Prostatitis: Diagnostic criteria and classification

Our aim from this prospective study is to determine the prevalence and classification of maj types of prostatitis, also determining the commonest etiological agents. Materials and We analyzed 54 patients with symptoms suggestive of prostatitis, the patients were presented to the family clinic at Princess Haya Hospital/ Aqaba between January - June 2000, and underwent prostatic localization [diagnostic] studies. 54 consecutive patients were analyzed, and according to the currently accepted criteria for the diagnosis of prostatitis; 4 patients were given a diagnosis of acute bacterial postatitis which account for [7%] of all cases, 10 patients diagnosed as chronic bacterial prostatitis with [18%] prevalence, 25 had chronic non-bacterial prostatitis [46%] and 15 given a diagnosis of chronic pelvic pain syndrome [28%]. Bacterial growth was obtained from 14 patients [26%], of which Escherichia coli was grown from 5 [36%], Staphylococcus aureus from 4 [29%], Proteus from 3 [21%], Serratia from one [7%] and Klebsiella from one patient [7%]. The dilemma of diagnosing prostatitis is discussed. Conclusions: prostatitis is an important diagnosis in urological and primary care practice, this study emphasizes the need for improved diagnosis of prostatitis, also the higher prevalence of Staphylococcus aureus in our patients should prompt researchers to study their patient since cultural, social habits and evolusion of microbial world may have an impact on the etiology of the disease

Frequency and types of skin disorders and associated diabetes mellitus in elderly Jordanians

A retrospective study of 232 elderly patients seen between August 1998 and April 2000 at the skin clinic in Princess Haya hospital, Aqaba, was undertaken to determine the prevalence of skin disorders, and those most commonly associated with diabetes mellitus, in the elderly. Eczema/dermatitis was the commonest skin disorder seen [25.9% of cases], followed by pruritus without skin lesions [15.1%], viral infection [14.7%, most commonly herpes zoster], fungal infection [13.8%], and bacterial infection [10.3%]. Bacterial infection was the commonest skin disorder in patients with diabetes mellitus [62.5%], followed by fungal infection [50.0%]. Skin diseases cause considerable morbidity in elderly people; health promotion and education can do much to reduce the risks of these disorders in the elderly, especially those with diabetes

Maternal smoking and breastfeeding

A 2-month study was undertaken to investigate the effects of maternal smoking on breastfeeding. A total of 500 mothers were interviewed twice postpartum and information about maternal smoking and sociodemographic factors was collected. After adjustment for maternal smoking and other confounders, results suggested that smoking had a direct effect on breastfeeding. The prevalence of breastfeeding reduced significantly among smokers but there was no significant reduction among non-smokers. Education and social class were related positively to continued breastfeeding but negatively to smoking. Because breastfeeding decreased with smoking, smoking should be discouraged, particularly in developing countries where breastfeeding constitutes an essential child survival measure