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

摘要

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.