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prostatic abscess guidelines

Mohammed Kamil Quraishi, Yih Chyn Phan, Wael Asaad, Naing Lynn
A staghorn calculus is a calculus accommodating the majority of a renal calyx extending into the renal pelvis. A conservative approach to its treatment may lead to high morbidity and mortality rates. Such morbidity usually manifests with renal failure, obstructed upper urinary tractand/or life-threatening sepsis. Prostatic abscesses have never been associated with staghorn calculi in the literature. We report a case of a 70-year-old man who presented with sepsis, which was found to originate from a complex prostatic abscess...
February 1, 2018: BMJ Case Reports
Haitham Abdelmoteleb, Fatima Rashed, Amr Hawary
In contemporary practice, the number of patients presenting with prostatic abscess have significantly declined due to the widespread use of antibiotics. However, when faced with the pathology, prostatic abscess tends to pose a challenge to clinicians due to the difficulty of diagnosis and lack of guidelines for treatment. Treatment consists of an array of measures including parenteral broad-spectrum antibiotic administration and abscess drainage.
September 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Ahmed M Elshal, Ahmed Abdelhalim, Tamer S Barakat, Atallah A Shaaban, Adel Nabeeh, El-Housseiny Ibrahiem
OBJECTIVE: To assess the outcome of the drainage procedure used for treating a prostatic abscess, and to propose a treatment algorithm to reduce the morbidity and the need for re-treatment. Patients and methods We retrospectively reviewed patients who were admitted and received an interventional treatment for a prostatic abscess. All baseline relevant variables were reviewed. Details of the intervention, laboratory data, duration of hospital stay, follow-up data and re-admissions were recorded...
December 2014: Arab Journal of Urology
David George Partridge, Emma O'Brien, Ann L N Chapman
OBJECTIVES: To review the role of outpatient parenteral antibiotic therapy (OPAT) in the management of infective endocarditis (IE) with the aim to guide further development of the service modality both locally and at other centres, in light of the evolving recommendations on patient suitability in international guidelines. METHODS: A retrospective case review of all patients receiving OPAT for IE in Sheffield between January 2006 and October 2010 was conducted. Data were collected on site and microbiology of infection, antibiotic regimens, adverse events during OPAT therapy and outcomes were studied...
July 2012: Postgraduate Medical Journal
Cees van Nieuwkoop, Jan W van't Wout, Willem J J Assendelft, Henk W Elzevier, Eliane M S Leyten, Ted Koster, G Hanke Wattel-Louis, Nathalie M Delfos, Hans C Ablij, Ed J Kuijper, Jan Pander, Jeanet W Blom, Ida C Spelt, Jaap T van Dissel
BACKGROUND: Current guidelines on the management of urinary tract infection recommend treating febrile urinary tract infection or acute pyelonephritis with antimicrobials for at least 14 days. Few randomized trials showed the effectiveness of treatment durations of 5 to 7 days but this has only been studied in young previously healthy women. METHODS/DESIGN: A randomized placebo-controlled double-blind multicenter non-inferiority trial in which 400 patients with community acquired febrile urinary tract infection will be randomly allocated to a short treatment arm (7 days of ciprofloxacin or 7 days of empirical beta-lactams +/- gentamicin intravenously with early switch to oral ciprofloxacin followed by 7 days of blinded placebo) or standard treatment arm (7 days of ciprofloxacin or 7 days of empirical beta-lactams +/- gentamicin intravenously with early switch to oral ciprofloxacin followed by 7 days of blinded ciprofloxacin)...
August 19, 2009: BMC Infectious Diseases
Sharon J Peacock, Herbert P Schweizer, David A B Dance, Theresa L Smith, Jay E Gee, Vanaporn Wuthiekanun, David DeShazer, Ivo Steinmetz, Patrick Tan, Bart J Currie
The gram-negative bacillus Burkholderia pseudomallei is a saprophyte and the cause of melioidosis. Natural infection is most commonly reported in northeast Thailand and northern Australia but also occurs in other parts of Asia, South America, and the Caribbean. Melioidosis develops after bacterial inoculation or inhalation, often in relation to occupational exposure in areas where the disease is endemic. Clinical infection has a peak incidence between the fourth and fifth decades; with diabetes mellitus, excess alcohol consumption, chronic renal failure, and chronic lung disease acting as independent risk factors...
