Sensitive antibiotics can be selected for acute prostatitis based on bacterial culture results in urine or prostate fluid. However, due to the delayed or unconditional return of bacterial culture at the initial stage of treatment, adequate and efficient broad-spectrum antibacterial drugs should be promptly selected to control the development of the disease. Currently, cephalosporins are commonly used, and vorexin can be administered intravenously, 1.5 grams per time, twice a day, dissolved in 100 milliliters of liquid. Or Pioneer V, 2.0g each time, twice daily, intravenous drip.
If it is not suitable to use such drugs, a composite tablet of sulfamethoxazole (SMZ) and sulfamethoxazole synergist (TMP), such as cotrimoxazole, can be used as the preferred oral drug due to its high concentration in the prostate. Usage: Take 2 tablets (each tablet contains 80 mg of TMP and 400 mg of SMZ) twice a day, orally. After treatment, if the bacteria are sensitive to the drug and symptoms improve, they can continue to be used for 30 days to prevent conversion to chronic disease.
For those who cannot use compound sulfamethoxazole, gentamicin 3 to 5 mg/kg/day, or tobramycin 3 mg/kg/day can be injected intramuscularly in 3 times, followed by intravenous drip of 1 g of ampicillin every 6 hours for a total of one week. Later, drugs can be selected based on bacterial culture and drug sensitivity tests. After the condition improves, oral drugs such as norfloxacin can be used for further treatment for 30 days.
The above treatment methods must be carefully examined and confirmed by the treating doctor before treatment. Using drugs blindly by oneself may aggravate the degree of prostatitis.