Prostatitis

Micro-organism

Chronic: Escherichia coli ,Enterococcus spp. , Staphylococcus aureus

Acute:  Escherichia coli, Proteus, Klebsiella, Pseudomonas, Enterococci, Staphylococcus

Duration

28 days

Notes
  • Send MSSU or catheter urine sample.
  • Send blood for culture if pyrexial.
  • If STD is suspected patients should be referred to Sexual Health Service (0345 337 9900) for partner notification and advice if required.
Chronic Prostatitis - First line

Oral Ciprofloxacin 500mg 12 hourly

 

Chronic Prostatitis - Second line

Trimethoprim 200mg oral 12 hourly

OR

Doxycycline 100mg oral 12 hourly

Acute Prostatitis

 If IV required due to sepsis on presentation:

Ciprofloxacin 400mg IV 12 hourly

then switch to:

oral Ciprofloxacin 500mg 12 hourly

Oral switch should be guided by sensitivity results.