Víctor Heras-Cañas1, Blanca Gutiérrez-Soto2, María Luisa Serrano-García1, Fernando Vázquez-Alonso3, José María Navarro-Marí1, José Gutiérrez-Fernández4. 1. Laboratorio de Microbiología, Complejo Hospitalario Universitario de Granada (Hospital Virgen de las Nieves)-Instituto de Investigación Biosanitaria (IBS), Granada, España. 2. Departamento de Microbiología, Universidad de Granada-Instituto de Investigación Biosanitaria (IBS), Granada, España. 3. Unidad de Gestión Clínica (UGC) de Urología, Complejo Hospitalario Universitario de Granada-Instituto de Investigación Biosanitaria (IBS), Granada, España. 4. Laboratorio de Microbiología, Complejo Hospitalario Universitario de Granada (Hospital Virgen de las Nieves)-Instituto de Investigación Biosanitaria (IBS), Granada, España; Departamento de Microbiología, Universidad de Granada-Instituto de Investigación Biosanitaria (IBS), Granada, España. Electronic address: josegf@go.ugr.es.
Abstract
BACKGROUND AND OBJECTIVE: Chronic bacterial prostatitis (CBP) is characterized by long-lasting symptoms, frequently associated with psychosomatic disorders. The objective of the study was to study PCB in our environment clinically and microbiologically. METHODS: Between January 2013 and December 2014 761 patients with suspected CBP were studied. Of these patients 332 (43.6%) underwent a complete microbiological study and the major clinical signs and symptoms were collected. RESULTS: Eighteen point four percent of patients were diagnosed microbiologically with CBP, Enterococcus faecalis being the main aetiologic agent (37.7%), followed by Escherichia coli (22.2%). Ninety-six point seven percent of the CBP had positive semen cultures, while only 22.9% had positive urine post-semen cultures. Data of sensitivity, specificity, positive predictive value and negative predictive value of semen were 96.7%, 95.9%, 84.3% and 99.3%, respectively and urine post-semen 22.9%, 99.3%, 87.5% and 85.1%, respectively. Testicular perineum pain (44.3%), ejaculatory discomfort (27.9%) and haemospermia (26.2%) were highlighted as the patients' main clinical manifestations. CONCLUSIONS: Fractionated culture for the microbiological diagnosis of CBP could be simplified by the culture of urine pre-semen and semen, without the need for the culture of urine post-semen. The main aetiologic agent of CBP in our media was Enterococcus faecalis, followed by Escherichia coli.
BACKGROUND AND OBJECTIVE:Chronic bacterial prostatitis (CBP) is characterized by long-lasting symptoms, frequently associated with psychosomatic disorders. The objective of the study was to study PCB in our environment clinically and microbiologically. METHODS: Between January 2013 and December 2014 761 patients with suspected CBP were studied. Of these patients 332 (43.6%) underwent a complete microbiological study and the major clinical signs and symptoms were collected. RESULTS: Eighteen point four percent of patients were diagnosed microbiologically with CBP, Enterococcus faecalis being the main aetiologic agent (37.7%), followed by Escherichia coli (22.2%). Ninety-six point seven percent of the CBP had positive semen cultures, while only 22.9% had positive urine post-semen cultures. Data of sensitivity, specificity, positive predictive value and negative predictive value of semen were 96.7%, 95.9%, 84.3% and 99.3%, respectively and urine post-semen 22.9%, 99.3%, 87.5% and 85.1%, respectively. Testicular perineum pain (44.3%), ejaculatory discomfort (27.9%) and haemospermia (26.2%) were highlighted as the patients' main clinical manifestations. CONCLUSIONS: Fractionated culture for the microbiological diagnosis of CBP could be simplified by the culture of urine pre-semen and semen, without the need for the culture of urine post-semen. The main aetiologic agent of CBP in our media was Enterococcus faecalis, followed by Escherichia coli.
Authors: C Foronda-García-Hidalgo; C Liébana-Martos; B Gutiérrez-Soto; M Expósito-Ruiz; J M Navarro-Marí; J Gutiérrez-Fernández Journal: Rev Esp Quimioter Date: 2019-10-22 Impact factor: 1.553