Inflammation of the prostate gland is a common disease among men of all ages;This pathology is often diagnosed in patients over 50 years old.This disease is very damaging to the quality of life, it leads to problems with urination, fertility and potency, and also causes pain.
Diseases must be treated promptly and comprehensively.For this, patients are prescribed medications, physiotherapy, and a healthy lifestyle.Antibiotics for bacterial prostatitis is one of the main methods of treatment, but it is very important to choose the right medicine and dosage for the therapy to be effective.
Indications for the use of antibacterial compounds
Before you think about what antibiotics to take for prostatitis, you need to understand the cause of its occurrence.Contrary to the opinion of many patients, inflammation of the prostate gland is not only caused by infection, but also caused by degenerative disorders in the organ.In the second case, non-infectious prostatitis was detected.
To diagnose this disease, a tank culture or PRC analysis is performed, with the help of which the doctor will detect the pathogen.If the bacteria has not been identified, then there is no need to take antibiotics.In this case, symptomatic therapy, diet, physical therapy and proper sexual activity are indicated.
If leukocytes are found in prostate secretions, and the pathogen is also identified, then bacterial or tuberculous prostatitis is diagnosed.Both types of disease require specific treatment with antibiotics.
Often, PRC analysis is sufficient, which gives results the next day.After identifying the bacteria, the doctor prescribes the appropriate antibiotic for prostatitis.If the treatment is ineffective, then a culture of the prostate juice tank should be done to determine sensitivity to antibacterial agents.
Antibiotic group
Only a doctor can answer the right antibiotic to take prostatitis.Because bacteria must be detected first.If you self-medicate, there is a high risk of not guessing the group and turning the disease into a chronic form, which will significantly complicate the treatment process.
You also need to understand that the cause of the pathology may be a fungal infection, not bacteria.In this case, antibiotics will not help;You need to take medicine with antifungal effect.
Treatment of acute and chronic forms of the disease is carried out using the following groups of drugs:
- Tetracyclines.Determined if bacteria are detected: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomanada, seratia, e.bra
- Fluoroquinolones.Prescribed for the following bacteria: Ureaplasma, Mycoplasma, Gonococci, Chlamydia, Proteus, Klebsiella, Escherichia coli and Bacillus Koch.
- Penicillin.Shown if detected: Gonococci, Enterobacteria, Enterococci, Klebsiella, Proteus, Seratia, Escherichia coli.
- Cephalosporins.Prescribed for the following bacteria: Enterobacteria, Enterococci, Klebsiella, Proteus, E. coli.
- Macrolides.Indicated if: Gonococci, Chlamydia, ureaplasma, mycoplasma are detected.
- Aminoglycosides.Prescribed for the following bacteria: Klebsiella, Enterobacteriaceae, Pseudomonas.
- Hydroxyquinolines.Effective against the following bacteria: Ureaplasma, Mycoplasma, Trichomonas, Klibsiella, E. coli, etc.
Most often, drugs from the group of penicillins and cephalosporins are prescribed.Macrolides are used very rarely, because they are not very effective for prostatitis.Tetracyclines have side effects, so they are rarely prescribed if other drugs cannot be taken.
Aminoglycosides are effective for acute prostatitis.They penetrate the prostate and accumulate in it, which allows you to get rid of the infection.For the treatment of chronic diseases, antibiotics as usual are not prescribed, because it is not possible to achieve the necessary concentration of substances in the gland.
For chronic bacterial prostatitis, doctors most often choose a group of fluoroquinolones.For inflammation of the prostate gland they are the most effective.
But it should be noted that fluoroquinolones have serious side effects, and they should not be taken until tuberculosis has been diagnosed.Such drugs for prostate tuberculosis must be taken in combination with other antibiotics, otherwise the treatment will be ineffective and the patient will only waste time.
List of antibiotics for prostatitis
The best antibiotics for prostatitis are those chosen based on the results of an examination by an experienced doctor.There is no magic pill for all ailments;All drugs are effective in one case or another.It is very important to choose the right substance to treat a specific type of prostatitis from the identified pathogen.
The pharmaceutical market offers a wide variety of drugs from each group:
- penicillin;
- Cephalosporins;
- Aminoglycosides.
Tetracycline group drugs are rarely prescribed.Macrolides are indicated mainly in the fight against Mycoplasma and Chlamydia.
One of the most effective drugs for the treatment of prostatitis is a drug that belongs to the group of hydroxyquinolines.This product helps eliminate most of the microorganisms that cause inflammation of the prostate and urinary tract, and the drug also has an antifungal effect.
The dose for men is set individually, depending on the cause of the pathology, the characteristics of taking certain drugs and the form of their release.
For example, an antibiotic is prescribed to take 3 tablets a day, in the morning during lunch and in the evening.And another can be prescribed to administer 1 ampoule a day intramuscularly, at the same time.Treatment is carried out in courses;Medicines should not be stopped prematurely even if improvements appear.
Conclusion
Every patient should remember that antibiotics are very serious drugs, uncontrolled use of which can cause complications.Therefore, if a man has symptoms of prostatitis, he should consult a urologist-Andrologist as soon as possible and get tested.Only based on an accurate diagnosis, antibiotics can be prescribed.