Chronic prostatitis

Diagnosis Common Pathogens Drug(s) of First Choice Alternative Drug(s) Comments Expected Duration
Chronic prostatitis

Enterobacteriaceae (E. coli)

Ciprofloxacin

OR

Trimethoprim/sulfamethoxazole

 

Few drugs penetrate non-inflamed prostate. Fluoroquinolones and trimethoprim/sulfamethoxazole adequately penetrate in non-inflamed state.

 

Test for N. gonorrhoeae and C. trachomatis in sexually active patients

Consider urologic evaluation.

 

*Cultures should be obtained and definitive therapy should be based on sensitivities.
6-8 weeks