Prostatitis Flashcards

1
Q

What is bacterial prostatitis?

A

-inflammation of prostate and surrounding tissue as a result of infection

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2
Q

What must be present to make diagnosis of bacterial prostatitis?

A

-pathogenic bacteria and significant inflammatory cells must be present in prostatic secretions and urine

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3
Q

Possible Routes of Infection in Prostatitis

A
  • reflux of infected urine into prostate gland
  • intraprostatic reflux of sterile urine –> chemical prostatitis –> nonbacterial prostatitis
  • sex
  • indwelling catheterization, urethral instrumentation
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4
Q

Pathogens in Acute BP

A

Gm negative, enteric organisms most common

  • E coli 75%
  • Klebsiella, Proteus, Pseudomonas
  • Enterobacter, Serratia
  • Occasional gonococcal or staphylococcal
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5
Q

Pathogens in Chronic BP

A
  • E coli most common
  • other gram negative
  • gram positives controversial
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6
Q

Clinical Presentation of ABP

A
  • high fever, chills
  • malaise, myalgia, localized pain
  • urinary sxs: frequency, urgency, dysuria, nocturia
  • prostatic massage will express purulent discharge but is contraindicated
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7
Q

Clinical Presentation of CBP

A
  • more difficult to dx
  • characterized by recurrent UTIs with same pathogen
  • most have prostatic enlargement
  • voiding difficulties (frequency, urgency, dysuria)
  • perineal and suprapubic discomfort
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8
Q

Dx of ABP

A
  • clinical presentation
  • presence of significant bacteriuria
  • culture midstream specimen
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9
Q

Dx of CBP

A
  • urinary tract localization studies

- sequential cultures

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