Antimicrobial therapy for bacterial and nonbacterial prostatitis

Urology. 2002 Dec;60(6 Suppl):24-6; discussion 26. doi: 10.1016/s0090-4295(02)02300-2.

Abstract

Antimicrobial therapy is the standard of care for the unusual man with true chronic bacterial prostatitis but does not have much of a role in the treatment of men with nonbacterial prostatitis. The fluoroquinolone antibiotics given for 2 to 4 weeks will cure about 70% of chronic bacterial infections of the prostate. If this treatment fails, the symptomatic manifestations of the infections can almost always be eliminated with suppressive antimicrobial therapy using trimethoprim-sulfamethoxazole, a fluoroquinolone antibiotic, or nitrofurantoin.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / therapeutic use*
  • Bacterial Infections / diagnosis
  • Bacterial Infections / drug therapy*
  • Bacterial Infections / microbiology
  • Chronic Disease
  • Fluoroquinolones
  • Humans
  • Male
  • Nitrofurantoin / therapeutic use
  • Prostatitis / diagnosis
  • Prostatitis / drug therapy*
  • Prostatitis / microbiology
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
  • Urine / microbiology

Substances

  • Anti-Infective Agents
  • Fluoroquinolones
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Nitrofurantoin