最先进的技术审查:急性和慢性细菌性前列腺炎的诊断和管理
Prathit A Kulkarni1,2, Nicolás W Cortés-Penfield3, Tyler J Brehm2
1Medical Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.
概括
诊断急性细菌性前列腺炎 (ABP) 和慢性细菌性前列腺炎 (CBP) 可能具有挑战性. 治疗包括2-6周的抗生素,严重或持续的病例需要手术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
背景情况:
- 急性细菌性前列腺炎 (ABP) 和慢性细菌性前列腺炎 (CBP) 存在诊断方面的挑战.
- 临床诊断的ABP涉及急性尿路感染 (UTI) 系统性疾病和前列腺参与.
- 在患有慢性尿路症状或复发性尿路感染的男性中,可疑存在CBP.
研究的目的:
- 定义ABP和CBP的诊断标准.
- 概述ABP和CBP目前的管理策略.
- 确定细菌性前列腺炎的未来研究领域.
主要方法:
- 基于尿路感染,全身疾病和前列腺发现 (敏感性,) 的ABP临床诊断.
- 对CBP的诊断评估包括Meares-Stamey测试.
- 针对ABP和CBP的管理协议,涉及抗生素持续时间和外科考虑.
主要成果:
- 诊断ABP需要通过数字直肠检查或成像证明前列腺参与.
- 一个阳性Meares-Stamey测试证实了CBP的诊断.
- 治疗持续时间不同:ABP至少2周,CBP至少6周.
结论:
- ABP和CBP是不同的,但具有挑战性的诊断.
- 目前的治疗依赖于抗生素,用于耐火病例或的手术.
- 对细菌性前列腺炎的流行病学,成像和最佳抗生素持续时间需要进一步研究.
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