What is the recommended treatment for prostatitis?

The recommended treatment for prostatitis, particularly acute bacterial prostatitis, often includes fluoroquinolones such as ciprofloxacin. This is due to their effective penetration into prostatic tissue and their broad spectrum of activity against the common bacteria responsible for prostatitis. The dosing of ciprofloxacin at 500 mg twice daily (BID) is appropriate and effective for treating bacterial infections of the prostate.

In contrast, while other antibiotics might be effective for different types of infections, they are not typically the first-line treatments for prostatitis. For instance, amoxicillin, doxycycline, and clindamycin may not provide the necessary coverage for the common pathogens associated with prostatitis or may not penetrate the prostatic tissue as effectively as ciprofloxacin. This makes ciprofloxacin the most suitable choice in this clinical scenario.