Patient's question:
Detailed medical condition and consultation purpose: Enter key to start a new lineProstate fluid test report:
C/C gene: 5174
White blood cells (WBC):++++
Lecithin corpuscles:+
S/S gene: 5283
Total T lymphocytes: 19
Is prostatitis very serious?
What medications can be purchased for treatment?
Doctor's answer:
Hello: According to the examination results, it should be classified as prostatitis, and active medication treatment should be initiated. Acute prostatitis can be treated with sensitive antibiotics based on urine or prostatic fluid bacterial culture results. However, if bacterial culture results are not available promptly in the early stages of treatment or if conditions are not available, it is important to promptly select an adequate and highly effective broad-spectrum antimicrobial agent to control the progression of the disease. Currently, cephalosporin antibiotics are commonly used, and clinically available options include Fosfomycin (1.5 grams per dose, twice daily, dissolved in 100 milliliters of liquid for intravenous infusion) or Cefalexin (2.0 grams per dose, twice daily, for intravenous infusion).If these medications are not suitable, a combination of sulfamethoxazole (SMZ) and trimethoprim (TMP) tablets, such as Trimethoprim/Sulfamethoxazole (Co-trimoxazole), can be used, as it achieves high concentrations in the prostate and is the preferred oral medication. Dosage: Take twice daily, with 2 tablets per dose (each tablet contains 80 mg of TMP and 400 mg of SMZ) orally. After treatment, if the bacteria are sensitive to the medication and symptoms improve, the drug can be continued for 30 days to prevent the condition from becoming chronic.
For patients who cannot take Trimethoprim/Sulfamethoxazole, Gentamicin (3–5 mg/kg/day) or Tobramycin (3 mg/kg/day) can be administered three times daily via intramuscular injection, combined with Amoxicillin (1 gram intravenous infusion every 6 hours) for a total of one week. Afterward, medication selection should be based on bacterial culture and drug sensitivity tests. Once the condition improves, oral medications such as Norfloxacin can be used to continue treatment for another 30 days.