Acute bacterial prostatitis
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Revision as of 12:02, 4 January 2023 by Aidan (talk | contribs) (Created page with "== Background == === Microbiology === * Enterobacterales, mostly Escherichia coli, Klebsiella, and Proteus * Other bacteria, including Pseudomonas aeruginosa, Enterobacter, and Staphylococcus aureus * Mycobacterium tuberculosis, especially with sterile pyuria * Rare: Burkholderia pseudomallei, Corynebacterium glucuronlyticum, fungi, viruses === Risk Factors === * Other GU infections: UTI, orchitis, epididymitis,...")
Background
Microbiology
- Enterobacterales, mostly Escherichia coli, Klebsiella, and Proteus
- Other bacteria, including Pseudomonas aeruginosa, Enterobacter, and Staphylococcus aureus
- Mycobacterium tuberculosis, especially with sterile pyuria
- Rare: Burkholderia pseudomallei, Corynebacterium glucuronlyticum, fungi, viruses
Risk Factors
- Other GU infections: UTI, orchitis, epididymitis, urethritis
- Obstruction: BPH, phimosis, urethral stricture
- Procedure: catheterization, cystoscopy, transurethral resection, prostate biopsy
- Pelvic trauma
Clinical Manifestations
- Irritative urinary symptoms: frequency, urge incontinence, and urgency
- Pelvic or perineal pain
- Sexual dysfunction with painful ejaculation and postcoital pelvic discomfort
- May have systemic signs, including fever and bacteremia
Management
- Treat as UTI with a general preference for fluoroquinolones and duration 10 to 14 days
