التهاب البروستاتا البكتيري الحاد لدى البالغين الذين تبلغ أعمارهم 18 عامًا فما فوق: ماذا تفعل عندما لا يحقق علاج الفلوروكينولون من الخط الأول الأهداف المتوقعة

References

1. Offer an antibiotic to people with acute prostatitis.
2. When prescribing an antibiotic for acute prostatitis, take account of local antimicrobial resistance (AMR) data from Public Health England and follow table 1 for adults aged 18 years and over.
3. Give oral antibiotics first line if the person can take oral medicines, and the severity of their condition does not require intravenous antibiotics.
4. First-choice oral antibiotics (guided by susceptibilities when available)
5. Second-choice oral antibiotics (after discussion with specialist)
6. Co-trimoxazole should only be considered when there is bacteriological evidence of sensitivity and good reasons to prefer this combination to a single antibiotic.
7. Review antibiotic treatment after 14 days and either stop the antibiotic or continue for a further 14 days if needed, based on an assessment of the person's history, symptoms, clinical examination, urine and blood tests.
8. Seeking medical help if symptoms worsen at any time, or symptoms do not start to improve within 48 hours of taking the antibiotic, or the person becomes systemically very unwell.
9. Continued symptoms, such as fever or lower urinary tract symptoms (dysuria, frequency, urgency, or acute urinary retention) require ongoing treatment.