Acute bacterial prostatitis: heterogeneity in diagnostic criteria and management. Retrospective multicentric analysis of 371 patients diagnosed with acute prostatitis

Table 6 Risk factors for clinical and bacteriological failure

	Clinical failure*
	Univariate analysis	Multivariate analysis	Odds ratio
	P	P
Personal history
Age	< 0.001	< 0.001	1.040
history of prostate hyperplasia	0.024	NS**	ND^†
neurological bladder	0.033	NS**	ND^†
number of co-morbidities	0.004	NS**	ND^†
Symptoms
urinary symptoms	0.013	NS**	ND^†
haematuria	0.005	0.012	0.320
painful digital rectal examination	0.014	0.017	0.340
Underlying urinary tract pathology
discovery of prostate hyperplasia	0.005	NS**	ND^†
other anatomical or functional pathology	< 0.001	0.013	4.720
Management
Anti inflammatory treatment	0.003	0.003	0.350
	Bacteriological failure ^††
	Univariate analysis	Multivariate analysis	Odds ratio
	P	P
Personal history
Age	0.001	0.002	1.060
history of urinary catheter	0.001	0.010	4.612
neurological bladder	0.002	NS**	ND^†
number of co-morbidities	0.044	NS**	ND^†
Symptoms
pollakiuria	0.006	NS**	ND^†
Dysuria	0.047	NS**	ND^†
bladder outlet obstruction	0.004	NS**	ND^†
Biology
Pseudomonas aeruginosa infection	0.006	0.013	7.279
infection with 2 or more strains	0.001	0.008	5.329
Imaging
prostate nodular lesion on ultrasound	0.005	NS**	ND^†
post void residual urine on ultrasound	0.001	NS**	ND^†
other anatomical or functional pathology	0.004	NS**	ND^†
Management
inadequate probabilistic antibiotic treatment	< 0.001	0.002	4.570
urinary drainage with Foley catheter	0.002	NS**	ND^†
urinary drainage with supra pubic catheter	0.039	NS**	ND^†

*Clinical failure: patient reporting persistent clinical symptoms at the follow-up visit.
** NS: Not Significant, ^†ND: Not Determined
^††Bacteriological failure: positive urine culture at the follow-up visit.

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