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INFEKSI pada PROSTAT

Riyani Wikaningrum

Bag. MikrobiologiFK Univ. YARSI

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Sampling Technique

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Three-glass Procedure

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Meares and Stamey localization technique

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1. Approximately 30 minutes before taking the specimen, the

patient should drink 400 ml of liquid (two glasses). The test

starts when the patient wants to void

2. The lids of four sterile specimen containers, which are

marked VB1, VB2, EPS and VB3, should be removed. Place

the uncovered specimen containers on a flat surface and

maintain sterility

3. Hands are washed

4. Expose the penis and retract the foreskin so that the glans is

exposed. The foreskin should be retracted throughout

5. Cleanse the glans with a soap solution, remove the soap

with sterile gauze or cotton and dry the glans

6. Urinate 1015 ml into the first container marked VB1

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7. Urinate 100200 ml into the toilet bowl or vessel and

without interrupting the urine stream, urinate 1015 ml into

the second container marked VB2

8. The patient bends forward and holds the sterile specimencontainer (EPS) to catch the prostate secretion

9. The physician massages the prostate until several drops of

prostate secretion (EPS) are obtained

10. If no EPS can be collected during massage, a drop may be

present at the orifice of the urethra and this drop should be

taken with a 10 ml calibrated loop and cultured

11. Immediately after prostatic massage, the patient urinates

1015 ml of urine into the container marked VB3.

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Prostatitis: Akut - Disebabkan oleh:

E. coli

P. aeruginosa

Serratia sp.

Klebsiella sp.

Proteus sp.

Enterococci

Staphylococcus

Kronik

dibagi menjadi 3 sindrom:

Chronic bacterial prostatitis

Chronic abacterial prostatitis/CPPS-inflammatory

Chronic abacterial prostatitis/CPPS-non-inflammatory

Disebabkan S. aureus, S. faecalis, Enterococcus, difteroid

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Prostatitis

Pemeriksaanlaboratorium:

MSU

EPS (expressed prostatic secretion digital rectal massage):

Lepas antibiotik selama 1 bulan

Tidak mengalami ejakulasi selama 2 hari

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Epididymo-orchitis

Penyebab: Mumps virus

Coxsackievirus

N. gonorrhoeae C. trachomatis

E. coli

Koliform lainnya

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Terminology Used in UT infections

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Upper Urinary Tract Infection

the urinary tract above the level of the bladder; that is, theureters, kidneys, and peri-renal tissues.

pyelonephritis. Upper UTI also encompasses

intrarenal abscess (renal carbuncle) perinephric abscess.

Renal papillary necrosis refers to infarction of the papillae(sometimes with sloughing into the ureters) caused bypyelonephritis or analgesic abuse diabetes mellitus

sickle cell disease

ureteral obstruction.

http://cancerweb.ncl.ac.uk/cgi-bin/omd?query=pyelonephritishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=pyelonephritis

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Acute bacterial pyelonephritis

clinical syndrome

Fever

flank pain

often with constitutional symptoms

Laboratory findings:

Leukocytosis

leukocyte casts in the urine bacteriuria with or without signs of concomitant

inflammation in the bladder

http://cancerweb.ncl.ac.uk/cgi-bin/omd?query=leukocytosishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=leukocytosishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=leukocytosishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=leukocytosishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=leukocytosis

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Lower Urinary Tract Infection

Lower urinary tract infection refers to infection at orbelow the level of the bladder. In clinical practice,lower UTI is often used synonymously with cystitis,a syndrome characterized by dysuria, frequency,

urgency, and variable suprapubic tenderness. Becauseone cannot say with certainty that infection involvesmainly or exclusively the urinary bladder, someauthorities suggest that cystitis should be

abandoned. Lower UTI also encompasses prostatitis,urethritis, and infection of the periurethral glands.

http://cancerweb.ncl.ac.uk/cgi-bin/omd?action=Search+OMD&query=dysuriahttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=prostatitishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=urethritishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?periurethralhttp://cancerweb.ncl.ac.uk/cgi-bin/omd?periurethralhttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=urethritishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?query=prostatitishttp://cancerweb.ncl.ac.uk/cgi-bin/omd?action=Search+OMD&query=dysuria

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Chronic bacterial pyelonephritis

long-standing infection with active bacterialgrowth in the kidney, or the presence of residuallesions in the kidney caused by such infection in

the past. Chronic interstitial nephritis

in which evidence for an etiologic role for bacterialinfection is lacking.

Etiology : Drugs (not only prescription drugs but alsonon-prescription drugs as in analgesic nephropathy)