。我們也建議在正式細菌藥物感受性報告公佈前先以口服型式的amoxicillin-clavalanic acid、nitrofurantoin或cefazolinx來治療男性化膿性尿道炎。 |
英文摘要 | Objective: Purulent urethritis in the male patients is frequently found in the urological out-patient clinic, Neisseria gonorrhoeae is the most common causative microbial. The symptoms usually are dysuria, frequency accompanied with purulent urethral discharge about 7-10 days after sex exposure. The only way to treat these patients' symptoms and prevent these infectious diseases spreading successfully is using appropriate antibiotics. We try to identify the common causative microbial of the purulent urethral discharge and the antimicrobial susceptibilities.Methods: Between June 2007 and November 2008, those patients visited our clinic (a regional hospital in Taoyuan, Taiwan) who sustained purulent urethral discharge. The swab was obtained from the urethral meatus after we disinfected the glans and sent to the laboratory immediately. The first-catch urine was also collected for culture. If the cultured microorganism≧ 10^4/cumm, antimicrobial agents susceptibility will be checked.Results: By data mining, one hundred and twenty patients were enrolled in this study, 94 patients with 103 strains microbial were cultured (9 patients had 2 kinds of microbial infection). The total number of positive discharges swab culture is 92 (76.7%). However, only 21 (17.5%) patients had positive first-catch urine culture. The 5 the most common causative microbial of the male purulent urethritis were Neisseria gonorrhoeae (40, 38.8%), Group Denterococcus faecalis (18, 17.5%), Coagulase negative staphylococcus (9, 8.7%), Group B streptococcus (9, 8.7%) and Escherichia coli (6, 5.8%). By the susceptibility test, 22.5% (9/40) of our Neisseria gonorrhoeae strains were sensitive to the ciprofloxacin. The 3 most common susceptible oral form antibiotics to Neisseria gonorrhoeae are amoxicillin-clavulanic acid (100%), nitrofurantoin (100%) and cefazolin (97.5%).Conclusions: Based on our preliminary experiences, we found the swab from the urethral meatus can offer more available information than the first-catch urine sample. We also recommend the oral form amoxicillin-clavulanic acid, nitro-furantoin or cefazolin as the first aid for the purulent urethritis before the culture susceptibility reported. |
本系統中英文摘要資訊取自各篇刊載內容。