Inflammation of the prostate gland is a common disease among men of all ages;especially often the pathology is diagnosed in patients over 50 years of age.The disease significantly worsens the quality of life, leads to problems with urination, fertility and potency, and also causes pain.
Diseases 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.
Indications for use of antibacterial compounds
Before you think about what 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 in the organ.In the latter case, non-infectious prostatitis was detected.
To diagnose the disease, a reservoir culture analysis or PRC 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 this case, symptomatic therapy, diet, physical therapy and proper sexual activity are indicated.
If leukocytes are found in the prostate secretion and a pathogen is identified, then bacterial or tuberculous prostatitis is diagnosed.Both types of disease require specific treatment with antibiotics.
A PRC analysis is often sufficient, which gives a result the very next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If treatment is ineffective, then a reservoir culture of prostate juice will need to be done to determine sensitivity to the antibacterial agent.
Groups of antibiotics
Only a doctor can answer exactly which antibiotics to take for prostatitis.Because the bacteria must be found first.If you treat yourself, there is a high risk of not knowing the group and transforming the disease into a chronic form, which will significantly complicate the treatment process.
You should also understand that the cause of the pathology may be a fungal infection, not a bacterial one.In this case, antibiotics will not help;you will need to take an antifungal medicine.
Treatment of acute and chronic forms of the disease is carried out with the help of the following groups of drugs:
- Tetracyclines.It is prescribed when bacteria are detected: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomonad, seratia, E. coli.
- Fluoroquinolone.It is prescribed for the following bacteria: ureaplasma, mycoplasma, gonococci, chlamydia, proteus, klebsiella, Escherichia coli and Koch's bacillus.
- Penicillin.It is shown when detecting: gonococci, enterobacteria, enterococci, Klebsiella, Proteus, Seratia, Escherichia coli.
- Cephalosporins.Prescribed for the following bacteria: enterobacteria, enterococci, Klebsiella, Proteus, E. coli.
- Macrolides.It is 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, trichomonad, clinsiella, 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 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, allowing you to get rid of the infection.For the treatment of a chronic disease, such an antibiotic is usually not prescribed, since it is not possible to achieve the necessary concentration of the substance in the gland.
In chronic bacterial prostatitis, doctors most often choose a group of fluoroquinolones.In inflammation of the prostate gland, they are most effective.
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 chosen 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 specific type of prostatitis from the identified pathogen.
The pharmaceutical market offers a huge range of drugs from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Drugs from 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 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 characteristics of taking a certain drug and its form of release.
For example, an antibiotic is prescribed 3 tablets a day, morning, noon and evening.And another may be prescribed to administer 1 ampoule per day intramuscularly at the same time.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 consult a urologist-andrologist as soon as possible and be examined.Antibiotics can only be prescribed based on an accurate diagnosis.