التهاب البروستاتا البكتيري الحاد — ماذا تفعل عندما لم يحقق تريميثوبريم الشفاء (العلاج الفموي، الفلوروكينولونات غير مناسبة)

References

• Offer an antibiotic to people with acute prostatitis.
• 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.
• Give oral antibiotics first line if the person can take oral medicines, and the severity of their condition does not require intravenous antibiotics.
• Alternative first-choice oral antibiotic if a fluoroquinolone antibiotic is not appropriate (seek specialist advice; guided by susceptibilities when available)
• Second-choice oral antibiotics (after discussion with specialist)
• Co-trimoxazole should only be considered when there is bacteriological evidence of sensitivity and good reasons to prefer this combination to a single antibiotic.
• 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.
• Continued symptoms, such as fever or lower urinary tract symptoms (dysuria, frequency, urgency, or acute urinary retention) require ongoing treatment.
• 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.