How is Acute Bacterial Prostatitis Treated?
Published: Dec 09, 2023
Acute bacterial prostatitis requires swift treatment to prevent complications. Here's how it's managed.
Contents
Antimicrobial Therapy Options
Treatment usually starts with antibiotics aimed at the likely bacteria, such as gram-negative organisms. Fluoroquinolones or trimethoprim-sulfamethoxazole are common choices, and adjustments are made based on lab results. Hospitalization might be needed for severe cases requiring intravenous antibiotics.
Duration of Treatment
Antibiotic treatment can last up to six weeks to ensure the infection is fully eradicated. Shorter treatment durations can lead to chronic symptoms, so a consistent medication regimen is crucial for recovery.

Managing Symptoms
In addition to antibiotics, managing symptoms is essential. Pain relief and hydration help alleviate discomfort, and avoiding activities that might exacerbate symptoms can aid recovery.
Frequently Asked Questions
Fluoroquinolones or trimethoprim-sulfamethoxazole.
Typically four to six weeks.
For severe cases requiring IV antibiotics.
To prevent progression to chronic symptoms.
Key Takeaways
Effective treatment requires the right antibiotics for an adequate duration.
References
- Coker TJ, Dierfeldt DM. Acute Bacterial Prostatitis: Diagnosis and Management. Am Fam Physician 2016; 93:114.
- Johnson JR, Kuskowski MA, Gajewski A, et al. Extended virulence genotypes and phylogenetic background of Escherichia coli isolates from patients with cystitis, pyelonephritis, or prostatitis. J Infect Dis 2005; 191:46.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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