급성 세균성 전립선염
Acute Bacterial Prostatitis
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Bacterial prostatitis represents a small portion of the prostatitis spectrum, and acute bacterial prostatitis (ABP) is uncommon. But ABP is a urologic emergency. Even if there is a wide consensus for the diagnosis and treatment of ABP, many physicians need detailed guidelines with clear evidence. We suggest the diagnosis and treatment criteria of ABP with extensive review of the current literatures. The initial diagnosis of ABP is based on signs and symptoms like fever or voiding problem. Patients with symptoms should undergo urine analysis and culture of the urine. An imaging study of the prostate including transrectal ultrasound (TRUS) is suggested to exclude prostatic abscess (LoE 4). Elevated levels of prostate-specific antigen (PSA) are helpful to distinguish ABP from other febrile UTI. The predominant causative organisms are Gram-negative bacteria, mainly Escherichia coli. Appropriate management of ABP includes rapid initiation of broad-spectrum parenteral antibiotics and symptomatic support.
Abstract
Bacterial prostatitis represents a small portion of the prostatitis spectrum, and acute bacterial prostatitis (ABP) is uncommon. But ABP is a urologic emergency. Even if there is a wide consensus for the diagnosis and treatment of ABP, many physicians need detailed guidelines with clear evidence. We suggest the diagnosis and treatment criteria of ABP with extensive review of the current literatures. The initial diagnosis of ABP is based on signs and symptoms like fever or voiding problem. Patients with symptoms should undergo urine analysis and culture of the urine. An imaging study of the prostate including transrectal ultrasound (TRUS) is suggested to exclude prostatic abscess (LoE 4). Elevated levels of prostate-specific antigen (PSA) are helpful to distinguish ABP from other febrile UTI. The predominant causative organisms are Gram-negative bacteria, mainly Escherichia coli. Appropriate management of ABP includes rapid initiation of broad-spectrum parenteral antibiotics and symptomatic support.
참고문헌 (74)
- Abrams P, "Evidence - based medicine overview of the main steps for developing and grading guideline recommendations", Prog Urol, 17, pp.681~684 (2007)
- "U.S. Department of Health and Human Services Public Health Service Agency for Health Care Policy and Research", 115~127 (1992)
- Ludwig M, "Diagnosis and therapy of acute prostatitis, epididymitis and orchitis", Andrologia, 40, pp.76~80 (2008)
- Naber KG, "Management of bacterial prostatitis: what’s new?", BJU Int, 101(3), pp.7~10 (2008)
- Krieger JN, "NIH consensus definition and classification of prostatitis", JAMA, 282, pp.236~237 (1999)
- Wagenlehner FM, "The role of antibiotics in chronic bacterial prostatitis", Int J Antimicrob Agents, 26, pp.1~7 (2005)
- Benway BM, "Bacterial prostatitis", Urol Clin North Am, 35, pp.23~32 (2008)
- National Hospital Discharge Survey Public Use Data Tape Documentation 1994, "US. Department of Health", Centers for Disease Control and Prevention, ~ (1996)
- Wagenlehner FM, "Therapy of prostatitis syndrome", Urologe A, 40, pp.24~28 (2001)
- Neal DE, "Acute bacterial prostatitis, in Textbook of prostatitis", pp.115~122 (1999), Isis Medical Media
- Weidner W, "Evaluation of acute and chronic bacterial prostatitis and diagnostic management of chronic prostatitis", chronic pelvic pain syndrome withspecial reference to infection, Int J Antimicrob Agents, pp.2008, (1)[DOI]
- Meares EM, Jr, "Prostatitis", Med Clin North Am, 75(2), pp.405~424 (1991)
- Roberts RO, "A review of clinical and pathological prostatitis syndromes", Urology, 49, pp.809~821 (1997)
- Nickel JC, "Lower urinary tract evaluation. Prostatitis and related conditions, in Campbell’s urology", pp.4~3954 (2002), Saunders
- Weidner W, "Acute bacterial prostatitis and chronic prostatitis", chronic pelvic pain syndrome: andrological implications, 2008, pp.40, 105~112
