Microorganisms Associated with Prostatitis Using Indwelling Urinary Catheters in Okigwe, Imo State, Nigeria

Ogwuegbu Happiness Odinakachi

doi:10.11648/j.ijmb.20180303.14

Abstract

Indwelling urinary catheters are standard medical devices utilized in both hospital and nursing home settings to relieve urinary retention and urinary incontinence in a prostatitis patient. The microorganisms associated with prostatitis using urinary catheters was carried out in Okigwe, Imo State using culture technique. 200 patients were examined for prostate specific antigens (PSA) using quantitative and qualitative tests and antibiotic susceptibility tests were also done. Out of 200 patients tested for PSA, 119 (59.5%) and 129 (64.5%) were positive for quantitative and qualitative respectively. 85 patients were catheterized with 80 (94.15%) having bacterial isolates while 75 (65.5%) of the 115 uncatheterized patients having bacterial growth. The organisms isolated from catheterized and uncatheterized patients were Escherichia coli 55 (3.5%), Klebsiella spp 12 (7.8%), Staphylococcus aureus 42 (27.0%), Streptococcus 20 (12.9%), Protus spp 13 (8.4%) and Pseudomanas 13 (8.4%). Higher bacterial loads were observed in the catheterized patients urine than in the uncatheterized. Streptomycin, Ceftriaxone and Augumentine were the drugs of choice in the sensitivity tests while high antimicrobial resistant rates were observed with Ampiclox, Septrin and Chlorophenicol. Generally, high prevalence rate of PSA and bacterial pathogens were reported in patients of high age (50 and above years). This calls for proper medical checks for men of 50 years and above. This check will prevent the development of prostatitis which could lead to fertility problems because of difficulty in ejaculation in prostatitis patients.

Highlights

Prostatitis is an infection or inflammation of the prostate gland that presents as several syndromes with varying clinical features
The term prostatitis is defined as microscopic inflammation of the tissue of prostate gland and is a diagnoses that spans a broad range of clinical conditions
Indwelling urinary catheters are standard medical devices utilized in both hospital and nursing home settings to relieve urinary retention and urinary incontinence

Summary

Introduction

Prostatitis is an infection or inflammation of the prostate gland that presents as several syndromes with varying clinical features. Prostrate infections-chronic bacterial prostatitis are harder to cure because antibiotics may be unable to penetrate infected prostrate tissue effectively For this reason, man with bacterial prostatitis often used long-term treatment with a careful selected antibiotic. Urinary tract infections in men are frequently associated with acute bacterial prostatitis, which can be life threatening if not treated urgently. It is considered among the most poorly understood medical problems. Patient with suprapubic catheterization usually develop other complication few weeks after inserting the catheter This complication occurred despite cystoscopy control and adequate bladder Catheter-associated with urinary tract infections are the most common type of nosocomial infection, account for over 1 million cases annually or over 40% of all and nosocomial infections in hospitals and nursing homes (Stam, 2005)

Materials and Methods

Examination of Blood for Psa Using Acon Cassette

Examination of Psa Using Microtiter Plate Reader

Specimen Collection for Urnie Analysis and Urine Culture

Examination of Urine Wet Preparation

Conclusion