Acute bacterial prostatitis
ICD-10 A49.3 is a billable code used to indicate a diagnosis of acute bacterial prostatitis.
Acute bacterial prostatitis is an inflammation of the prostate gland caused by bacterial infection. It is characterized by sudden onset of symptoms such as fever, chills, pelvic pain, and urinary difficulties, including dysuria and increased frequency. The condition can arise from various bacterial pathogens, often including Escherichia coli and other gram-negative bacteria. In immunocompromised patients, the risk of opportunistic infections increases, complicating the clinical picture. Diagnostic challenges may arise due to overlapping symptoms with other urological conditions, such as urinary tract infections or benign prostatic hyperplasia. Diagnosis typically involves a combination of clinical evaluation, urinalysis, and possibly imaging studies. Treatment usually includes antibiotics, but the choice of agent may be influenced by the patient's immune status and the presence of resistant organisms. Prompt recognition and management are crucial to prevent complications such as abscess formation or systemic infection.
Detailed clinical notes including symptom onset, severity, and response to treatment.
Patients presenting with acute pelvic pain and urinary symptoms, especially in the context of recent urinary tract infections.
Consideration of the patient's history of immunocompromised status and potential for atypical pathogens.
Comprehensive history of infections, including previous antibiotic treatments and resistance patterns.
Patients with recurrent prostatitis or those with a history of opportunistic infections.
Need for thorough microbiological evaluation and potential for atypical presentations.
Used when a urine culture is performed to identify the causative organism.
Document the reason for the culture and any prior antibiotic treatments.
Urologists should ensure cultures are obtained before starting antibiotics.
Common symptoms include fever, chills, pelvic pain, dysuria, and urinary frequency. Patients may also experience lower back pain and perineal discomfort.
Diagnosis is typically made through clinical evaluation, urinalysis, and urine culture to identify the causative bacteria. Imaging may be used if complications are suspected.
Treatment usually involves antibiotics tailored to the identified bacteria, along with supportive care for symptom management.
Yes, complications can include abscess formation, sepsis, and chronic prostatitis if not treated promptly.
