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² Prostatitis

§ ABP acute bacterial Prostatitis (non-STD C. trachomatis)

· Usually E. coli or other Enterobacteriaceae, sometimes Pseudomonas aeruginosa or Enterococcus

· As the prostate is inflamed antibiotics penetrate relatively well

· Therapy as above, think E. coli, Pens, Cephs, Quins, TMP/SMX DS as oral therapy for 14 days some advocate 4-6 weeks minimum

· For Pseudomonas aeruginosa ciprofloxacin

· For Enterococcus ampicillin/amoxicillin or a quinolone

§ CBP chronic bacterial Prostatitis (non-STD C. trachomatis)

· Usually the same as ABP E. coli or other Enterobacteriaceae, sometimes Pseudomonas aeruginosa or Enterococcus

· Therapy is generally the same minimum of 6 weeks

² Recurrent cystitis and Suppressive Therapy

§ 3 or less non-STD UTI’s in one year in an uncomplicated setting

· therapy consists of self monitoring and a 3 day course of therapy usually TMP/SMX DS, Quin or a 7 day course of nitrofurantoin (patients will get refills)

§ 3 or more non-STD UTI’s in one year in an uncomplicated setting

· chronic suppressive therapy TMP/SMX SS q24h or 3 x weekly, nitrofurantoin 50-100mg q24h or 3 x weekly, cephalexin 250mg q24h or 3 x weekly, methenamine 1 gram q24-12h

§ Complicated patients (spinal cord injury, paralyzed, cathed patients) may also receive chronic suppressive therapy however it is generally directed at resistant isolates