Diagnosis and treatment of prostatitis in Canada

Nickel, J. Curtis; Nigro, Mark; Valiquette, Luc; Anderson, Peter J.; Patrick, Allan; Mahoney, John E.; Buckley, Roger; Corcos, Jacques; Hosking, Denis H.

doi:10.1016/s0090-4295(98)00297-0

Cited by 85 publications

(65 citation statements)

References 3 publications

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“…Another discord with earlier reports was revealed in case of TMP/SMX that was highly active on the majority of the strains studied by us while weak or missing activity of it against C. striatum, C. jeikeium, D. hominis and T. otitidis has been described [18][19][20]. Our results justify the role of TMP/SMX as the drug of choice for prostatitis in Canada [21].…”

Section: Mic (μG/ml)contrasting

confidence: 63%

Antimicrobial Susceptibility Patterns of Coryneform Bacteria Isolated from Semen

Türk¹,

Punab²,

Mändar

2009

TOIDJ

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Abstract:Background: The susceptibility of coryneform bacteria has been studied mostly in invasive pathogens, less data are available concerning the mucosal or physiological fluid strains. At the same time they can serve as the source of various infections, besides the invasive infections also the local ones, for example, coryneforms of male genital tract have been associated with inflammatory prostatitis. Material and Methods:A total of 62 coryneform isolates from human semen were tested for susceptibility to eight antimicrobial agents using the E test method.Results: All strains were susceptible to ampicillin-sulbactam and only a few were resistant to penicillin G and TMP/SMX while nearly one third of strains were resistant or intermediate to doxycycline (35%) and norfloxacin (29%), and more than half to clindamycin (63%), nitrofurantoin (62%) and erythromycin (53%). The strains showing resistance to at least 3 antimicrobials belonged to Corynebacterium group F1, Corynebacterium seminale and Cellulomonas/Microbacterium sp. A distinct co-occurring macrolide and lincosamine resistance pattern was common.Conclusion: Ampicillin-sulbactam, penicillin G and TMP/SMX revealed the highest activity against coryneforms isolated from semen that were frequently resistant or intermediate to several other antimicrobials. Norfloxacin revealed only moderate activity against prostatitis-associated Corynebacterium group G.

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Section: Mic (μG/ml)contrasting

confidence: 63%

Antimicrobial Susceptibility Patterns of Coryneform Bacteria Isolated from Semen

Türk¹,

Punab²,

Mändar

2009

TOIDJ

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“…This latter condition accounts for 90% of clinical prostatitis and is comprised of inflammatory and non-inflammatory chronic nonbacterial prostatitis (33), the relative contributions of which are largely unknown. Second, clinical prostatitis may be difficult for patients and their physicians to distinguish from other prostatic conditions with similar symptoms, such as benign prostatic hyperplasia (34)(35)(36). This difficulty may lead to nondifferential misclassification of prostatitis exposure and possible attenuation of study findings.…”

Section: Discussionmentioning

confidence: 99%

Gonorrhea, Syphilis, Clinical Prostatitis, and the Risk of Prostate Cancer

Sutcliffe

Giovannucci

Marzo

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Although previous case-control studies have observed positive associations among gonorrhea, syphilis, clinical prostatitis, and prostate cancer, many may have been susceptible to recall and interviewer biases due to their retrospective designs. Therefore, to investigate these associations without concerns of recall and interviewer biases, we conducted a large, prospective investigation in the Health Professionals Follow-up Study. Methods: In 1992, participants were asked to report their histories of gonorrhea, syphilis, and clinical prostatitis by mailed questionnaire. Prostate cancer diagnoses were ascertained by self-report on the 1994 and each subsequent biennial follow-up questionnaire and confirmed by medical record review. Results: Of the 36,033 participants in this analysis, 2,263 were diagnosed with prostate cancer between the date of return

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“…1 Beyond the common issues presenting to the average urologist in the acute surgical setting, up to 6% of outpatient visits will involve pain management in patients with chronic prostatitis/chronic pelvic pain syndrome, interstitial cystitis/bladder pain syndrome, chronic epididymitis and orchiodynia. 2 In addition, a urologist's oncologic practice may include chronic cancer-related pain involving multifaceted management strategies.…”

Section: Introductionmentioning

confidence: 99%

Pain management in urology training: A national survey of senior residents

Pace¹,

Jaeger

Nickel

2013

CUAJ

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Introduction: We explore the attitudes and experience of urology residents toward acute and chronic pain management during their training. Method: A convenience sample of Canadian Urology chief residents were invited to complete an anonymous questionnaire involving both open and closed-ended questions using a 5-point Likert scale. Descriptive and quantitative statistics were used to analyze the attitudes toward pain management, including their experience and training issues. Results: The response rate was 97%. Most residents agreed or strongly agreed that more formal training in acute pain (77% agreement, mean 4.03 ± 0.98 SD) and chronic pain (68%, 3.97 ± 0.95) management would be valuable in urology residency with only 1 respondent disagreeing that training should be mandatory. There was a significant difference of training experience in chronic versus acute pain management, with only 13% agreement (2.99 ± 0.67) that their training in chronic pain was adequate. Most residents agreed (74%, 3.84 ± 1.00) that most of their training in pain management came from their senior residents or fellows. Many of the residents (65%, 3.61 ± 0.84) felt that they could manage their patients' acute pain issues independently, even in the absence of an acute pain service, although apparent knowledge of opioids was poor. Conclusions:The results of this survey suggest that urology residents attain their knowledge of pain management experientially with what may be insufficient formal training, particularly in chronic pain. These observations are limited by the relatively small number of respondents and by the nature of a cross-sectional, self-reported survey; however, they would appear to underscore a need to redouble efforts in residency education. IntroductionUrologists see patients in pain daily and must manage acute and chronic pain-related issues in hospital and ambulatory settings.1 Beyond the common issues presenting to the average urologist in the acute surgical setting, up to 6% of outpatient visits will involve pain management in patients with chronic prostatitis/chronic pelvic pain syndrome, interstitial cystitis/bladder pain syndrome, chronic epididymitis and orchiodynia.2 In addition, a urologist's oncologic practice may include chronic cancer-related pain involving multifaceted management strategies. As patients' medical issues become increasingly complex, an in-depth understanding of the options available in pain management by the urologist is required in today's practice. 3A recent survey of medical oncologists in the United States revealed that although they agreed their discipline required expertise in pain management, they felt that their training in this area was fair. 4 Furthermore, a high prevalence of deficits in the knowledge of opioids was evident in this group of specialists. In a similar study, surgeons had the lowest scores in knowledge of cancer-related chronic pain management.5 There is little known regarding the quality of training in pain management for residents in surgery programs in general ...

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Diagnosis and treatment of prostatitis in Canada

Cited by 85 publications

References 3 publications

Antimicrobial Susceptibility Patterns of Coryneform Bacteria Isolated from Semen

Antimicrobial Susceptibility Patterns of Coryneform Bacteria Isolated from Semen

Gonorrhea, Syphilis, Clinical Prostatitis, and the Risk of Prostate Cancer

Pain management in urology training: A national survey of senior residents

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