- Lau CS, "Urethritis, Prostatitis, Epididymitis, and Orchitis, in Infectious diseases", pp.2515~ (2004), Lippincott Williams & Wilkins
- Ludwig M, "Diagnosis and therapeutic management of 18 patients with prostatic abscess", Urology, 53, pp.340~345 (1999)
- Ha US, "Acute bacterial prostatitis in Korea: clinical outcome, including symptoms, management, microbiology and course of disease", INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 31(1), pp.S96~S101 (2008), Elsevier Science Publishers
- Millan-Rodriguez F, "Acute bacterial prostatitis: two different sub-categories according to a previous manipulation of the lower urinary tract", World J Urol, 24, pp.45~50 (2006)
- Etienne M, "Acute bacterial prostatitis: heterogeneity in diagnostic criteria and management. Retrospective multicentric analysis of 371 patients diagnosed with acute prostatitis", BMC Infect Dis, 8, pp.12~ (2008)
- Naber KG, "management of urinary and male genital tract infections, in European Association of Urology Guidelines", pp.1~126 (2006), Drukkerij Gelderland: Arnhem, TheNetherlands
- Société de Pathologie Infectieuse de Langue Française (SPILF), "Deuxième conférence de consensus en thérapeutique anti-infectieuses: antibiothérapie des infections urinaires", Médecine et Maladies infectieuses, pp.51~54 (1991)
- Rubin RH, "Evaluation of new anti-infective drugs for the treatment of urinary tract infection. Infectious Diseases Society of America and the Food and Drug Administration", Clin Infect Dis, 15(1), pp.216~227 (1992)
- Horcajada JP, "Transrectal prostatic ultrasonography in acute bacterial prostatitis: findings and clinical implications", Scand J Infect Dis, 35, pp.114~120 (2003)
- Ulleryd P, "Prostatic involvement in men with febrile urinary tract infection as measured by serum prostate-specific antigen and transrectal ultrasonography", BJU Int, 84, pp.470~474 (1999)
- Resnick MI, "Ultrasonic evaluation of the prostate and bladder", Semin Ultrasound, 69 (1980)
- Millan Rodriguez F, "Management of acute prostatitis: experience with 84 patients", Arch Esp Urol, 48, pp.129~136 (1995)
- Rifkin MD, "Ultrasonography of the prostate, in Ultrasonography of the urinary tract", pp.502~ (1991), Williams & Wilkins
- Veneziano S, "Color Doppler ultrasonographic scanning in prostatitis: clinical correlation", Eur Urol, 28, pp.6~9 (1995)
- Cho IR, "Prostate blood flow characteristics in the chronic prostatitis", pelvic pain syndrome, 2000, pp.163, 1130~1133
- Kravchick S, "Acute prostatitis in middle-aged men: a prospective study", BJU Int, 93, pp.93~96 (2004)
- Velasco M, "Accurate topographical diagnosis of urinary tract infection in male patients with (111) indium-labelled leukocyte scintigraphy", Eur J Intern Med, 15, pp.157~161 (2004)
- Ulleryd P, "Selective urological evaluation in men with febrile urinary tract infection", BJU Int, 88, pp.15~20 (2001)
- Mateos JJ, "J, 111 Indium labelled leukocyte scintigraphy in the detection of acute prostatitis", Nucl Med Commun, 23, pp.1137~1142 (2002)
- Hara N, "Application of serum PSA to identify acute bacterial prostatitis in patients with fever of unknown origin or symptoms of acute pyelonephritis", Prostate, 60, pp.282~288 (2004)
- Schaeffer AJ, "Treatment of chronic bacterial prostatitis with levofloxacin and ciprofloxacin lowers serum prostate specific antigen", J Urol, 174, pp.161~164 (2005)
- Neal DE, Jr, "Prostate specific antigen and prostatitis. I. Effect of prostatitis on serum PSA in the human and nonhuman primate", Prostate, 20, pp.105~111 (1992)
- Pansadoro V, "Prostate-specific antigen and prostatitis in men under fifty", Eur Urol, 30, pp.24~27 (1996)
- Game X, "Total and free serum prostate specific antigen levels during the first month of acute prostatitis", Eur Urol, 43, pp.702~705 (2003)
- Collins MM, "How common is prostatitis? A national survey of physician visits", J Urol, 159, pp.1224~1228 (1998)
- Stamey TA, "Pathogenesis and treatment of urinary tract infections", pp.612~ (1980), Williams & Wilkins
