6.7 Prostatitis
| Type of Infection | First Line (with Dosage and Duration) |
Alternative First Line (with dosage and Duration) |
Comments |
|---|---|---|---|
| Acute Prostatitis (seen in young, sexually active with no structural urinary tract abnormality) | Ceftriaxone 500 IM Stat + Doxycycline 100mg BD for 10 days | Tab Cefixime 800mg stat + Doxycycline 100mg BD for 10 days | |
| Acute Prostatitis (seen in elderly or with persons with structural urinary tract abnormality) | Amoxicillin- clavulanate 1g BD Or Piperacillin- tazobactam 4.5g IV 6 hrly | Ertapenem 1g IV OD for 7-10 days | Urine and prostatic massage specimen for cultures to be collected before antibiotics. Duration of therapy 14 days or longer if complications like abscess present. |
For common etiological agents of Prostatitis, see Annexure B.6.7
Additional Information
- Review antibiotic treatment after 14 days and either stop antibiotics or continue further if needed (based on assessment of history, symptoms, clinical examination, urine and blood tests).
- A stop date should be planned and recorded in advance to ensure antibiotic is not given beyond the recommended duration.