Acute Prostatitis

Doses are oral and for adults unless otherwise stated. Visit the Health Products Regulatory Board website or the printed Irish Medicines Formulary for drug SPCs, dosage, contraindications, interactions, or IMF/BNF/BNFC/MIMS. See guidance on dosing in children for quick reference dosage/weight guide.

Letters indicate strength of evidence range from A+ (systematic review) to D (informal opinion). Statins can interact with some antibiotics and increase the risk of rhabdomyolysis. Amiodarone and drugs which prolong the QT interval can interact with many antibiotics. Many antibiotics increase the risk of bleeding with anticoagulants. Please refer to our Drug Interactions Table for further information.

Comments from Expert Advisory Committee

  • Due to increasing resistance it is essential to send an MSU so culture can guide antibiotic treatment if no clinical response to first choice
  • Review after 14 days and either stop antibiotics or continue for a further 14 days if needed based on assessment of history, symptoms, clinical examination, MSU result
  • 4 week's treatment may prevent chronic infection i.e. chronic prostatitis but it is difficult to predict those at risk
  • Assess the need for sexually transmitted disease and STI testing
  • Fluoroquinolone Warnings 2019 update

Treatment

Acute Prostatitis2019 updatedMay

Patient Information

We recommend patients use the website developed by HSE/ICGP/IPU partnership www.undertheweather.ie for tips on how to get better from common infections without using antibiotics, what you can do for yourself or a loved one and when to seek help.

The HSE Health A-Z website provides patient information on many hundreds of conditions and treatments.

Reviewed May 2019


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