Acute Prostatitis | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Primary Care Guidance
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URINARY TRACT INFECTIONS
Acute Prostatitis

Announcements and latest updates

Polyfill.io vulnerability

28 june 2024

Our eHealth team advised us yesterday of an international vulnerability relating to polyfill.io . This domain has become compromised and is spreading malware through a widespread supply chain attack, estimated to affect over 110,000 websites including major websites such as the BBC. The Polyfill site offered widely used bits of code for older browsers that allowed the use of modern Javascript features. Such code makes the work for web developers easier and allows compatibility with a broader range of browsers.

Websites that have used the Javascript code from Polyfill have been urged to remove such code immediately. The change occurred after a suspected Chinese firm purchased the domain in early 2024.

Tactuum have identified and are now testing a fix to remove all Polyfill code from the RDS site.. They will be deploying the fix on Monday 1 July along with other planned fixes and amendments. I will notify you of the timing of the deployment as soon as possible.

In the meantime, please ensure that you have up-to-date anti-virus software installed on your machines and personal devices.

BASHH

CKS

SAPG Guidance on Prostatitis - Course Length

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