+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Clinical and microbiological characteristics of spontaneous acute prostatitis and transrectal prostate biopsy-related acute prostatitis: Is transrectal prostate biopsy-related acute prostatitis a distinct acute prostatitis category?



Clinical and microbiological characteristics of spontaneous acute prostatitis and transrectal prostate biopsy-related acute prostatitis: Is transrectal prostate biopsy-related acute prostatitis a distinct acute prostatitis category?



Journal of Infection and ChemoTherapy 21(6): 434-437



This study aimed to compare the clinical and microbiological characteristics between acute bacterial prostatitis and transrectal biopsy-related acute prostatitis. We retrospectively reviewed the records of 135 patients hospitalized for acute prostatitis in three urological centers between 2004 and 2013. Acute bacterial prostatitis was diagnosed according to typical symptoms, findings of physical examination, and laboratory test results. Clinical variables, laboratory test results, and anti-microbial susceptibility results were reviewed. Patients were classified into the spontaneous acute prostatitis group (S-ABP) or biopsy-related acute prostatitis (Bx-ABP) for comparison of their clinical, laboratory, and microbiological findings. The mean age of all patients was 61.7 ± 12.9 years. Compared with S-ABP patients, Bx-ABP patients were significantly older, had larger prostate volumes, higher PSA values, higher peak fever temperatures, and higher incidence of septicemia and antibiotic-resistant bacteria. Overall, of the 135 patients, 57.8% had positive bacterial urine and/or blood cultures. Bx-ABP patients had a higher incidence of bacterial (urine and/or blood) positive cultures compared to S-ABP patients (66.7% versus 55.6%). Escherichia coli was the predominant organism in both groups, but it was more common in Bx-ABP (88.9%) than in S-ABP (66.7%). Extended spectrum beta-lactamase -producing bacteria accounted for 64.7% of culture-positive patients in the Bx-ABP group compared to 13.3% in the S-ABP group. Bx-ABP patients showed a higher incidence of septicemia and antibiotic-resistant bacteria than S-ABP patients. These results have important implications for the management and antimicrobial treatment of Bx-ABP, which may well deserve to be considered a distinct prostatitis category.

(PDF emailed within 0-6 h: $19.90)

Accession: 057419383

Download citation: RISBibTeXText

PMID: 25701308

DOI: 10.1016/j.jiac.2015.01.014


Related references

Microbiological characteristics of acute prostatitis after transrectal prostate biopsy. Korean Journal of Urology 54(2): 117-122, 2013

Acute bacterial prostatitis after transrectal prostate needle biopsy: clinical analysis. Journal of Infection and ChemoTherapy 14(1): 40-43, 2008

Risk factors for acute prostatitis after transrectal biopsy of the prostate. Korean Journal of Urology 51(6): 426-430, 2010

Positive culture for extended-spectrum β-lactamase during acute prostatitis after prostate biopsy is a risk factor for progression to chronic prostatitis. Urology 81(6): 1209-1212, 2013

Incidence of acute prostatitis caused by extended-spectrum beta-lactamase-producing Escherichia coli after transrectal prostate biopsy. Urology 74(1): 119-123, 2009

Acute bacterial prostatitis after transrectal ultrasound-guided prostate biopsy: epidemiological, bacteria and treatment patterns from a 4-year prospective study. International Journal of Urology 21(2): 152-155, 2014

Fluoroquinolone-resistant acute prostatitis requiring hospitalization after transrectal prostate biopsy: effect of previous fluoroquinolone use as prophylaxis or long-term treatment. International Urology and Nephrology 44(1): 19-27, 2012

Does a previous prostate biopsy-related acute bacterial prostatitis affect the results of radical prostatectomy?. International Braz J Urol 44(1): 81-85, 2017

Classification, etiology, diagnosis and treatment of prostatitis. Other types of prostatitis. Acute and chronic prostatitis. Enfermedades Infecciosas Y Microbiologia Clinica 23 Suppl 4: 47-56, 2006

Acute abducens nerve palsy following prostatitis due to prostate biopsy. Nihon Hinyokika Gakkai Zasshi. Japanese Journal of Urology 102(4): 655-658, 2011

Acute bacterial prostatitis: heterogeneity in diagnostic criteria and management. Retrospective multicentric analysis of 371 patients diagnosed with acute prostatitis. Bmc Infectious Diseases 8: 12, 2008

Prevalence of fluoroquinolone-resistant Escherichia coli before and incidence of acute bacterial prostatitis after prostate biopsy. Urology 78(6): 1235-1239, 2012

Transrectal prostatic ultrasonography in acute bacterial prostatitis: findings and clinical implications. Scandinavian Journal of Infectious Diseases 35(2): 114-120, 2003

Rising incidence of acute prostatitis following prostate biopsy: fluoroquinolone resistance and exposure is a significant risk factor. Urology 78(3): 511-514, 2011

Surgical and functional outcomes of radical retropubic prostatectomy after biopsy-related acute prostatitis. Central European Journal of Urology 72(1): 19-22, 2019