July 2008: Emerging Infectious Diseases
D Jahoda, O Nyc, J Simsa, E Kucera, P Hanek, P Chrz, D Pokorný, N Tawa, I Landor, A Sosna
The importance of prevention in late hematogenous infection is well understood but, because responsibility lies with general practitioners and other specialists, the orthopedic surgeon is usually not much interested. In both our and other countries, discussions are taking place on whether and to what extent antibiotic prevention should be carried out. Antibiotic prophylaxis of hematogenous infection is not indicated for all patients with joint arthroplasty, but only for a limited, defined group of patients at high risk...
April 2008: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
M Ludwig
Acute genitourinary infections represent an important problem in daily urological practice. Standardised diagnostic procedures and therapeutic guidelines, as far as they exist, are mandatory to minimise the risk for severe sequelae and to optimise the therapeutic outcome. The present overview details diagnostic steps, therapeutic guidelines and the management of potential sequelae of acute prostatitis, acute epididymitis and acute orchitis. Acute prostatitis does not seem to represent a major diagnostic and therapeutic problem as long as prostatic abscess formation is absent...
April 2008: Andrologia
Pierre Labarthe, Michel Laroche, Patrice Massip, Mehdi Khedis, Eric Huyghe, Pierre Plante, Michel Soulié
Prostatic biopsy is a routine clinical procedure often wrongly considered to be perfectly harmless. The authors report the first case of epidural abscess after prostatic biopsy, despite properly conducted antibiotic prophylaxis. Although the epidural space is a known site of infection, the relationship with prostatic biopsies has never been previously reported. This clinical case emphasizes the need for complete patient information and the importance of anti-infective prophylaxis guidelines.
September 2005: Progrès en Urologie
Charlotte Auzanneau, Andréa Manunta, Sébastien Vincendeau, Jean-Jacques Patard, François Guillé, Bernard Lobel
OBJECTIVES: To evaluate the current diagnostic and therapeutic management of acute prostatitis. MATERIAL AND METHODS: The authors report a series of 100 consecutive patients with a diagnosis of acute prostatitis managed between January 1999 and December 2003. They analysed the clinical and laboratory data and imaging findings leading to the diagnosis of acute prostatitis and then the modalities of treatment and follow-up of these patients. RESULTS: The median age was 56...
February 2005: Progrès en Urologie
D H Williams, A J Schaeffer
Urinary tract infections (UTIs) are common infectious diseases that can be associated with substantial morbidity and significant expenditures. This review highlights the current concepts and recent advances in our understanding and management of this condition. Specific topics include pathogenesis, host factors, antimicrobial resistance, recurrent UTIs in women, diagnosis, treatment of uncomplicated and complicated UTIs, prophylaxis, catheter associated bacteriuria, pregnancy, diabetes, UTIs in men, prostatitis, and the chronic pelvic pain syndrome...
March 2004: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
S Napal Lecumberri, M Verdu Martínez, M Monsalve Rodríguez, S Kilani Elsmari, S C Gómez Cisneros, J García Alonso
Five prostatic abscesses treated in our Unit over the last three years (1988, 89, 90) are presented. Both the mode of presentation and symptoms as well as the course of treatment followed (three percutaneous drainage through the perineum, lead by ultrasound scanning, one endoscopic abscess incision with Collins' knife and one resolved with antibiotics subsequently needing TUR of the prostatic adenoma) are reviewed. The change of attitude in the treatment of prostatic abscesses (Ultrasound-lead percutaneous drainage) and the major usefulness of ultrasound scanning for diagnosis, treatment and subsequent follow-up are emphasized...
February 1992: Actas Urologicas Españolas
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