Acute Bacterial Prostatitis – a review of current literature

Introduction and purpose Acute bacterial prostatitis (ABP) is a troublesome prostate infection that manifests with a range of irritative urinary symptoms, pelvic discomfort, potentially progressing to urinary retention. ABP can cause severe complications, including prostatic abscess and sepsis....

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Main Authors: Piotr Zając, Jan Węgrzyn, Łukasz Fijałkowski, Aleksandra Nosal, Adam Czarnecki, Aleksandra Galanty-Ochyra, Karolina Serwońska, Artur Pastuszka, Olga Jabłońska, Filip Klimas
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-03-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/57922
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author Piotr Zając
Jan Węgrzyn
Łukasz Fijałkowski
Aleksandra Nosal
Adam Czarnecki
Aleksandra Galanty-Ochyra
Karolina Serwońska
Artur Pastuszka
Olga Jabłońska
Filip Klimas
author_facet Piotr Zając
Jan Węgrzyn
Łukasz Fijałkowski
Aleksandra Nosal
Adam Czarnecki
Aleksandra Galanty-Ochyra
Karolina Serwońska
Artur Pastuszka
Olga Jabłońska
Filip Klimas
author_sort Piotr Zając
collection DOAJ
description Introduction and purpose Acute bacterial prostatitis (ABP) is a troublesome prostate infection that manifests with a range of irritative urinary symptoms, pelvic discomfort, potentially progressing to urinary retention. ABP can cause severe complications, including prostatic abscess and sepsis. Hence the need to collect and share current knowledge on risk factors, diagnosis and treatment.   A brief description of the state of knowledge ABP is in most cases caused by E. Coli. Symptoms are non-specific and many patients lack identifiable risk factors. It is important to perform cautious digital rectal examination, urine analysis and culture when diagnosing acute bacterial prostatitis. Oral fluoroqinolones are the first-line outpatient treatment for non-complicated cases. Patients presenting symptoms indicative of urosepsis should be hospitalized and treated with intravenous antibiotics. Increasing antimicrobial resistance observed among Enterobacterales necessitates the search for new therapeutic agents. Lack of clinical improvement after initial treatment may indicate resistant pathogens or the development of prostatic abscess (PA). PA can be diagnosed with transrectal ultrasound and may require surgical intervention. Without proper treatment ABP can transform to chronic bacterial prostatitis. Transrectal prostate biopsy is associated with higher risk of ABP therefore antibiotical prophylaxis should be used.   Conclusions ABP is not the most common type of prostatitis, but it should not be overlooked. Better knowledge about risks associated with ABP and available treatment leads to more accurate therapy choices. Awareness of the challenges posed by antibiotic resistance leads to the development of new, more effective treatments.
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spelling doaj-art-756f1ca268164c36a3fac27223d021a52025-08-20T03:02:07ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-03-017910.12775/JEHS.2025.79.57922Acute Bacterial Prostatitis – a review of current literaturePiotr Zając0https://orcid.org/0009-0004-1516-8487Jan Węgrzyn1https://orcid.org/0009-0008-0548-408XŁukasz Fijałkowski2https://orcid.org/0009-0009-9088-7461Aleksandra Nosal3https://orcid.org/0009-0007-3043-9494Adam Czarnecki4https://orcid.org/0009-0003-8090-0171Aleksandra Galanty-Ochyra5https://orcid.org/0009-0000-2911-0201Karolina Serwońska 6https://orcid.org/0000-0003-0958-9360Artur Pastuszka 7https://orcid.org/0009-0008-6226-9861Olga Jabłońska8https://orcid.org/0009-0000-3829-6482Filip Klimas9https://orcid.org/0009-0000-5266-8676Upper Silesian Medical Center of Prof. Leszek Giec of the Silesian Medical UniversityUpper Silesian Medical Center of Prof. Leszek Giec of the Silesian Medical University Ziołowa 45-47, 40-635 Katowice – Ochojec5 Military Clinical Hospital with Polyclinic SPZOZ Wrocławska 1-3, 30-901 Kraków5 Military Clinical Hospital with Polyclinic SPZOZ, Wrocławska 1-3, 30-901 Kraków5 Military Clinical Hospital with Polyclinic SPZOZ, Wrocławska 1-3, 30-901 Kraków5 Military Clinical Hospital with Polyclinic SPZOZ, Wrocławska 1-3, 30-901 KrakówUpper Silesian Medical Center of Prof. Leszek Giec of the Silesian Medical University Ziołowa 45-47, 40-635 Katowice – OchojecSt. Elizabeth Hospital in Katowice, The American Heart of Poland Group Warszawska 52, 40-008 KatowiceIndependent Public Healthcare Institution of the Ministry of the Interior and Administration in Kraków, Kronikarza Galla 25, 30-053 KrakówIndependent Public Healthcare Institution of the Ministry of the Interior and Administration in Kraków, Kronikarza Galla 25, 30-053 Kraków Introduction and purpose Acute bacterial prostatitis (ABP) is a troublesome prostate infection that manifests with a range of irritative urinary symptoms, pelvic discomfort, potentially progressing to urinary retention. ABP can cause severe complications, including prostatic abscess and sepsis. Hence the need to collect and share current knowledge on risk factors, diagnosis and treatment.   A brief description of the state of knowledge ABP is in most cases caused by E. Coli. Symptoms are non-specific and many patients lack identifiable risk factors. It is important to perform cautious digital rectal examination, urine analysis and culture when diagnosing acute bacterial prostatitis. Oral fluoroqinolones are the first-line outpatient treatment for non-complicated cases. Patients presenting symptoms indicative of urosepsis should be hospitalized and treated with intravenous antibiotics. Increasing antimicrobial resistance observed among Enterobacterales necessitates the search for new therapeutic agents. Lack of clinical improvement after initial treatment may indicate resistant pathogens or the development of prostatic abscess (PA). PA can be diagnosed with transrectal ultrasound and may require surgical intervention. Without proper treatment ABP can transform to chronic bacterial prostatitis. Transrectal prostate biopsy is associated with higher risk of ABP therefore antibiotical prophylaxis should be used.   Conclusions ABP is not the most common type of prostatitis, but it should not be overlooked. Better knowledge about risks associated with ABP and available treatment leads to more accurate therapy choices. Awareness of the challenges posed by antibiotic resistance leads to the development of new, more effective treatments. https://apcz.umk.pl/JEHS/article/view/57922prostateprostatitisabscessprostatic abscessprostate biopsyacute bacterial prostatitis
spellingShingle Piotr Zając
Jan Węgrzyn
Łukasz Fijałkowski
Aleksandra Nosal
Adam Czarnecki
Aleksandra Galanty-Ochyra
Karolina Serwońska
Artur Pastuszka
Olga Jabłońska
Filip Klimas
Acute Bacterial Prostatitis – a review of current literature
Journal of Education, Health and Sport
prostate
prostatitis
abscess
prostatic abscess
prostate biopsy
acute bacterial prostatitis
title Acute Bacterial Prostatitis – a review of current literature
title_full Acute Bacterial Prostatitis – a review of current literature
title_fullStr Acute Bacterial Prostatitis – a review of current literature
title_full_unstemmed Acute Bacterial Prostatitis – a review of current literature
title_short Acute Bacterial Prostatitis – a review of current literature
title_sort acute bacterial prostatitis a review of current literature
topic prostate
prostatitis
abscess
prostatic abscess
prostate biopsy
acute bacterial prostatitis
url https://apcz.umk.pl/JEHS/article/view/57922
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