Antimicrobial prescribing: NHS Lothian
- Urine culture
- Blood culture if febrile or being admitted
Prostatitis
Recommended duration: 14 days
Can be continued for a further 14 days (up to 28 days total), if the patient’s history, clinical examination, symptoms, urine, and/or blood tests are suggestive of ongoing prostatitis.
Ciprofloxacin 500mg every 12 hours orally
Avoid fluoroquinolones if taking steroids and the elderly. Review MHRA Quinolone Warning before prescribing.
Alternative for patients 65 years or over or patients with C. diff infection risk.
Trimethoprim 200mg every 12 hours orally
Refer to urology.
Consider Antimicrobial Use in Frail Elderly Patients
Likely organisms: Coliforms (E.coli and other Enterobacteriacae)