Inflammation of the prostate gland is a common disease in men of all ages;pathology is diagnosed especially often in patients over 50 years old.The disease greatly impairs quality of life, leads to problems with urination, fertility and potency, and causes pain.
Diseases must be treated immediately and comprehensively.For this, the patient is prescribed medication, physiotherapy and a healthy lifestyle.Antibiotics for bacterial prostatitis are one of the main methods of treatment, but it is very important to choose the right drug and dose for the therapy to be effective.
Indications for the use of antibacterial compounds
Before you think about what antibiotics you should take for prostatitis, you need to understand the cause of its occurrence.Contrary to the opinion of many patients, inflammation of the prostate gland does not occur only because of infection, but also because of degenerative disorders in the organ.In the latter case, non-infectious prostatitis is detected.
To diagnose the disease, a tank culture or PRC analysis is performed, with the help of which the doctor will detect the pathogen.If the bacteria are not identified, then there is no need to take antibiotics.In this case, symptomatic therapy, diet, physical therapy and appropriate sexual activity are indicated.
If leukocytes are found in the prostate secretion and a pathogen is also identified, then bacterial or tuberculosis prostatitis is diagnosed.Both types of diseases require specific treatment with antibiotics.
Often, a PRC analysis is sufficient, which gives results the next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If the treatment is ineffective, then a culture of the prostate fluid will need to be performed to determine the sensitivity to the antibacterial agent.
Antibiotic groups
Only a doctor can accurately answer which antibiotics to take for prostatitis.Because bacteria must be discovered 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 should also understand that the cause of the pathology may be a fungal infection, not a bacterial one.In this case, antibiotics will not help;you will need to take a drug with an antifungal effect.
Treatment of acute and chronic forms of the disease is carried out using the following groups of drugs:
- Tetracyclines.Described if bacteria are detected: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomanada, seratia, E. coli.
- Fluoroquinolones.They are described for the following bacteria: ureaplasma, mycoplasma, gonococcus, chlamydia, Proteus, Klebsiella, Escherichia coli and Koch's bacillus.
- Penicillin.Indicated if detected: gonococci, enterobacteria, enterococci, Klebsiella, Proteus, Seratia, Escherichia coli.
- Cephalosporins.Described for the following bacteria: enterobacteria, enterococci, Klebsiella, Proteus, E. coli.
- Macrolides.It is indicated if: gonococcus, chlamydia, ureaplasma, mycoplasma are detected.
- Aminoglycosides.Described 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 extremely rarely, as they are not particularly effective for prostatitis.Tetracyclines have side effects, so they are rarely prescribed unless 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, such an antibiotic is usually not prescribed, since it is not possible to achieve the required concentration of the substance in the gland.
For chronic bacterial prostatitis, doctors most often choose a group of fluoroquinolones.They are the most effective for inflammation of the prostate gland.
But it is worth noting that fluoroquinolones have serious side effects and they should not be taken until tuberculosis is 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 exactly the substance that is suitable for the treatment of a specific type of prostatitis from the identified pathogen.
The pharmaceutical market offers a large range of drugs from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Drugs of the tetracycline group are rarely prescribed.Macrolides are mainly indicated 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.The product helps to remove most of the microorganisms that cause inflammation of the prostate and urinary tract, and the drug also has an antifungal effect.
Doses for men are prescribed individually, depending on the cause of the pathology, the characteristics of taking a particular drug and the form of its release.
For example, an antibiotic is prescribed to take 3 tablets a day, in the morning at lunch and in the evening.And another can be prescribed to administer 1 ampoule per day intramuscularly, at the same time.The treatment is carried out in one course;the drug cannot be stopped prematurely even if improvements appear.
CONCLUSION
Every patient should remember that antibiotics are very serious drugs, the uncontrolled use of which can lead to complications.Therefore, if a man has symptoms of prostatitis, he should consult a urologist-andrologist as soon as possible and do an analysis.Antibiotics can only be prescribed based on an accurate diagnosis.