If penicillin allergic or ESBL risk contact microbiologist to discuss treatment options Acute Acute prostatitis is caused by urinary tract pathogens First Choice prostatitis Send MSU for culture and start antibiotics Ciprofloxacin bd 28 days 4-weeks treatment is recommended to reduce the risk of chronic prostatitis Following recovery, investigation to exclude an underlying structural abnormality is Alternative Choice advised Trimethoprim 200mg bd 28 days Chronic prostatitis refer to Urology Quinolones are more effective, as they have greater penetration into the prostate, but there is a higher risk of adverse effects e.g. C.difficile. There is poorer evidence for trimethoprim but it can be used in patients allergic to or unable to take ciprofloxacin (e.g. seizures).
If penicillin allergic or ESBL risk contact microbiologist to discuss treatment options Acute prostatitis Acute prostatitis is caused by urinary tract pathogens Send MSU for culture and start antibiotics 4-weeks treatment is recommended to reduce the risk of chronic prostatitis Following recovery, investigation to exclude an underlying structural abnormality is advised Chronic prostatitis refer to Urology Quinolones are more effective, as they have greater penetration into the prostate, but there is a higher risk of adverse effects e.g. C.difficile. There is poorer evidence for trimethoprim but it can be used in patients allergic to or unable to take ciprofloxacin (e.g. seizures). First Choice Ciprofloxacin Alternative Choice Trimethoprim bd 200mg bd 28 days 28 days
Doncaster-Bassetlaw-Antimicrobials-Guidelines-for-Primary-Care.docx