Prostatitis Flashcards
1
Q
What is bacterial prostatitis?
A
-inflammation of prostate and surrounding tissue as a result of infection
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
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
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
5
Q
Pathogens in Chronic BP
A
- E coli most common
- other gram negative
- gram positives controversial
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
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
8
Q
Dx of ABP
A
- clinical presentation
- presence of significant bacteriuria
- culture midstream specimen
9
Q
Dx of CBP
A
- urinary tract localization studies
- sequential cultures