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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

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The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
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Related Experiment Video

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Measurement of Tactile Allodynia in a Murine Model of Bacterial Prostatitis
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Clinical courses following acute bacterial prostatitis.

Byung Il Yoon1, Dong-Seok Han, U-Syn Ha

  • 1Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea.

Prostate International
|November 14, 2013
PubMed
Summary

Following acute bacterial prostatitis (ABP) treatment, 11.8% of patients developed chronic infection (CI), including chronic bacterial prostatitis (CBP) or inflammatory chronic pelvic pain syndrome (CPPS). Risk factors included alcohol, diabetes, and shorter antibiotic duration.

Keywords:
AcuteBacterial prostatitisChronicInflammatory chronic pelvic pain syndromeProgression

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Area of Science:

  • Urology
  • Infectious Diseases
  • Men's Health

Background:

  • Acute bacterial prostatitis (ABP) is a common condition with limited data on long-term clinical outcomes.
  • Understanding the progression of ABP to chronic conditions is crucial for effective patient management.

Purpose of the Study:

  • To evaluate the progression rates of chronic bacterial prostatitis (CBP) and inflammatory chronic pelvic pain syndrome (CPPS) following ABP treatment.
  • To identify patient characteristics associated with the development of CBP and inflammatory CPPS after ABP.

Main Methods:

  • A retrospective study of 437 patients diagnosed with ABP across five urological centers (2001-2010).
  • Chronic infection (CI) was defined as progression to CBP or inflammatory CPPS within 3 months or more post-treatment.
  • Patients were categorized into two groups: recovered without CI (n=385) and developed CI (n=52).

Main Results:

  • The overall progression rate to chronic infection (CI) after ABP treatment was 11.8% (52/437).
  • Specifically, 1.3% progressed to CBP and 10.5% progressed to inflammatory CPPS.
  • Factors associated with CI development included higher alcohol consumption, diabetes, voiding symptoms, prior instrumentation, larger prostate volume, catheterization history, and shorter antibiotic treatment duration.

Conclusions:

  • Identifying these risk factors is essential for developing targeted preventive and therapeutic strategies for CI following ABP.
  • Further research can improve diagnostic and treatment approaches for patients experiencing chronic sequelae of ABP.