Journal article

Macrolides for the treatment of chronic bacterial prostatitis: An effective application of their unique pharmacokinetic and pharmacodynamic profile (Review)


Authors listPerletti, G.; Skerk, V.; Magri, V.; Markotic, A.; Mazzoli, S.; Parnham, M. J.; Wagenlehner, F. M. E.; Naber, K. G.

Publication year2011

Pages1035-1044

JournalMolecular Medicine Reports

Volume number4

Issue number6

ISSN1791-2997

eISSN1791-3004

Open access statusBronze

DOI Linkhttps://doi.org/10.3892/mmr.2011.575

PublisherSpandidos Publications


Abstract
Chronic bacterial prostatitis (CBP) is a persistent infection of the prostate characterized by poor quality of life mainly due to frequent relapse episodes caused by incomplete eradication of causative pathogens. Aggressive antibacterial therapy is required to attenuate the severe symptoms of CBP and to achieve a permanent cure. Although fluoroquinolones are currently recommended as first-choice agents, macrolide antibiotics are emerging as a noteworthy option for the treatment of CBP. Macrolide antibiotics are characterized by an impressive array of distinct pharmacokinetic (PK) and pharmacodynamic (PD) properties. These properties include high intracellular accumulation in phagocytes and at sites of infection, including the prostate; broad antibiotic but also biofilm-inhibiting properties; immunomodulating and inflammation-resolving activities. These features offer particular advantages for the treatment of chronic infections of the prostate gland, which are not easily amenable to drug therapy. Macrolides may be exploited to counteract the unsatisfactory rates of clinical symptom improvement and pathogen eradication. The results of a number of clinical trials support this proposal.



Citation Styles

Harvard Citation stylePerletti, G., Skerk, V., Magri, V., Markotic, A., Mazzoli, S., Parnham, M., et al. (2011) Macrolides for the treatment of chronic bacterial prostatitis: An effective application of their unique pharmacokinetic and pharmacodynamic profile (Review), Molecular Medicine Reports, 4(6), pp. 1035-1044. https://doi.org/10.3892/mmr.2011.575

APA Citation stylePerletti, G., Skerk, V., Magri, V., Markotic, A., Mazzoli, S., Parnham, M., Wagenlehner, F., & Naber, K. (2011). Macrolides for the treatment of chronic bacterial prostatitis: An effective application of their unique pharmacokinetic and pharmacodynamic profile (Review). Molecular Medicine Reports. 4(6), 1035-1044. https://doi.org/10.3892/mmr.2011.575



Keywords


ANTIBIOTIC SUSCEPTIBILITYazithromycinAZITHROMYCINCANCER RISKChlamydia trachomatisCHLAMYDIA-TRACHOMATIS INFECTIONCOMBINATION THERAPYHEALTHY-VOLUNTEERSmacrolidesNONSTEROIDAL ANTIINFLAMMATORY DRUGSPELVIC PAIN SYNDROMEprostatitisSEXUALLY-TRANSMITTED INFECTIONSUrological infections

Last updated on 2025-10-06 at 10:02