Prostatitis is a fairly common male disease.
It can be infectious and non-infectious, with the first form being divided into bacterial and non-bacterial.
Treatment of prostatitis with antibiotics is carried out with infectious bacterial damage to the gland, even if the symptoms are not very severe.
They are sometimes prescribed as a trial treatment for non-bacterial forms.
Antimicrobial agents actively affect the pathogenic microflora, destroying inflammatory pathogens and broad-spectrum antibiotics also prevent complications that can affect the urogenital system.
Classification of antibiotics for prostatitis
In acute or chronic inflammation, the doctor selects a drug from one or more groups of antibiotics to which the germs are sensitive. This is determined by the results of the analyzes.
All antibacterial agents can be divided into the following groups:
- penicillin;
- tetracycline;
- aminoglycoside;
- cefolosporin;
- fluoroquinolone;
- macrolide.
Penicillin group
Drugs in which the main substance is penicillin are antibacterial agents with a wide range of action.
In this case, the substance may be of natural or synthetic origin. The advantage of this group of drugs is its affordable price and the possibility of using tablets (or suspensions) at home.
Among the wide list of penicillin antibiotics, the most common is the penicillin of the same name, which is most often prescribed for chronic inflammation.
Group of tetracyclines
Tetracycline as an antibiotic for prostatitis can be prescribed for external use in the form of an ointment or in the form of tablets for oral administration.
The substance effectively kills streptococci, staphylococci, salmonella, chlamydia, sigella and a large group of other germs, while being rapidly absorbed into prostate tissue.
Recently, tetracycline drugs have been used less and less in urology due to the large number of side effects (especially from the gastrointestinal tract).
Among the disadvantages of drugs, one can distinguish the formation of resistance of microorganisms to tetracycline drugs, as well as a number of side effects:
- intestinal colic;
- motion sickness;
- digestive disorders;
- anemia;
- eosinophilia
- increased intracranial pressure.
- liver damage;
- allergy.
Aminoglycoside group
The drugs have long been used as antibiotics for prostatitis in men with a wide range of effects. However, these medicines are extremely toxic.
The most common use of the drug, which is extremely effective in combating gram-negative pathogenic microbial inflammations, which include Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are cheap and quickly absorbed into the bloodstream - the maximum plasma concentration is reached one hour after ingestion.
Disadvantages of funds:
- Limited range of action - used only as an adjunct to the control of certain pathogenic microorganisms in the complex treatment of prostate inflammation.
- It can cause many side effects, such as: headache, kidney failure, vomiting, nausea, hearing loss, anemia, leukopenia, drowsiness, oliguria (reduction in the amount of urine excreted compared to normal) and more.
- The drug is not sold orally - it is injected by bypassing the gastrointestinal tract by injection and injection.
Cephalosporin group
These antibacterial agents are also not intended for oral administration; they are administered parenterally. They are often prescribed for hospitalized patients.
The funds act on gram-positive pathogens, a small group of anaerobic and gram-negative bacteria.
Funds are often prescribed to combat the complex prostatitis caused by E. coli, enterobacter, gonococcus, staphylococcus, Proteus, Klebsiella and other pathogens.
This money is used by doctors if the infection can not be defeated with penicillins, tetracyclines and other antibiotics.
Additional benefits of the medication include acceptable costs and minimal contraindications (the exception being hypersensitivity to this type of antibiotic).
Like all antibacterial agents, cephalosporins have side effects:
- headache;
- allergic skin rashes and local injection site reactions.
- intestinal and gastric disorders.
- colitis and others.
Fluoroquinol group
These drugs are used in the complex treatment of chronic inflammation of the prostate, as they penetrate quickly into the tissues of the gland and have a long-term effect.
It is recommended to drink them if the disease is caused by mycobacteria, gram-positive and gram-negative microorganisms, chlamydia or mycoplasma.
Side effects besides vomiting, nausea, and diarrhea typical of antibiotics include ICP, tachycardia, fatigue, leukopenia, anemia, and impaired renal function.
Great!Medicines cannot be combined with certain medicines. For example, with adenoactive drugs, the combination of which dramatically lowers blood pressure. It is also not recommended to take drugs with non-steroidal anti-inflammatory drugs, as their combination increases the negative effect on the nervous system.
Macrolide group
They are sometimes used to treat prostatitis caused by chlamydia or mycoplasma. However, in relation to other possible pathogens, their effectiveness has not been confirmed.
Treatment treatment
The type of antibacterial agents to be taken is decided by the doctor after tests to determine the type of pathogen and its sensitivity to the drugs.
Antibiotics are only part of the treatment for acute and chronic infectious prostatitis, which includes a whole list of complementary medicines.
The standard treatment system includes:
- Antibacterial drugs - to destroy the source of inflammation.
- Stimulators of blood circulation - to exclude stagnation of blood in the small pelvis.
- Anti-inflammatory drugs - to relieve swelling and pain.
- Immunomodulators - to maintain and activate the body's defense system.
- Sedatives;
- Vitamins and trace elements (zinc, magnesium, selenium, vitamins A, B, C, E).
- Herbal teas and teas (elderberry, lingonberry, St. John's wort, comfrey).
- Exercise and prostate massage - to stimulate circulation and reduce congestion.
Acute inflammation
In the acute form, both home treatment, under the supervision of a doctor, and hospital treatment are possible.
In this case, drugs that act collectively and widely are prescribed: first they resort to strong drugs from the list of cephalosporins and with improvements they switch to fluoroquinolones.
It is sometimes recommended to take two types of antibiotics at the same time for the fastest possible treatment.
In acute inflammation, the reaction to the drugs manifests itself quite quickly - the symptoms disappear within a few days.
But even with the relief of the condition, you can not stop the course and change the dosage prescribed by the urologist. This can lead to the transition of the disease to a chronic form and the formation of bacterial resistance to drugs.
If everything is done correctly, prostatitis is 100% cured without complications.
Years process
Compared to the acute form, the treatment of hypotonic inflammation with periodic exacerbations is more complicated and prolonged. This is due to changes in prostate tissue, which are less sensitive and "retain" antibacterial drugs in their cells.
However, for the chronic course, antibiotics of the following groups are more effective:
- cephalosporins?
- fluoroquinolones;
- macrolides.
The duration of treatment is at least a month, but usually this is not enough, so the doctor prescribes several courses at once at equal intervals. It is important to follow these instructions, even if it improves: the feeling can be deceptive and will only make the problem worse.
conclusion
When symptoms of prostatitis occur, do not waste time looking for solutions in forums and topic sites. It is important to see a doctor before the disease becomes serious and complications begin with serious consequences for men's health.