Microbiological and clinical characteristics in acute bacterial prostatitis according to lower urinary tract manipulation procedure.
We conducted a retrospective analysis of acute bacterial prostatitis (ABP) secondary to manipulation to document clinical features, management and microbiology based on the route of prior manipulation, which can be divided into two subgroups: transrectal and transurethral procedure. The medical records of 158 cases compatible with a confirmed diagnosis of ABP secondary to manipulation from 7 urological centers between 2001 and 2012 were reviewed. When subcategorized according to route of prior manipulation of the lower urinary tract, there were distinct differences between transrectal and transurethral manipulation group with regard to clinical and microbiological features. Escherichia coli was the most common causative bacterium in both groups, but Pseudomonas spp. were much more dominant pathogens in the group by transurethral manipulation than transrectal manipulation group. The susceptibilities to second-, third- and fourth-generation cephalosporins, amikacin, carbapenem and aztreonam were shown to be very low in the transurethral manipulation group. Therefore, it will take account the difference in antibiotic selection in the patients with ABP secondary to manipulation according to the manipulation route.
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Sang Hoon
SH
Kim
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
U-Syn
US
Ha
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Byung Il
BI
Yoon
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Sun Wook
SW
Kim
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Dong Wan
DW
Sohn
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Hyun Woo
HW
Kim
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Su Yeon
SY
Cho
Department of Urology, The Catholic University of Korea College of Medicine, Seoul, South Korea. Electronic address: cyh0831@catholic.ac.kr.
Yong-Hyun
YH
Cho
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy* / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011472:Prostatitis / Q000188:drug therapy* / Q000382:microbiology*; D012189:Retrospective Studies; D014551:Urinary Tract / Q000187:drug effects* / Q000382:microbiology*
D000900:Anti-Bacterial Agents
Acute bacterial prostatitis; Manipulation; Microbiology; Susceptibility