Following the innate immune response, which includes phagocytosis and the release of cytokines, the expression of MHC Class II molecules on macrophages are up regulated to function as antigen presenting cells to promote the antigen- specific or adaptive immune response. 2. Natural Killer Cells
The mainstay in the treatment of chronic bacterial prostatitis (CBP) is the use of oral antimicrobial agents. The most effective medications are fluoroquinolones and trimethoprim-sulfamethoxazole (TMP-SMZ). All other oral agents are unlikely to eradicate the infection. Relapse is not uncommon.
Tetanus requires hospitalization, treatment with human tetanus immune globulin (TIG), a tetanus toxoid booster, agents to control muscle spasm, aggressive wound care, and antibiotics. Metronidazole is the most appropriate antibiotic. The wound should be debrided widely and excised if possible.