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  • Prostatitis

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    Prostatitis is an infection of the prostate gland that is most commonly caused by E. coli bacteria entering through the urethra or during medical procedures. It mainly affects younger and middle-aged men and symptoms include fever, urinary issues, pelvic or perineal pain, and painful ejaculation. Diagnosis involves a digital rectal exam showing an inflamed prostate, along with urine testing and elevated PSA levels. Treatment depends on severity but generally involves fluoroquinolone antibiotics administered orally or intravenously.

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    Prostatitis is an infection of the prostate gland that is most commonly caused by E. coli bacteria entering through the urethra or during medical procedures. It mainly affects younger and middle-aged men and symptoms include fever, urinary issues, pelvic or perineal pain, and painful ejaculation. Diagnosis involves a digital rectal exam showing an inflamed prostate, along with urine testing and elevated PSA levels. Treatment depends on severity but generally involves fluoroquinolone antibiotics administered orally or intravenously.

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    © All Rights Reserved
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    8 views3 pages

    Prostatitis

    Uploaded by

    Apink
    Prostatitis is an infection of the prostate gland that is most commonly caused by E. coli bacteria entering through the urethra or during medical procedures. It mainly affects younger and middle-aged men and symptoms include fever, urinary issues, pelvic or perineal pain, and painful ejaculation. Diagnosis involves a digital rectal exam showing an inflamed prostate, along with urine testing and elevated PSA levels. Treatment depends on severity but generally involves fluoroquinolone antibiotics administered orally or intravenously.

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    of 3

    Prostatitis

    PROSTATITIS
    • gram-negative organisms : E. coli (58% - 88%)
    1. Migrasi bakteri melalui uretra/bladder
    2.Inokulasi langsung pada transrectal prostate biopsy/ manipulasi
    transurethral (eg, catheterization & cystoscopy)
    • Epidemiologi : laki-laki muda & paruh baya
    • Faktor risiko :
    • anatomical anomalies (eg, urethral strictures)
    • urogenital instrumentation (eg : catheterization)
    • patients with HIV infection
    • Gejala :
    • spiking fever, chills, malaise, myalgia, dysuria
    • urinary symptoms (frequency, urgency, urge incontinence, dribbling, hesitancy,
    acute urinary retention)
    • pelvic or perineal pain
    • cloudy urine
    • pain the tip of the penis.

    sumber : https://www.uptodate.com/contents/acute-bacterial-prostatitis
    PROSTATITIS
    Physical exam :
    • Digital rectal exam : edematous and tender prostate
    • Lab : Leukocytosis, pyuria, bacteriuria, elevated serum
    prostate specific antigen (PSA)
    Therapy :
    • Intravenous drug (hospitalized patients) :
    • Levofloxacin / Ciprofloxacin, with or without an aminoglycoside
    (gentamicin or tobramycin 5 mg/kg daily, if the creatinine clearance is
    normal).
    • Beta-lactam, with or without an aminoglycoside
    • Oral :
    • Trimethoprim-sulfamethoxazole (one double-strength tab 960 mg
    orally every 12 hours)
    • Fluoroquinolone (Ciprofloxacin 500 mg orally every 12 hours or
    Levofloxacin 500 mg orally once daily)

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