Clinical and Microbiological Characteristics of Chronic Bacterial Prostatitis
- Author Vladimer Papava
- Co-Author Tamar Didbaridze, Nino Gogokhia
- DOI
- Country : Georgia
- Subject : Educational
Keywords : Chronic bacterial prostatitis, prostatic fluid, urine, bacteria
Abstract
Chronic prostatitis (CP) is a very common urologic diagnosis in men, with 50% of men having this condition at some point in their life. About 10% of cases of CP have a bacterial etiology .The National Institutes of Health (NIH) classification four categories. Category II (CBP) is the focus of this article. Men with chronic bacterial prostatitis experience a similar loss in quality of life that survivors of recent acute coronary syndromes do .Chronic bacterial prostatitis (CBP) is characterized by prolonged or recurrent symptoms and relapsing bacteriuria. Diagnosis traditionally requires comparing urinary specimens obtained before with specimens obtained after prostatic massage. The main diagnostic criterion for CBP is positive bacterial cultures of prostatic fluid. Some patients may have bacterial infection despite negative urine cultures.
Our purpose in this study was the bacteriological examination of prostate fluid and urine taken from 105 patients (age 27to 50 years) with diagnosis of CBP who visited at TSMU the first university clinic Urology Department from 2017 January – until august 2017, identification of microbs and studying their sensitivity to antibiotics for the purpose of optimization of antibiotic therapy.
Our study show :1)The increasing prevalence of gram-positive pathogens(enterococci, staphylococci) ,2) In most cases (98%) when patients had evidence of bacterial infection urine cultures were negative. 3) High resistance against fluoroquinolones (82%) in chronic bacterial prostatitis patients is a growing problem, that is why clinicians should consider local drug-resistance patterns.
Comments
No have any comment !