Gutiérrez J, Carlos S, Martínez J L, Liébana J L, Soto M J, Luna J de Dios, Piédrola G
Departamento de Microbiología, Hospital Universitario San Cecilio, Universidad de Granada, Granada.
Rev Esp Quimioter. 2004 Jun;17(2):189-92.
A study was carried out on the clinical response to antibiotics in 105 patients with chronic bacterial prostatitis. Two groups of patients were compared in a retrospective study. The results of rectal examination, ultrasound scan, microbiological analysis, and response to different antibiotic therapy regimens were compared. There was a high incidence of perineal-testicular pain and sexual potency reduction; prostate congestion and pain on rectal examination were frequently reported. All the patients had positive microbial cultures, with Gram-negative microorganisms being predominantly isolated. Following the administration of different antibiotic therapy regimens, symptoms either disappeared or diminished, irrespective of whether positive cultures remained. A poorer clinical response was observed in patients with positive prostate ultrasound and rectal examination, and with isolated Gram-negative bacilli. No differences were observed between either group in clinical response to different antimicrobial regimens.
对105例慢性细菌性前列腺炎患者使用抗生素的临床反应进行了一项研究。在一项回顾性研究中对两组患者进行了比较。比较了直肠指检、超声扫描、微生物分析结果以及对不同抗生素治疗方案的反应。会阴部-睾丸疼痛和性功能减退的发生率很高；经常报告直肠指检时前列腺充血和疼痛。所有患者的微生物培养均为阳性，主要分离出革兰氏阴性微生物。给予不同的抗生素治疗方案后，症状要么消失要么减轻，无论培养结果是否仍为阳性。前列腺超声和直肠指检阳性且分离出革兰氏阴性杆菌的患者临床反应较差。两组在对不同抗菌方案的临床反应方面未观察到差异。
