Final answer:
The treatment for acute prostatitis in patients over 35 typically involves antibiotics, with fluoroquinolones such as ciprofloxacin or levofloxacin being common choices. Pain relievers and anti-inflammatory drugs may also be administered to manage symptoms. The specific antibiotics and course of treatment should be determined by a healthcare provider.
Step-by-step explanation:
The treatment for acute prostatitis in patients over 35 years of age typically involves the use of antibiotics. While the text provided mentions various types of antibiotics that can be used for other urogenital infections, such as fluoroquinolones, nitrofurantoin, cephalosporins, and penicillins, the specific choice of antibiotic for acute prostatitis often depends on the most likely causative agents, which tends to be bacteria, particularly in older patients.
For example, fluoroquinolones, such as ciprofloxacin or levofloxacin, are commonly prescribed for acute bacterial prostatitis because they are effective against a broad range of bacteria and achieve good levels in the prostate. Additionally, other antibiotics such as trimethoprim-sulfamethoxazole may also be considered. In severe cases, especially when accompanied by systemic symptoms like high fever or when the patient is at risk of complications such as sepsis, intravenous antibiotics might be necessary.
Alongside antibiotic treatment, pain medications and anti-inflammatory drugs can also be used to provide symptom relief for discomfort associated with prostatitis. Consulting with a healthcare provider is essential to ensure the correct diagnosis and appropriate treatment regimen is determined based on the patient's specific situation and health status.