Inflammation of the prostate is a common disease of men of all ages;pathology is especially often diagnosed in patients older than 50 years.The disease greatly impairs the quality of life, leads to problems with urination, fertility and potency, and causes pain.
Diseases must be treated quickly 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 so that the therapy is effective.
Indications for the use of antibacterial compounds
Before you think about which antibiotics to take for prostatitis, you need to understand the cause of its occurrence.Contrary to the opinion of many patients, prostate inflammation occurs not only due to infection, but also due to degenerative disorders in the organ.In the latter case, non-infectious prostatitis is detected.
To diagnose the disease, a reservoir 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 that case, symptomatic therapy, diet, physical therapy and proper sexual activity are indicated.
If leukocytes are found in the prostate secretion, and the pathogen is identified, then bacterial or tuberculous prostatitis is diagnosed.Both types of disease require specific antibiotic treatment.
A PRC analysis is often sufficient, which gives results the very next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If treatment is ineffective, then a cistern culture of prostate juice will need to be performed to determine sensitivity to an antibacterial agent.
Groups of antibiotics
Only a doctor can answer exactly which antibiotics should be taken for prostatitis.Because the bacteria must be discovered first.If you self-medicate, there is a high risk that you will not hit the group and that the disease will turn into a chronic form, which will significantly complicate the treatment process.
You also need to understand that the cause of the pathology can be a fungal infection, and not a bacterial one.In this case, antibiotics will not help;you will need to take a medicine with an antifungal effect.
Treatment of acute and chronic forms of the disease is carried out using the following groups of drugs:
- Tetracyclines.It is prescribed if bacteria are detected: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomanada, seratia, E. coli.
- Fluoroquinolones.It is prescribed for the following bacteria: ureaplasma, mycoplasma, gonococci, chlamydia, proteus, klebsiella, Escherichia coli and Koch's bacillus.
- Penicillin.Indicated if: gonococci, enterobacteria, enterococci, Klebsiella, Proteus, Seratia, Escherichia coli are detected.
- Cephalosporins.It is prescribed for the following bacteria: enterobacteria, enterococci, Klebsiella, Proteus, E. coli.
- Macrolides.Indicated if: gonococci, chlamydia, ureaplasma, mycoplasma are detected.
- Aminoglycosides.It is prescribed for the following bacteria: Klebsiella, Enterobacteriaceae, Pseudomonas.
- Hydroxyquinolines.Effective against the following bacteria: ureaplasma, mycoplasma, trichomonas, klibsiella, E. coli, etc.
Medicines from the group of penicillins and cephalosporins are most often prescribed.Macrolides are used extremely rarely, because they are not particularly effective in prostatitis.Tetracyclines have side effects, so they are rarely prescribed if other drugs cannot be taken.
Aminoglycosides are effective in acute prostatitis.They penetrate the prostate and accumulate in it, which allows you to get rid of the infection.Such an antibiotic is usually not prescribed for the treatment of a chronic disease, because it is not possible to achieve the necessary concentration of the substance in the gland.
For chronic bacterial prostatitis, doctors most often choose the group of fluoroquinolones.They are the most effective in prostatitis.
But it is worth noting that fluoroquinolones have serious side effects and 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 that are selected 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 certain type of prostatitis from the identified pathogen.
The pharmaceutical market offers a large selection of drugs from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Medicines of the tetracycline group 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 belonging to the hydroxyquinoline group.The product helps to get rid of 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 certain drug and the form of its release.
For example, one antibiotic is prescribed to take 3 tablets a day, in the morning for lunch and in the evening.And the second can be prescribed for giving 1 ampoule daily intramuscularly, at the same time.The treatment is carried out in a course;the drug cannot be stopped prematurely even if improvements occur.
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 contact a urologist-andrologist as soon as possible and get tested.Antibiotics can only be prescribed based on an accurate diagnosis.