Chronic prostatitis : experience of a greek infectious diseases outpatient clinic
| Autor: | M. Lelekis, G. Xyntaropoulos, P. Gargalianos, J. Kosmidis, A. Thanos |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Doxycycline
medicine.medical_specialty Allergy biology business.industry Prostatitis Klebsiella oxytoca medicine.disease biology.organism_classification Surgery Infectious Diseases Chronic bacterial prostatitis Internal medicine Medicine Outpatient clinic business Bacterial prostatitis Norfloxacin medicine.drug |
| Zdroj: | Médecine et Maladies Infectieuses. 21:389-392 |
| ISSN: | 0399-077X |
| DOI: | 10.1016/s0399-077x(05)80141-6 |
| Popis: | Summary Ninety-one patients were examined with symptoms or complications of chronic prostatitis. In 26 of them bacterial prostatitis (BP) was confirmed using the Meares-Stamey method. Pathogens included E. coli (11), P. mirabilis (4), Enterococci (5), Klebsiella oxytoca (1), Staph. aureus (1) and other Gram (+) cocci (5). Duration of treatment was 3–8 months with cotrimoxazole or norfloxacin in most of the cases. Fifteen other patients were considered to have non bacterial prostatitis (NBP) and were treated with doxycycline for 2–4 weeks. In four patients with bacterial prostatitis (BP) treatment was discontinued because of adverse reactions either intolerance to drug (one on cotrimoxazole, one on norfloxacin) or allergy (two on cotrimoxazole). With mean follow-up time 10 months complete success was obtained in 17/22 evaluable patients with BP. There were 5 failures, 3 with cotrimoxazole therapy for 3 months one with cotrimoxazole + norfloxacin for 4 months and one with cotrimoxazole for 6 months. Nine out of 15 patients with non bacterial prostatitis improved with doxycycline therapy. It seems that : a) at least 6 months treatment is required for chronic bacterial prostatitis. b) new quinolones are good alternatives to the standard cotrimoxazole treatment, c) many patients with non bacterial prostatitis may benefit from a short-term doxycycline treatment. |
| Databáze: | OpenAIRE |
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