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Infection

Prostate Possible therapeutic alternatives
Prostatitis  (Acute) N.gonorrhoeae, Chlamydia,  Enterobacteriacae
Risk of STD
Ceftriaxone 250 mg IM x 1
OR
 
[Cefixime 400 mg orally X 1dose
PLUS
doxycycline
100 mg po bid x 7 days
LOW Risk of STD
Ciprofloxacin 500mg orally twice daily for 10-14
Bactrim DS orally twice daily for 10-14 days.
Resistant Species
Ertapenem 1 gm IV qd for 10-14 days
OR
[Ceftriaxone 1-2g IV q 12-24 h or Cefotaxime 1-2g q 6-8h]    + 
Gentamicin
ivpb until can tolerate oral regimen and afebrile for 48h; then oral regimen x 28 days
Prostatitis
Chronic prostatitis
Common pathogens
Ciprofloxacin 500mg orally twice daily for 4 weeks  OR
Ofloxacin 300mg orally twice daily for 6 weeks OR
Norfloxacin
400 mg PO bid x 4 weeks
OR
Levofloxacin 750mg once daily x 4 weeks
OR
Bactrim DS orally twice daily for 1 to 3 months

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Prostate

prostate
Prostatitis