Acute Bacterial Prostatitis

Question 1

What is the third most common diagnosis in males >50

Answer 1

Acute bacterial prostatitis

Question 2

What are the four classes of bacterial prostatitis

Answer 2

Class one: acute bacterial prostatitis
Class two: chronic bacterial prostatitis
Class Three: chronic non bacterial prostatitis or pelvic inflammation
Class Four: asymptomatic inflammatory prostatitis

Question 3

What is the most common cause of bacterial prostatitis

Answer 3

E. Coli

Question 4

What are gram negative causes of acute bacterial prostatitis

Answer 4

E.Coli, Klebsiella, pseudomonas

Question 5

What are gram positive causes of acute bacterial prostatitis

Answer 5

Enterococci, staph epididimis, and strep

Question 6

Atypical causes of bacterial prostatitis

Answer 6

Chlamydia and TB

Question 7

Risk factors for acute prostatitis

Answer 7

urinary instrumentation, urethritis, STI, UTI

Question 8

S/S of bacterial prostatitis

Answer 8

Perineal, sacral or suprapubic pain
Fever
Irritative voiding complaints
Obstructive symptoms
Physical Exam: Tender prostate

Question 9

What are diagnostic lab tests and imaging for acute bacterial prostatitis

Answer 9

Laboratory/Imaging
• CBC
• Leukocytosis with left shift
• Urinalysis
• Pyuria, bacteriuria & hematuria
• Urine cultures
• Blood cultures
Pelvic CT or Transrectal Ultrasound if No response to ABX in 24-48H to rule out prostate abscess

Question 10

Treatment plan for acute bacterial prostatitis

Answer 10

Identify pathogen
• Typically use quinolone
Acute bacterial prostatitis: 4-8 weeks of antibiotics
Chronic bacterial prostatitis: 12 weeks of antibiotics