Prostatitis is a fairly common male disease.
It can be contagious and non-contagious, 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.
They are sometimes prescribed as a trial therapy for nonbacterial forms.
Antimicrobial agents actively affect the pathogenic microflora, destroying pathogenic inflammations, 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 the 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;
- cephalosporin;
- fluoroquinolone;
- macrolide.
Penicillin group
Drugs in which the main substance is penicillin are antibacterial agents with a broad spectrum of action.
In this case, the substance can be of natural and synthetic origin. The advantage of this group of drugs is the affordable price and the possibility of using tablets (or suspensions) at home.
Among the extensive list of penicillin antibiotics, the most common is the penicillin of the same name, which is most commonly prescribed for chronic inflammation.
Tetracycline group
Tetracycline as an antibiotic for prostatitis can be prescribed for external use in the form of ointments 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 less and less used in urology due to the large number of side effects (especially from the gastrointestinal tract).
Among the disadvantages of drugs can be singled out the creation of resistance of microorganisms to tetracycline drugs, as well as a number of side effects:
- intestinal colic;
- nausea;
- digestive disorders;
- anemia;
- eosinophilia;
- increased intracranial pressure;
- liver damage;
- allergy.
Aminoglycoside group
The drugs have long been used as antibiotics for prostatitis in men with a broad spectrum of action. However, these drugs are very toxic.
The most common uses of the drug, which is very effective in combating gram-negative causes of bacterial inflammation, include Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are cheap and are 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 means to combat certain pathogenic microorganisms in the complex therapy of prostatitis.
- 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 in oral forms - it is injected bypassing the gastrointestinal tract through injections and injections.
Cephalosporin group
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.
Agents are often prescribed to combat complicated prostatitis, which are caused by E. coli, enterobacter, gonococcus, staphylococci, Proteus, Klebsiella and other pathogens.
These remedies are used by doctors if the infection cannot be beaten with penicillins, tetracyclines and other antibiotics.
Among the additional advantages of the drugs are an acceptable price and a minimum of contraindications (the exception is hypersensitivity to this type of antibiotic).
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.
Fluoroquinolone group
These drugs are used in the complex therapy of chronic inflammation of the prostate, because they quickly penetrate the tissues of the gland and have a long-lasting effect.
It is advisable to drink them if the disease is caused by mycobacteria, gram-positive and gram-negative microorganisms, chlamydia or mycoplasma.
Among the side effects, in addition to vomiting, nausea, and diarrhea typical of antibiotics, there are ICP, tachycardia, fatigue, leukopenia, anemia, and impaired renal function.
Bitan!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 medications along with nonsteroidal anti-inflammatory drugs because 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 potential pathogens, their effectiveness has not been confirmed.
Treatment regimen
Which antibacterial drugs to take, the doctor decides after tests to determine the type of pathogen and its sensitivity to drugs.
Antibiotics are only part of the treatment of acute and chronic infectious prostatitis, which includes a whole list of complementary drugs.
The standard therapeutic system includes:
- Antibacterial drugs - to destroy the source of inflammation.
- Blood circulation stimulators - to rule out blood stagnation 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, cranberry, St. John's wort, comfrey);
- Exercises and prostate massage - to stimulate circulation and reduce constipation.
Acute inflammation
In the acute form, home therapy under the supervision of a doctor and inpatient treatment are also possible.
In this case, drugs are prescribed that act comprehensively and widely: they first resort to powerful drugs from the list of cephalosporins, and with improvements switch to fluoroquinolones.
It is sometimes advisable to take two types of antibiotics at once for the fastest possible cure.
In acute inflammation, the reaction to the drug manifests itself quickly enough - the symptoms disappear within a few days.
But even with the relief of the condition, you cannot interrupt the course and change the dose prescribed by the urologist. This can lead to the disease transitioning to a chronic form and creating bacterial drug resistance.
If everything is done correctly, prostatitis is cured 100% without complications.
Chronic process
Compared with the acute form, the treatment of slow inflammation with periodic exacerbations is more complex and longer. This is due to changes in the tissues of the prostate, which are less sensitive and "hold" antibacterial drugs in their cells.
However, for the chronic course, antibiotics of the following groups are the most effective:
- cephalosporins;
- fluoroquinols;
- macrolides.
The duration of therapy is at least a month, but usually that is not enough, so the doctor prescribes several courses at once at equal intervals. It is important to follow these guidelines, even if it gets better: 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 on forums and thematic pages. It is important to visit a doctor before the disease becomes serious and complications begin with serious consequences for men's health.