- L’opez-Plaza L, "Prostatitis. Pathology of the prostate, ed" (1990), Churchill Livingstone
- Dowling KJ, "P-fimbriated Escherichia coli urinary tract infection: a clinical correlation", South Med J, 80, pp.1533~1536 (1987)
- Zhanel GG, "Antibiotic resistance in outpatient urinary isolates: final results from the North American Urinary Tract Infection Collaborative Alliance (NAUTICA)", Int J Antimicrob Agents, 26, pp.380~388 (2005)
- Caron F, "Bacteriologic diagnosis and antibiotic therapy of urinary tract infections", Rev Prat, 53, pp.1760~1769 (2003)
- Krieger JN, "Urinary tract infections in healthy university men", J Urol, 149, pp.1046~1048 (1993)
- Domingue GJ, "Prostatitis", Clin Microbiol Rev, 11, pp.604~613 (1998)
- Schaeffer AJ, "Diagnosis and treatment of prostatic infections", Urology, 36(5), pp.13~17 (1990)
- Nickel JC, "Prostatitis: evolving management strategies", Urol Clin North Am, 26, pp.737~751 (1999)
- Stevermer JJ, "Treatment of prostatitis", Am Fam Physician, 61, pp.3015~3025 (2000)
- Warren JW, "Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Infectious Diseases Society of America (IDSA)", Clin Infect Dis, 29, pp.745~758 (1999)
- Dajani AM, "Prostatic abscess, in the A report of 25 cases", Br J Urol, 40, pp.736~739 (1968)
- Pai MG, "Prostatic abscess", J Urol, 108, pp.599~600 (1972)
- Weinberger M, "Prostatic abscess in the antibiotic era", Rev Infect Dis, 10, pp.239~249 (1988)
- Morote J, "Effect of inflammation and benign prostatic enlargement on total and percent free serum prostatic specific antigen", Eur Urol, 37, pp.537~540 (2000)
- Leport C, "Bacterial prostatitis in patients infected with the human immunodeficiency virus", J Urol, 141, pp.334~336 (1989)
- Santillo VM, "The management of chronic prostatitis in men with HIV", Curr Urol Rep, 7, pp.313~319 (2006)
- Gogus C, "The value of transrectal ultrasound guided needle aspiration in treatment of prostatic abscess", Eur J Radiol, 52, pp.94~98 (2004)
- Chou YH, "Prostatic abscess: transrectal color Doppler ultrasonic diagnosis and minimally invasive therapeutic management", Ultrasound Med Biol, 30, pp.719~724 (2004)
- Varkarakis J, "Three-dimensional ultrasound guidance for percutaneous drainage of prostatic abscesses", Urology, 63, pp.1017~1020 (2004)
- Oliveira P, "Diagnosis and treatment of prostatic abscess", Int Braz J Urol, 29, pp.30~34 (2003)
- Aphinives C, "Prostatic abscesses: radiographic findings and treatment", J Med Assoc Thai, 87, pp.810~815 (2004)
- Tai HC, "Emphysematous prostatic abscess: a case report and review of literature", J Infect, 54, pp.51~54 (2007)
- Granados EA, "Prostatic abscess: diagnosis and treatment", J Urol, 148, pp.80~82 (1992)
- Stearns DB, "Seminal Vesiculitis: A Diagnostic Problem", J Int Coll Surg, 30, pp.354~363 (1963)
- Kennelly MJ, "Conservative management of a seminal vesicle abscess", J Urol, 141, pp.1432~1433 (1989)
- Dunnick NR, "Seminal vesiculography: limited value in vesiculitis", Urology, 20, pp.454~457 (1982)
- Baert L, "Seminal vesiculography in chronic bacterial prostatitis", J Urol, 136, pp.844~845 (1986)
- Patel PS, "Cystic seminal vesiculitis: CT demonstration", J Comput Assist Tomogr, 11, pp.1103~1104 (1987)
- Littrup PJ, "Transrectal US of the seminal vesicles 128 대한요로생식기감염학회지: 제6권 제2호 2011년 10월 and ejaculatory ducts: clinical correlation", Radiology, 168, pp.625~628 (1988)
- Sue DE, "MR imaging in seminal vesiculitis", J Comput Assist Tomogr, 13, pp.662~664 (1989)
- Lindert KA, "Bacteremia and bacteriuria after transrectal ultrasound guided prostate biopsy", J Urol, 164, pp.76~80 (2000)
- Lindstedt S, "Single-dose antibiotic prophylaxis in core prostate biopsy: Impact of timing and identification of risk factors", Eur Urol, 50, pp.832~837 (2006)
- Carey JM, "Transrectal ultrasound guided biopsy of the prostate, in the Do enemas decrease clinically significant complications?", J Urol, 166, pp.82~85 (2001)
