Tucker G R
Aerospace Medicine Branch, USAF School of Aerospace Medicine, Brooks Air Force Base, TX.
Aviat Space Environ Med. 1989 Oct;60(10 Pt 1):983-9.
Bacterial prostatitis is the inflammation of the prostate gland secondary to a bacterial infection, characteristically having a chronic course with sporadic acute exacerbations. While considered to be the most common cause of recurrent bacterial urinary tract infections in the middle-aged adult male, bacterial prostatitis can be difficult to manage satisfactorily, particularly from the aeromedical perspective. The recurrent infection pattern, common for chronic bacterial prostatitis, has recently been better defined with the localization of the bacterial reservoir as being within the lumen of the prostatic ducts. Capitalizing upon "passive ion trapping" of certain lipid soluble antibiotics in this "protected" site, a two-phased, nonsurgical, pharmacological treatment is proposed for aviators. Two representative cases are reported that demonstrate such management within the setting of an operational USAF flight surgeon's office.
细菌性前列腺炎是继发于细菌感染的前列腺炎症，其特征是病程呈慢性，伴有偶发性急性加重。虽然细菌性前列腺炎被认为是中年成年男性复发性细菌性尿路感染的最常见原因，但它可能难以得到令人满意的治疗，特别是从航空医学的角度来看。慢性细菌性前列腺炎常见的反复感染模式，最近随着细菌储库定位在前列腺导管腔内而得到了更好的界定。利用某些脂溶性抗生素在这个“受保护”部位的“被动离子捕获”作用，为飞行员提出了一种分两阶段的非手术药物治疗方法。报告了两个代表性病例，展示了在美国空军飞行外科医生办公室的实际操作环境中的此类治疗。
