Review antibiotic treatment after 14 days and either stop or continue for a further 14 days if needed.

Note that bacterial infection (acute and chronic) account for <5% of all prostatitis diagnoses; their precise incidence is unknown.

Admit if IV therapy required.

Drug details

Co-trimoxazole

(unlicensed indication)

960mg 2 x daily

14 days then review

Alternative treatment

Ciprofloxacin

 

500mg 2 x daily

 

14 days then review

Avoid  ciprofloxacin in frail elderly patients where possible due to CDI risk. Check important safety information in BNF & give MHRA patient information leaflet to patient