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1. Contents Vol. 89, 2012

Author

S. Kachrilas, O. Traxer, Druck Reinhardt Druck Basel, Wenkai Chen, Yonghui Chen, Yasin Ceylan, Ervin Kocjancic, Simone Crivellaro, Ali Noorafshan, N. Buchholz, N. Lumen, A. Papatsoris, S. McClinton, Nihat Satar, Vildan Avkan-Oguz, P. Kumar, Omer Koras, J. Masood, I. Atilla Aridogan, Joakim Ortegren, Mehdi Shirazi, Xin Gao, C. Can, Dan Tan, Yiran Huang, Dušan Kubej, Xu Li, W. Oosterlinck, André Reitz, Onur Karsli, François Desgrandchamps, Mounir Aout, Gianfranco Gualdi, B. Baseskioglu, S.K. Gupta, Ming-Hua Lu, A.A. Pradhan, Ming-Kun Chen, M. Yılmaz, Yun Luo, A. Ozen, Qiang Fu, Jiahua Pan, Jean-Nicolas Cornu, Deniz Abat, Tansu Degirmenci, Jiawu Wang, K.A. Laing, Gabriele Masselli, Bumin Ors, V.S. Bedi, Satz Mengensatzproduktion, B.K. Somani, Pernilla Sundqvist, Zafer Kozacioglu, C. Bach, T.B.L. Lam, Qi Chen, A. Yenilmez, N.P. Cohen, Fredrik Liedberg, Haige Chen, Alexandre de la Taille, Bo Yang, Chengyao Zhang, Guillermo Martinez, Bulent Gunlusoy, Charlotta Strandberg, Hao Zhang, Wei Xue, Bruno Frea, Bertrand Lukacs, Yildirim Bayazit, Murat Arslan, S. Nesar, Y.P.S. Rana, Eric Vicaut, E. Colak, Ying Long Sa, Jiong Zhang, Guangzhong Tan, Per Weber, L. Tosco, A. Goyal, Jun Pang, Anna Palazzetti, Yue Min Xu, Joseph L. Chin, Ali Serhan, Güven Aslan, Giovanni Stirati, Vincent Nagy, P. Hoebeke, K. Pathak, Sakir Ongun, Volkan Izol, R. Talwar, Maria Abbinante, Ana María Autrán-Gómez, Roberto Mario Scarpa, Emanuele Casciani, D.V. Singh, and Elisabetta Polettini

Subjects
Traditional medicine, business.industry, Urology, Medicine, business
Published
2012

2. Acute bacterial prostatitis in humans: current microbiological spectrum, sensitivity to antibiotics and clinical findings

Author

Vincent Nagy and Dušan Kubej

Subjects
Adult, Aged, 80 and over, Male, medicine.medical_specialty, genetic structures, Adolescent, business.industry, medicine.drug_class, Urology, Antibiotics, Microbial Sensitivity Tests, Middle Aged, Microbiology, Anti-Bacterial Agents, Prostatitis, Young Adult, Acute Bacterial Prostatitis, Internal medicine, Medicine, Humans, In patient, business, Aged
Abstract

Objective: To assess the current microbiological profile and sensitivity to antibiotics in patients with acute bacterial prostatitis (ABP). Patients and Methods: In the period 2003–2010, we treated 192 ABP patients, aged from 18 to 85 years (average 56.3 years). We performed a biochemical examination including a microbiological urine examination. After admission, we immediately began the empirical antibacterial treatment. Results: The clinical picture was dominated by pain, prostate enlargement and failure of micturition in 185 (96.4%) patients; 14 (7.3%) patients had acute urinary retention where epicystostomy was necessary. Fever occurred in 177 (92.2%) patients and Escherichia coli was the most frequent etiological agent detected in 103 (53.7%) patients followed by Pseudomonas aeruginosa and Klebsiella species. In 16 (8.3%) patients we found 2 bacteriological strains. Sterile urine was found in 65 (33.8%) patients. Fluoroquinolones, aminoglycosides and cephalosporins were used most frequently. 147 (76.6%) patients were treated according to the microbiological results. Overview of resistance shows an increase in resistance to fluoroquinolones. In 14 (7.3%) patients there was progression to urosepsis. Conclusion: Clinicians should consider local drug-resistance patterns when choosing antibiotics and should adjust the therapy on the basis of bacterial cultures and local sensitivity to antibiotics.

Published
2012

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