Antibiotic Sensitivity of Bacterial Strains from Prostate Abscess Pus Aspirated Using Ultrasound Guidance
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Purpose: A prostate abscess is a rare occurrence often caused by immune dysfunction. The diagnostic modality for a prostate abscess is computed tomography or transrectal ultrasound. Transrectal ultrasound-guided aspiration is one such method. If treatment is dependent on the abscess size. This study examined the bacterial strains drained under transrectal ultrasound and their antibiotic sensitivity. Materials and Methods: The medical records of eight patients diagnosed with a prostatic abscess and treated by transrectal ultrasound-guided aspiration from March 2009 to December 2020 were reviewed retrospectively. The general characteristics, associated diseases, and bacterial strains and their antibiotic sensitivities were identified in blood, urine, and pus cultures. Results: Eight patients were hospitalized. The average age was 59.5±6.05 years, and the average length of hospitalization was 16.88±5.49 days; 75% had diabetes. No patients had catheterization, spinal injury, or prostate biopsy prior to diagnosis. The mean prostate volume was 47.05±27.3 ml, and the mean prostate abscess size was 2.08±0.83 ml. Under transrectal ultrasonography, the prostate abscess size was 5.43±5.31 ml, and catheters were inserted for treatment in four cases (50%). In the abscess culture test, Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus were found in four, three, and one case, respectively. E. coli and K. pneumoniae responded well to amikacin treatment, while seven cases responded well to Piperacillin/Tazobactam treatment. Conclusions: Prostate abscesses occur mainly in diabetic patients. The most common cultures are E. coli and K. pneumoniae. Intravenous injection of amikacin or Piperacillin/Tazobactam may be helpful as a treatment prior to bacterial identification.
Abstract
Purpose: A prostate abscess is a rare occurrence often caused by immune dysfunction. The diagnostic modality for a prostate abscess is computed tomography or transrectal ultrasound. Transrectal ultrasound-guided aspiration is one such method. If treatment is dependent on the abscess size. This study examined the bacterial strains drained under transrectal ultrasound and their antibiotic sensitivity. Materials and Methods: The medical records of eight patients diagnosed with a prostatic abscess and treated by transrectal ultrasound-guided aspiration from March 2009 to December 2020 were reviewed retrospectively. The general characteristics, associated diseases, and bacterial strains and their antibiotic sensitivities were identified in blood, urine, and pus cultures. Results: Eight patients were hospitalized. The average age was 59.5±6.05 years, and the average length of hospitalization was 16.88±5.49 days; 75% had diabetes. No patients had catheterization, spinal injury, or prostate biopsy prior to diagnosis. The mean prostate volume was 47.05±27.3 ml, and the mean prostate abscess size was 2.08±0.83 ml. Under transrectal ultrasonography, the prostate abscess size was 5.43±5.31 ml, and catheters were inserted for treatment in four cases (50%). In the abscess culture test, Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus were found in four, three, and one case, respectively. E. coli and K. pneumoniae responded well to amikacin treatment, while seven cases responded well to Piperacillin/Tazobactam treatment. Conclusions: Prostate abscesses occur mainly in diabetic patients. The most common cultures are E. coli and K. pneumoniae. Intravenous injection of amikacin or Piperacillin/Tazobactam may be helpful as a treatment prior to bacterial identification.
참고문헌 (19)
- 장기돈, "Treatment of Prostatic Abscess: Case Collection and Comparison of Treatment Methods", Investigative and Clinical Urology, 53(12), pp.860~864 (2012), 대한비뇨의학회
- Khim G, "Liver abscess : diagnostic and management issues found in the low resource setting", Br Med Bull, 132, pp.45~52 (2019)
- Roediger R, "Pyogenic and amebic infections of the liver", Gastroenterol Clin North Am, 49, pp.361~377 (2020)
- Feki W, "Lung abscess : diagnosis and management", Rev Mal Respir, 36, pp.707~719 (2019)
- Hillejan L, "Management of lung abscess - diagnostics and treatment", Zentralbl Chir, 145, pp.597~609 (2020)
- Trauzzi SJ, "Management of prostatic abscess in patients with human immunodeficiency syndrome", Urology, 43, pp.629~633 (1994)
- Ludwig M, "Diagnosis and therapeutic management of 18 patients with prostatic abscess", Urology, 53, pp.340~345 (1999)
- Brede CM, "The etiology and management of acute prostatitis", Nat Rev Urol, 8, pp.207~212 (2011)
- Oliveira P, "Diagnosis and treatment of prostatic abscess", Int Braz J Urol, 29, pp.30~34 (2003)
- Ha US, "Acute bacterial prostatitis in Korea: clinical outcome, including symptoms, management, microbiology and course of disease", Int J Antimicrob Agents, 31(Suppl 1), pp.S96~S101 (2008)
- Barozzi L, "Prostatic abscess : diagnosis and treatment", AJR Am J Roentgenol, 170, pp.753~757 (1998)
- Ackerman AL, "Diagnosis and treatment of patients with prostatic abscess in the post-antibiotic era", Int J Urol, 25, pp.103~110 (2018)
- Weinberger M, "Prostatic abscess in the antibiotic era", Rev Infect Dis, 10, pp.239~249 (1988)
- Abdelmoteleb H, "Management of prostate abscess in the absence of guidelines", Int Braz J Urol, 43, pp.835~840 (2017)
- Oshinomi K, "Treatment strategy for prostatic abscess : eighteen cases’ report and review of literature", Urol Sci, 29, pp.206~209 (2018)
- Lee DS, "Acute bacterial prostatitis and abscess formation", BMC Urol, 16, pp.38~ (2016)
- Kozlowska J, "Prostatic abscess due to Burkholderia pseudomallei : facilitating diagnosis to optimize management", Am J Trop Med Hyg, 98, pp.227~230 (2018)
- Kim B, "Trends and correlation between antibiotic usage and resistance pattern among hospitalized patients at university hospitals in Korea, 2004 to 2012: a nationwide multicenter study", Medicine(Baltimore), 97, pp.e13719~ (2018)
- Vyas JB, "Transrectal ultrasound-guided aspiration in the management of prostatic abscess : a single-center experience", Indian J Radiol Imaging, 23, pp.253~257 (2013)