mjl1717
Forum Hero
Topics: 959
Posts: 5,467
|
What is the 1st and 2nd drugs of choice for acute prostatitis?
___________________
Smell the coffee! "Is That an Osler move??"
|
| dariush
Forum Elite
Topics: 20
Posts: 356
|
"Trimethoprim" for it is basic and is attracted easily to the acidic enviroment of prostate sec.
if not effective i think "Quinolones"
___________________
Allah (God) is watching over us...
|
| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
|
Current practice is Quinolones first..coz of better tissue penetration and increased resistance of E. Coli to TMP-SMX. If refractory, consider Psedomonnas or Enterococcus as the cause, and treat with pseudomonas-PNC or aminoglycosides for Enterococcus.
___________________
"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson
|
| mjl1717
Forum Hero
Topics: 959
Posts: 5,467
|
Hey mdwannabe- I agree I was fairly sure the quinolones were 1st choice.
but unsure of the 2nd chice, and much surprised to her you say psuedomonas is sensitive to only pennicillin? {its a very opportunistic and virulent}Exotoxin A
*slime capsule,*ADP ribosyl transferase that inactivates protein synthesis,
*catalase, * pigments pyocynanin*, *endotoxin, * elastase.
Also some enterococcus is resistant to dinosaurs like gentamycin and streptomycin?
___________________
Smell the coffee! "Is That an Osler move??"
|
| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
|
Sure..all ur concerns are valid... that is the accepted practice. If the bug is resistant you switch to something else. 3rd gen Cepha, Vanco.. etc..
cephalosporin or nafcillin G or Gram-positive cocci E. faecalis - ampicillin or amoxicillin, since TMP-SMX and quinolones are inactive against this guy. Anaerobic bacteria -amoxicillin/clavulanic or clinda.
___________________
"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson
|
|
| |
| | | | | |
