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KMID : 1234520110060010008
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Korean Journal of Urogenital Tract Infection Inflammation
2011 Volume.6 No. 1 p.8 ~ p.17
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Update of Acute Bacterial Prostatitis
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Choi Woo-Suk
Son Hwan-Cheol
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Abstract
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Acute bacterial prostatitis is defined as acute infection of prostate. It is classified into category I according to the National Institutes of Health (NIH) consensus classification. Patients with acute bacterial prostatitis present with acute symptoms of urinary tract infection, including urinary frequency, dysuria and symptoms suggestive of systemic infection, such as malaise, fever and myalgia. The prostate may be swollen and tender on digital rectal examination, butprostatic massage is contraindicated. The most common pathogen is Escherichia coli. For initial therapy, high doses of bactericidal antibiotics, such as abroad-spectrum penicillin, a third-generation cephalosporin or a fluoroquinolone may be administered parentally and these regimens may be combined with an aminoglycoside. After defeverescence and normalization of infection parameters, oral antibiotic therapy can be continued for 2 to 4weeks. We should bear in mind that acute bacterial prostatitis secondary to manipulation of the lower urinary tract, such as transrectal prostatic needle biopsy,has more aggressive clinical course.
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KEYWORD
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Prostatitis, Urinary tract infections
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