Acute Bacterial Prostatitis
Acute Bacterial Prostatitis is caused by gram negative rods such as E.coli and Pseudomonas species. The most likely route of infection includes ascent up the urethera and Reflux of infected urine in the prostatic ducts. Perineal, sacral or suprapubic pain, fever, and irritative voiding complaints are common. High fever and warm, tender prostate detected on examination. Complete Blood count shows leukocytosis and a left shift. Urinalysis show pyuria, bacteriuria and hematuria. Urine culture will demonstrate the pathogen. Parenteral antibiotics (ampicillin and aminoglycoside) should be initiated until organism sensitivity is available. After the patient is afebrile for 24-48 hours oral antibiotics (quinolones) are used to complete 4-6 weeks of therapy