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Chronic Pelvic Pain Syndrome & Prostatitis
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==== Acute prostatitis ==== * '''<span style="color:#ff0000">Antibiotics Regimen''' **'''<span style="color:#ff0000">AUA[https://www.auanet.org/meetings-and-education/for-medical-students/medical-students-curriculum/adult-uti Β§]''' ***'''<span style="color:#ff0000">1<sup>st</sup> Line: Trimethoprim/Sulfamethoxazole or Fluoroquinolone[https://www.auanet.org/meetings-and-education/for-medical-students/medical-students-curriculum/adult-uti Β§]''' ****TMP/SMX 1 tab DS PO BID x 14 days *** '''<span style="color:#ff0000">2<sup>nd</sup> Line: 2<sup>nd</sup> generation cephalosporin''' *** '''<span style="color:#ff0000">3<sup>rd</sup> Line: 3<sup>rd</sup> generation cephalosporin''' **Australian Family Physician'''<span style="color:#ff0000">[https://www.racgp.org.au/afp/2013/april/prostatitis Β§]''' *** Trimethoprim 300 mg orally daily for 14 days, or *** Cephalexin 500 mg orally twice daily for 14 days, or *** Amoxicillin and clavulanic acid 500 mg + 125 mg orally twice daily for 14 days *'''<span style="color:#ff0000">Duration</span>''' **'''<span style="color:#ff0000">Treat for 2 weeks duration</span>''' *'''<span style="color:#ff0000">Therapy is initially with parenteral antibiotics (depending on the severity of the infection) followed by oral antibiotics with wide-spectrum antimicrobial activity</span>''' * '''<span style="color:#ff0000">In patients with acute prostatitis with ESBL or suspected ESBL organisms (usually associated with transrectal prostate biopsies), treatment with a carbapenem (ertapenem, imipenem, or meropenem),</span>''' amikacin, or colistin '''for at least 10 to 14 days is recommended'''
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