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 prescribed as test therapy for non-bacterial forms.
Antimicrobial agents actively act on the pathogenic microflora, destroy inflammatory agents, and broad-spectrum antibiotics are also used to prevent complications that can adversely affect the genitourinary system.
Classification of antibiotics for prostatitis
For 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 analyzes.
All antibacterial agents can be divided into the following groups:
- Penicillin;
- Tetracycline;
- Aminoglycoside;
- Cefolosporin;
- Fluoroquinolone;
- Macrolide.
Penicillin group
Medicines, the main substance of which is penicillin, are antibacterial agents with a wide spectrum of action.
The substance can be of natural or synthetic origin. The advantage of this group of drugs is the affordable price and the ability to use tablets (or suspensions) at home.
Among the wide list of penicillin antibiotics, the most common is the penicillin of the same name, which is most often prescribed for chronic inflammation.
Group of tetracyclines
Tetracycline as an antibiotic in prostatitis can be prescribed for external use in the form of an ointment or in the form of tablets for oral administration.
The substance is effective in killing streptococci, staphylococci, salmonella, chlamydia, shigella and a large group of other microbes while being quickly absorbed into prostate tissue.
Recently, tetracycline drugs have been used less and less in urology due to the large number of side effects (especially from the gastrointestinal tract).
Among the disadvantages of drugs, one can highlight the development of resistance of microorganisms to tetracycline drugs, as well as a number of side effects:
- Intestinal colic;
- Nausea;
- Indigestion;
- Anemia;
- Eosinophilia;
- increased intracranial pressure;
- Liver damage;
- Allergy.
Aminoglycoside group
The drugs have long been used as antibiotics for prostatitis in men with a wide range of effects. However, these drugs are highly toxic.
The most common use of the drug, which is highly effective in the fight against gram-negative pathogens bacterial inflammation, including Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are inexpensive and quickly absorbed into the bloodstream - the maximum plasma concentration is reached an hour after ingestion.
Disadvantages of funds:
- Limited spectrum of action - it is used only as an additional means of combating certain pathogenic microorganisms in complex therapy of prostate inflammation.
- It can cause many side effects including: headache, kidney failure, vomiting, nausea, hearing loss, anemia, leukopenia, drowsiness, oliguria (a decrease in the amount of urine excreted from normal), and others.
- The drug is not sold in oral form - it is injected, bypassing the gastrointestinal tract, through injection and injection.
Group of cephalosporins
These antibacterial agents are also not intended for oral administration, they are administered parenterally. They are often prescribed for inpatients.
The agents act on gram-positive pathogens, a small group of anaerobes and gram-negative bacteria.
Means are often prescribed to combat complicated prostatitis caused by E. coli, Enterobacter, Gonococcus, Staphylococcus, Proteus, Klebsiella and other pathogens.
Doctors turn to these remedies when the infection cannot be controlled with penicillins, tetracyclines, and other antibiotics.
Additional advantages of drugs include 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 rashes and local reactions at the injection site;
- Intestinal and stomach problems;
- Colitis and others.
Fluoroquinol group
These drugs are used in the complex therapy of chronic inflammation of the prostate, as they quickly penetrate the tissues of the gland 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 include vomiting, nausea and diarrhea typical of antibiotics, ICP, tachycardia, fatigue, leukopenia, anemia and impaired kidney function.
Important!Medicines cannot be combined with certain drugs. For example, with adenosergic drugs, the combination of which dramatically lowers blood pressure. It is also not recommended to drink drugs together with nonsteroidal anti-inflammatory drugs, since the combination of these increases the negative effect on the nervous system.
Macrolide group
They are sometimes used to treat prostatitis caused by chlamydia or mycoplasma. However, their effectiveness has not been confirmed in relation to other potential pathogens.
Treatment regimen
What kind of antibacterial agent to take is decided by the doctor after performing tests to determine the type of pathogen and its sensitivity to drugs.
Antibiotics are only part of the treatment for acute and chronic infectious prostatitis, which includes a whole range of complementary medications.
The standard therapy system includes:
- Antibacterial drugs - to destroy the source of inflammation.
- Blood circulation stimulants - to prevent blood congestion in the small pelvis.
- Anti-inflammatory drugs - to relieve swelling and pain.
- Immunomodulators - to maintain and activate the body's defense system;
- Sedatives;
- Vitamins and trace elements (zinc, magnesium, selenium, vitamins A, B, C, E);
- Herbal teas and teas (elderberry, lingonberry, St. John's wort, comfrey);
- Exercise and prostate massage - to stimulate blood circulation and reduce congestion.
Acute inflammation
In the acute form, both home therapy under medical supervision and inpatient treatment are possible.
In this case, drugs are prescribed that have a comprehensive and far-reaching effect: first they resort to strong drugs from the list of cephalosporins, and with improvements they switch to fluoroquinols.
Sometimes it is recommended to take two types of antibiotics at the same time for the fastest possible healing.
In acute inflammation, the response to medication manifests itself quickly enough - symptoms go away within a few days.
But even with relief from the disease, you can not interrupt the course and change the dosage prescribed by the urologist. This can lead to the transition of the disease into a chronic form and the development of bacterial resistance to drugs.
If everything is done correctly, prostatitis will be cured 100% without complications.
Chronic process
Compared to the acute form, the treatment of sluggish inflammation with periodic exacerbations is more complex and long-term. This is due to changes in the tissues of the prostate that are less sensitive to antibacterial drugs and "hold" them in their cells.
Nevertheless, antibiotics of the following groups are most effective for the chronic course:
- Cephalosporins;
- Fluoroquinols;
- Macrolides.
The duration of therapy is at least a month, but this is usually not enough, so the doctor prescribes several courses at the same time at equal intervals. It's important to follow these guidelines even as things get better: the feeling can be deceptive and will only make the problem worse.
diploma
If symptoms of prostatitis appear, do not waste time looking for a solution on forums and thematic sites. It is important to see a doctor before the disease becomes serious and complications begin with serious consequences for men's health.