1
Q
Etiology
A
Klebsiella
E. Coli – MC***
Enterobacter
Pseudomonas
Serratia
2
Q
Clinical Features
A
Voiding symptoms
Obstructive urinary symptoms
Poorly localized pain
Perineal / low back / rectum / scrotal / penis / inner part of leg
Fever, chills, myalgias, malaise, AMS
3
Q
Risk Factors
A
Instrumentation
DM
Immunosuppression
4
Q
Physical Exam
A
DRE: Prostate is firm, swollen, exquisitely tender
5
Q
Investigations
A
Urine dip for nitrite and leukocytes
Midstream urine culture – most important
6
Q
Management
A
Fluoroquinolones:
Ciprofloxacin
Levofloxacin
Norfloxacin
Sulfonamide:
TMP / SMX
