Inflammation of the prostate is a common condition in men of all ages;The pathology is diagnosed especially often in patients over 50 years old.The disease significantly affects the quality of life, causes problems with urination, fertility and potency, and also causes pain.
Illnesses must be treated promptly 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 dosage for the therapy to be effective.
Advice on 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 what many patients believe, inflammation of the prostate occurs not only due to infection, but also due to degenerative diseases of the organ.In the latter case, non-infectious prostatitis is detected.
To diagnose the disease, a tank culture or PRC analysis is carried out, with the help of which the doctor detects the pathogen.If no bacteria have been identified, taking antibiotics is not necessary.In this case, symptomatic therapy, diet, physiotherapy and proper sexual activity are indicated.
If leukocytes are found in the prostate secretion and a pathogen is also identified, the diagnosis is bacterial or tuberculous prostatitis.Both types of disease require specific treatment with antibiotics.
A PRC analysis is often sufficient and delivers results the next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If treatment is ineffective, a tank culture of prostate juice must be performed to determine sensitivity to the antibacterial agent.
Antibiotic groups
Only a doctor can answer exactly which antibiotics to take for prostatitis.Because the bacteria first have to be detected.If you self-medicate, there is a high risk that you will not guess the group and the disease will go 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, and not a bacterial infection.In this case, antibiotics do not help;You need to take a medication with antifungal effects.
Acute and chronic forms of the disease are treated with the following groups of medications:
- Tetracyclines.Prescribed when 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 when 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 commonly, drugs from the group of penicillins and cephalosporins are prescribed.Macrolides are used extremely rarely because they are not particularly effective for prostatitis.Tetracyclines have side effects and are therefore rarely prescribed when other medications cannot be taken.
Aminoglycosides are effective for acute prostatitis.They penetrate the prostate and accumulate there, which allows you to get rid of the infection.As a rule, such an antibiotic is not prescribed for the treatment of chronic diseases, since the required concentration of the substance in the gland cannot be achieved.
For chronic prostatitis of a bacterial type, doctors most often choose a group of fluoroquinolones.They are most effective for inflammation of the prostate.
However, it should be noted that fluoroquinolones have serious side effects and therefore 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 selected based on the examination results of an experienced doctor.There is no magic pill for all diseases;All drugs are effective in one case or another.It is very important to select exactly the substance from the identified pathogen that is suitable for treating a particular type of prostatitis.
The pharmaceutical market offers a huge selection of drugs from each group:
- penicillins;
- cephalosporins;
- Aminoglycosides.
Tetracycline group drugs are rarely prescribed.Macrolides are primarily 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 get rid of most microorganisms that cause inflammation of the prostate and urinary tract, and the drug also has an antifungal effect.
Dosages for men are prescribed individually, depending on the cause of the pathology, the features of taking a particular drug and its release form.
For example, an antibiotic is prescribed to take 3 tablets per day, morning, noon and evening.And another may be prescribed simultaneous intramuscular administration of 1 ampoule per day.The treatment takes place in one 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 needs to visit a urologist-andrologist as soon as possible and get tested.Only on the basis of an accurate diagnosis can antibiotics be prescribed.