Prostate inflammation is a common disease among men of all ages;the pathology is especially diagnosed in patients over 50 years of age.The disease greatly impairs quality of life, causes problems with urination, fertility and potency, in addition to causing pain.
Diseases must be treated quickly and comprehensively.To do this, the patient is prescribed medications, physiotherapy and a healthy lifestyle.Antibiotics for bacterial prostatitis are one of the main treatment methods, but it is very important to choose the right medication and dosage for the therapy to be effective.
Indications for the use of antibacterial compounds
Before thinking about which 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 occurs not only due to infection, but also due to degenerative disorders of the organ.In the latter case, non-infectious prostatitis is detected.
To diagnose the disease, a tank culture or PRC analysis is performed, with which the doctor will detect the pathogen.If bacteria are not identified, there is no need to take antibiotics.In this case, symptomatic therapy, diet, physiotherapy and adequate sexual activity are indicated.
If leukocytes are found in prostate secretion and a pathogen is also identified, bacterial or tuberculous prostatitis is diagnosed.Both types of disease require specific treatment with antibiotics.
Often a PRC analysis is sufficient, giving results the next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If treatment is ineffective, it will be necessary to perform a tank culture of prostate juice to determine sensitivity to the antibacterial agent.
Antibiotic groups
Only a doctor can accurately answer which antibiotics to take for prostatitis.Because bacteria must first be detected.If you self-medicate, there is a great 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 can be a fungal rather than a bacterial infection.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 medications:
- Tetracyclines.Prescribed if bacteria are detected: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomanada, seratia, E. coli.
- Fluoroquinolone.Prescribed for the following bacteria: ureaplasma, mycoplasma, gonococci, chlamydia, Proteus, Klebsiella, Escherichia coli and Koch's bacillus.
- Penicillin.Indicated 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, as they are not particularly effective for prostatitis.Tetracyclines have side effects, so they are rarely prescribed if other medications cannot be taken.
Aminoglycosides are effective for acute prostatitis.They penetrate the prostate and accumulate in it, which allows the infection to be eliminated.For the treatment of chronic diseases, this antibiotic is usually not prescribed, since it is not possible to achieve the required concentration of the substance in the gland.
For chronic prostatitis of the bacterial type, doctors often choose a group of fluoroquinolones.For prostate inflammation they are the most effective.
But it's worth noting that fluoroquinolones have serious side effects and should not be taken until tuberculosis is diagnosed.These drugs for prostatic 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 selected based on the results of an examination performed by an experienced doctor.There is no magic pill for all illnesses;all medicines are effective in one case or another.It is very important to choose exactly the suitable substance for the treatment of a specific type of prostatitis of the identified pathogen.
The pharmaceutical market offers a wide range of medicines from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Medicines from the tetracycline group are rarely prescribed.Macrolides are mainly indicated to combat mycoplasma and chlamydia.
One of the most effective medicines for the treatment of prostatitis is a medicine that belongs to the hydroxyquinoline group.The product helps to eliminate most microorganisms that cause inflammation of the prostate and urinary tract, and the medicine also has an antifungal effect.
Dosages for men are prescribed individually, depending on the cause of the pathology, the characteristics of taking a particular medication and its form of release.
For example, an antibiotic is prescribed to take 3 tablets a day, from morning to lunch and in the evening.And another may be prescribed to administer 1 ampoule per day intramuscularly, at the same time.Treatment is carried out in one course;the medicine cannot be stopped early, even if improvements appear.
Conclusion
Every patient must remember that antibiotics are very serious medicines, uncontrolled use of which can lead to complications.Therefore, if a man has symptoms of prostatitis, he needs to consult a urologist-andrologist as soon as possible and get tested.Only on the basis of an accurate diagnosis can antibiotics be prescribed.