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 an infectious bacterial lesion of the gland, even if the symptoms are not very pronounced.
Sometimes they are described as a test therapy for non-bacterial forms.
Antimicrobial agents actively affect pathogenic microflora, destroying inflammatory pathogens, and broad-spectrum antibiotics also become the prevention of complications that can affect the genitourinary 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 microbes are sensitive. This is determined by the results of the analysis.
All antibacterial agents can be divided into the following groups:
- penicillin;
- tetracycline;
- aminoglycoside;
- cefolosporin;
- fluoroquinolone;
- macrolide.
The penicillin group
Drugs in which the main substance is penicillin are antibacterial agents with a broad spectrum of action.
In this case, the substance may be of natural or synthetic origin. The advantage of this group of medicines is its affordable price and the ability to use tablets (or suspensions) at home.
Among the extensive list of penicillin antibiotics, the most common is penicillin of the same name, which is most often prescribed for chronic inflammation.
Tetracycline group
Tetracycline as an antibiotic for prostatitis can be prescribed for external use in the form of an oil or in the form of tablets for oral administration.
The substance effectively kills streptococci, staphylococci, salmonella, chlamydia, shigella and a large group of other microbes, while being rapidly absorbed into prostate tissue.
Recently, tetracycline drugs are used less and less in urology due to the large number of side effects (especially from the gastrointestinal tract).
Among the disadvantages of drugs, the formation of resistance of microorganisms to tetracycline drugs can be singled out, as well as a number of side effects:
- intestinal cramps;
- nausea;
- digestive disorders;
- anemia;
- eosinophils;
- increased intracranial pressure;
- liver damage;
- allergies.
Aminoglycoside group
Medicines have long been used as antibiotics for prostatitis in men with a wide range of effects. However, these medicinal products are very toxic.
The most common use of the drug, which is very effective in the fight against gram-negative pathogens of bacterial inflammation, which include Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are free and quickly absorbed into the bloodstream - the maximum plasma concentration is reached one hour after ingestion.
Disadvantages of funds:
- Limited spectrum of action - used only as an additional agent to combat some pathogenic microorganisms in the complex therapy of inflammation of the prostate gland.
- It can cause many side effects, including: headache, kidney failure, vomiting, nausea, hearing loss, anemia, leukopenia, drowsiness, oliguria (decreased amount of urine excreted compared to normal), and others.
- The drug is not sold orally - it is injected bypassing the gastrointestinal tract through injection and injection.
Cephalosporin group
These antibacterial agents are also not intended for oral administration, they are administered parenterally. They are often prescribed for inpatients.
The funds act on gram-positive pathogens, a small group of anaerobic and gram-negative bacteria.
Funds are often prescribed to combat complicated prostatitis, which is caused by E. coli, enterobacter, gonococcus, staphylococcus, Proteus, Klebsiella and other pathogens.
Exactly these funds are addressed to doctors if the infection can not be defeated with penicillins, tetracyclines and other antibiotics.
Among the additional advantages of drugs are an acceptable cost and a minimum of contraindications (the exception is hypersensitivity to this type of antibiotics).
Like all antibacterial agents, cephalosporins have side effects:
- headache;
- allergic skin rash and local reactions at the injection site;
- intestinal and gastric disorders;
- colitis and others.
Fluoroquinol group
These drugs are used in the complex therapy of chronic inflammation of the prostate, as they quickly penetrate into the glandular tissues and have a long-term effect.
It is advisable to drink them if the disease is caused by mycobacteria, gram-positive and gram-negative microorganisms, chlamydia or mycoplasma.
Side effects, in addition to vomiting, nausea, and diarrhea typical of antibiotics, include ICP, tachycardia, fatigue, leukopenia, anemia, and impaired renal function.
Important!Medications cannot be combined with certain medications. For example, with adenosergic drugs, the combination of which dramatically lowers blood pressure. It is also not recommended to take medication along 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 regimen
What kind of antibacterial agents to take decides the doctor after performing tests to determine the type of pathogen and its sensitivity to medication.
Antibiotics are just part of the treatment for acute and chronic infectious prostatitis, which includes a whole list of complementary medicines.
The standard therapy system includes:
- Antibacterial drugs - to destroy the source of inflammation.
- Circulatory stimulants - 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;
- Soothing;
- Vitamins and trace elements (zinc, magnesium, selenium, vitamins A, B, C, E);
- Herbal infusions and teas (elderberry, lingonberry, St. John's wort, comfrey);
- Exercise and massage the prostate - to stimulate circulation and reduce congestion.
Acute inflammation
In the acute form, home therapy under the supervision of a physician and hospital treatment are possible.
In this case, drugs are prescribed that act comprehensively and extensively: first they use powerful drugs from the list of cephalosporins, and with improvements switch to fluoroquinols.
It is sometimes advisable to take both types of antibiotics at the same time for the fastest possible cure.
In acute inflammation, the reaction to medication manifests itself quite quickly - the symptoms disappear within a few days.
But even with the relief of the condition, you can not interrupt the course and change the dose 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 cured 100% without complications.
Chronic process
Compared to the acute form, the treatment of slow inflammation with periodic exacerbations is more complex and prolonged. This is due to changes in prostate tissue, which are less sensitive to and "hold" antibacterial drugs in their cells.
However, for the chronic course, antibiotics of the following groups are most effective:
- cephalosporins;
- fluoroquinols;
- macrolides.
The duration of therapy is at least a month, but usually this is not enough, so the doctor prescribes several courses immediately at equal intervals. Importers it is important to follow these guidelines, even if it improves: the feeling can be deceptive and will only make the problem worse.
cONcluSiON
When the symptoms of prostatitis appear, do not waste time looking for a solution in thematic forums and sites. Importers it is important to see a doctor before the disease becomes severe and complications begin with serious consequences for men's health.