Microbiological and clinical characteristics in acute bacterial prostatitis according to lower urinary tract manipulation procedure.
J Infect Chemother
; 20(1): 38-42, 2014 Jan.
Article
in En
| MEDLINE
| ID: mdl-24462423
ABSTRACT
We conducted a retrospective analysis of acute bacterial prostatitis (ABP) secondary to manipulation to document clinical features, management and microbiology based on the route of prior manipulation, which can be divided into two subgroups transrectal and transurethral procedure. The medical records of 158 cases compatible with a confirmed diagnosis of ABP secondary to manipulation from 7 urological centers between 2001 and 2012 were reviewed. When subcategorized according to route of prior manipulation of the lower urinary tract, there were distinct differences between transrectal and transurethral manipulation group with regard to clinical and microbiological features. Escherichia coli was the most common causative bacterium in both groups, but Pseudomonas spp. were much more dominant pathogens in the group by transurethral manipulation than transrectal manipulation group. The susceptibilities to second-, third- and fourth-generation cephalosporins, amikacin, carbapenem and aztreonam were shown to be very low in the transurethral manipulation group. Therefore, it will take account the difference in antibiotic selection in the patients with ABP secondary to manipulation according to the manipulation route.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Prostatitis
/
Bacterial Infections
/
Urinary Tract
/
Anti-Bacterial Agents
Type of study:
Observational_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Infect Chemother
Journal subject:
MICROBIOLOGIA
/
TERAPIA POR MEDICAMENTOS
Year:
2014
Type:
Article
Affiliation country:
South Korea