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Chronic prostatitis: Comments on infectious etiologies and antimicrobial treatment
Author(s) -
Greenberg Richard N.,
Reilly Patrick M.,
Luppen Kevin L.,
Piercy Steven
Publication year - 1985
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.2990060413
Subject(s) - prostatitis , etiology , medicine , antimicrobial , immunology , prostate , microbiology and biotechnology , biology , cancer
Twenty‐three males with the clinical diagnosis of chronic prostatitis were evaluated for a bacterial etiology by the Stamey and Meares method. In addition, 16 patients, regardless of culture results, were placed on either cefadroxil or oral carbenicillin antimicrobial therapy. Culture results identified only four (17%) of 23 patients with bacterial prostatitis: coagulase‐negative Staphylococcus (2), Enterobocter agglomerons (1), and Haemophilus parainfluenzae , and coagulase‐negative Staphylococcus (1). Four of seven patients who received oral carbenicillin and three of nine patients who received cefadroxil reported symptomatic relief. This study did not identify a common etiology for chronic prostatitis or a consistently effective antimicrobial treatment. Rather, we observed that the etiologic agent in most cases of chronic prostatitis (83%) could not be identified by routine bacteriologic culture. Future research efforts in chronic prostatitis must address not only treatment regimens but expand the search for etiologic agents.