Prostate inflammation is a common condition among men of all ages;the pathology is especially often diagnosed in patients over 50 years old.The disease significantly impairs the quality of life, causes problems with urination, fertility and potency, and also causes pain.
Diseases must be treated quickly and comprehensively.For 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 drug and dosage for the treatment to be effective.
Indications for 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 occurs due not only to infection, but also 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 carried out, with the help of which the doctor will detect the pathogen.If the bacteria have not been identified, there is no need to take antibiotics.In this case, symptomatic treatment, diet, physical therapy and appropriate sexual activity are indicated.
If leukocytes were found in the secretion of the prostate, and a pathogen was also identified, then bacterial or tuberculous 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 treatment is ineffective, a tank culture of prostate juice should be performed 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 high 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 fungal, not bacterial, infection.In this case, antibiotics will be of no use;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.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 in case of detection: 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 extremely rarely, as they are not particularly effective against prostatitis.Tetracyclines have side effects, so they are rarely prescribed if other medications cannot be taken.
Aminoglycosides are effective in acute prostatitis.They enter the prostate and accumulate there, helping 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 prostatitis of the bacterial type, doctors most often choose a group of fluoroquinolones.For prostate inflammation, they are the most effective.
But it should be noted that fluoroquinolones have serious side effects and should not be taken until tuberculosis has been diagnosed.These drugs for tuberculosis of the prostate 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 have been selected based on the results of an examination by an experienced doctor.There is no magic pill for all illnesses;All medications are effective in one case or another.It is very important to choose exactly the substance suitable for the treatment of a specific type of prostatitis from the identified pathogen.
The pharmaceutical market offers a huge range of drugs from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Medicines from the tetracycline group are rarely prescribed.Macrolides are mainly indicated in the fight against mycoplasma and chlamydia.
One of the most effective drugs for treating prostatitis is a drug belonging to the hydroxyquinoline group.The product helps eliminate most of the 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 form of release.
For example, an antibiotic is prescribed to take 3 tablets per 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 as a cure;the drug cannot be stopped in advance 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 get tested.Only on the basis of an accurate diagnosis can antibiotics be prescribed.