Lean Toward Oral TMP/SMX Over Quinolones to Treat Acute Bacterial Prostatitis
November 2018
We're getting questions about how to treat prostatitis...especially with growing concerns about quinolones.
Treating bacterial prostatitis can be tricky...since few antibiotics penetrate the prostate well and resistance is common.
Sexually transmitted infections (STIs) such as chlamydia and gonorrhea are possible culprits, even in older men. Ask about new sexual contacts...and usually treat STIs with one dose of IM ceftriaxone 250 mg PLUS oral azithromycin 1 g if needed.
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