engleski

Prevalence of Chlamydia trachomatis in the etiology of chronic prostatitis

The aim of the study was to investigate the etiology of chronic prostatitis in our patients, and to determine the incidence of chlamydial prostatitis infection. In the period from March 1, 1999 until February 28, 2002, a total of 906 patients with symptoms of chronic prostatitis were examined at the Outpatient Department for Urogenital Infections of Dr. Fran Mihaljević University Hospital for Infectious Diseases in Zagreb. The presence of leukocytes, bacteria, vaginal trichomonas and urogenital mycoplasma in selectively collected urine samples and expressed prostatic secretion (EPS) was examined in all patients. Viral and mycotic analysis was not performed. The presence of Chlamydia trachomatis was determined by McCoy culture and Lugol stain or DNA/RNA hybridization. The etiology of disease was determined in 684 (75.50%) patients. With finding of ł10 leukocytes in each visible area of EPS sediment or urine sample sediment collected immediately after prostatic massage, observed under magnification and with previously negative microbiological finding of urethral swab, first void and midstream urine, in EPS and/or urine sample collected immediately after prostate massage, the following microorganisms were detected: Trichomonas vaginalis in 111 (12, 25%), Escherichia coli in 57 (6.29%), Enterococcus in 43 (4.75%), Proteus mirabilis in 24 (2.65%), Klebsiella pneumoniae in 15 (1.66%), Streptococcus agalactiae in 16 (1.77%), Pseudomonas aeruginosa in 3 (0.33%), and mixed infection in 62 (6.84%) patients. Ureaplasma urealyticum detected in 29 (3.20%) EPS and/or urine samples collected immediately after prostate massage was not simultaneously accompanied by an increased leukocyte count in the majority of patients, Chlamydia trachomatis detected in EPS and/or urine samples collected immediately after prostate massage was not always accompanied by ł10 leukocyte count on microscopic analysis of sediments after centrifugation. Results of the study showed Chlamydia trachomatis to play a significant role in the etiology of chronic prostatitis.

nije evidentirano

nije evidentirano