Which of the following is true concerning acute bacterial prostatitis?

Acute bacterial prostatitis is an inflammation of the prostate gland caused by bacterial infection, often resulting in various symptoms related to both the urinary and reproductive systems. One of the hallmark symptoms of this condition is perineal pain, which can indeed be exacerbated during defecation. This pain results from the inflammation and swelling of the prostate, which is located near the rectum. As such, patients frequently report discomfort while undergoing bowel movements due to the proximity of the inflamed tissue, making the association with perineal pain during defecation a significant and relevant symptom of acute bacterial prostatitis.

The other choices do not accurately reflect the typical characteristics or management of acute bacterial prostatitis. For instance, the most common causative organisms are typically Gram-negative bacteria rather than Gram-positive. Additionally, the duration of antibiotic therapy is generally longer, often extending to 4-6 weeks to adequately clear the infection. Lastly, while cephalosporins may be used in the treatment of various infections, the first-line therapy for acute bacterial prostatitis typically includes fluoroquinolones or trimethoprim-sulfamethoxazole.