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首页> 美国卫生研究院文献>Experimental and Therapeutic Medicine >One No One and One Hundred Thousand: Patterns of chronic prostatic inflammation and infection
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One No One and One Hundred Thousand: Patterns of chronic prostatic inflammation and infection

机译：一个没有人和十万：慢性前列腺炎症和感染模式

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Chronic prostatic inflammation may be classified into three types that share similar symptoms and are distinguished on the basis of microbiological findings. In the present study, consecutive cases of chronic prostatic inflammation and infection were retrospectively reviewed in order to explore the clinical course and long-term outcomes. The cohort consisted of patients with symptoms of prostatitis who visited the Urology Clinic of the Tzaneion Hospital (Piraeus, Greece) between March 2009 and March 2019. The patients were subjected to the Meares and Stamey ‘4-glass’ test and patients with febrile prostatitis were evaluated with a single mid-stream ‘clean’ urine sample culture. Bacterial identification was performed using the Vitek 2 Compact system and the sensitivity test with the disc and the Vitek 2 system. A total of 656 patients with prostatitis-like symptoms with 1,783 visits for investigation and follow-up were reviewed and patients were divided into two major groups. Group 1 consisted of 549 cases with a single set of chronic prostatitis (CP)-like symptoms assessed in up to three visits. National Institutes of Health (NIH) category II CP (NIH-II) was most frequently diagnosed in those patients (37,6%). At the follow-up, 125 patients were identified as having a type of CP different from that determined initially. Group 2 (107 cases) had recurring episodes of prostatitis-like symptoms assessed or confirmed over the course of 4-18 visits. Most patients (54.2%) were initially diagnosed with NIH-II followed by disease-free periods and recurrence/reinfection or by shifts to NHI-IIIB. In conclusion, CP remains a poorly understood n medical condition characterized by a variety of clinical manifestations and by transitions between different CP classes during its course.
机译：慢性前列腺炎症可以分为三种类型，这些类型共享类似的症状，并在微生物发现的基础上区分。在本研究中，回顾性审查了慢性前列腺炎症和感染的连续案例，以探讨临床过程和长期结果。队列由患有前列腺炎症状的患者组成，患者于2009年3月至2019年3月之间访问了Tzaneion医院（Pireaeus，希腊）的泌尿外科诊所。患者患者患有发育和鹿茸的“4玻璃”测试和发热前列腺炎患者用单一中流的“清洁”尿液样本培养评估。使用Vitek 2紧凑型系统进行细菌鉴定和用圆盘和Vitek 2系统进行灵敏度测试。综述了共有656名患有前列腺炎的症状症状，进行了1,783次进行调查和随访，患者分为两个主要群体。第1组由549例患者组成，单一慢性前列腺炎（CP） - 染色症状，最多三次访问。国家健康研究院（NIH）II类CP（NIH-II）最常被诊断为这些患者（37,6％）。在随访中，将125名患者鉴定为具有与最初确定的CP不同的CP。第2组（107例）在4-18次访问的过程中，在评估或确认的症状的重复发作的前列腺炎症状。大多数患者（54.2％）最初被诊断为NIH-II，然后患无病时期和复发/重新感染或转移到NHI-IIIB。总之，CP仍然是一种较差的N病态，其特征在于各种临床表现，以及在其过程中不同CP类之间的过渡。

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