급성 세균성 전립선염의 임상경과에 관한 다기관 연구Clinical Outcome of Acute Bacterial Prostatitis; A Multicenter Study
- Other Titles
- Clinical Outcome of Acute Bacterial Prostatitis; A Multicenter Study
- Authors
- 이성주; 심봉석; 구진모; 조용현; 한창희; 민권식; 이선주; 이상돈; 김준모; 최종보; 김태형; 양상국; 이길호; 나용길; 이성호; 정희종; 정승일; 김철성; 정재민; 서영진; 조원열
- Issue Date
- 2011
- Publisher
- 대한요로생식기감염학회
- Keywords
- Anti-bacterial agents; Prostatitis; Treatment; Outcome
- Citation
- Urogenital Tract Infection, v.6, no.2, pp.165 - 170
- Journal Title
- Urogenital Tract Infection
- Volume
- 6
- Number
- 2
- Start Page
- 165
- End Page
- 170
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/17055
- ISSN
- 2465-8243
- Abstract
- Purpose: Proper guidelines concerning antibiotic administration for acute bacterial prostatitis (ABP) are unclear. We retrospectively analyzed treatment status and clinical outcomes to establish a proper treatment guideline.
Materials and Methods: The clinical records of 669 patients from 21 hospitals diagnosed with ABP were reviewed. Prior manipulation, antibiotics administration, mean length of treatment, complication and procedure were analyzed.
Results: The mean age of 538 patients (80.4%) without manipulation (group 1) and 131 patients (19.6%) with manipulation (group 2) was 58.3 years (range 19-88 years). Transrectal prostate biopsy was the most common cause of acute bacterial prostatitis (n=66; 50.4%). Of the clinical symptoms in the non-manipulation and manipulation groups, fever was most common (88.2% and 86.3%, respectively). Acute urinary retention (14.3% and 28.1%, respectively) was significantly increased in the manipulation group (p<0.05). Escherichia coli was the most frequently isolated bacterium from urine (72.0% and 66.7% of cases, respectively). Mean length of treatment was 6.5days and 7.9days, respectively; the difference was significant (p<0.05). Combination antibiotic therapy with third generation cephalosporin+aminoglycoside was used in 49.3% and 55.5% of cases, respectively. For single antibiotic therapy, second generation quinolones were used the most (35.5% and 34.3%, respectively). Sequale occurred in 29 group 1 patients (5.4%) and 20 group 2 patients (15.3%); the difference was significant (p<0.05).
Conclusions: Prior manipulation was associated with 20% of ABP patients. Regardless of manipulation, clinical outcome was similar after treating with appropriate antibiotics.
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