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ALL / Nephrology
Acute bacterial prostatitis
Acute bacterial prostatitis
Acute bacterial prostatitis is typically caused by gram-negative bacteria entering the prostate gland via the urethra.Escherichia coli is the most commonly isolated pathogen.
Risk factors for acute bacterial prostatitis include recent urinary tract infection, urogenital instrumentation, intermittent bladder catheterisation and recent prostate biopsy.
Features
- the pain of prostatitis may be referred to a variety of areas including the perineum, penis, rectum or back
- obstructive voiding symptoms may be present
- fever and rigors may be present
- digital rectal examination: tender, boggy prostate gland
Management
- the BNF recommends a 14-day course of a quinolone
- consider screening for sexually transmitted infections
+PassMedicine Notes
Acute bacterial prostatitis is typically caused by gram-negative bacteria entering the prostate gland via the urethra.
Escherichia coli is the most commonly isolated pathogen.
Risk factors for acute bacterial prostatitis include recent urinary tract infection, urogenital instrumentation, intermittent bladder catheterisation and recent prostate biopsy.
Features- the pain of prostatitis may be referred to a variety of areas including the perineum, penis, rectum or back
- obstructive voiding symptoms may be present
- fever and rigors may be present
- digital rectal examination: tender, boggy prostate gland
- the BNF recommends a 14-day course of a quinolone
- consider screening for sexually transmitted infections
