Inflammation of the prostate gland is a common disease among men of all ages;the pathology is diagnosed particularly often in patients over the age of 50.The disease significantly impairs 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 medications, 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 the use of antibacterial compounds
Before thinking about which antibiotics to take for prostatitis, it is necessary to understand the cause of its onset.Contrary to the opinion of many patients, inflammation of the prostate occurs not only due to infection, but also due to degenerative disorders in the organ.In the latter case, non-infectious prostatitis is detected.
To diagnose the disease, a tank culture or PRC analysis is performed, 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 therapy, diet, physiotherapy and correct sexual activity are indicated.
If leukocytes are found in the prostate secretion and a pathogen has also been identified, bacterial or tuberculous prostatitis is diagnosed.Both types of diseases require specific treatment with antibiotics.
Often a PRC analysis is sufficient, providing results the next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If treatment is ineffective, it will be necessary to perform a culture of prostate juice to determine sensitivity to the antibacterial agent.
Groups of antibiotics
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.
It is also necessary to understand that the cause of the pathology may be a fungal infection, not a bacterial one.In this case antibiotics do not help;you will need to take a drug 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 if detected: 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 penicillin and cephalosporin groups are prescribed.Macrolides are used very rarely, as they are not particularly effective against prostatitis.Tetracyclines have side effects, so they are rarely prescribed if it is not possible to take other drugs.
Aminoglycosides are effective for acute prostatitis.They penetrate the prostate and accumulate inside it, which allows the infection to be eliminated.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 inflammation of the prostate they are the 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 prostatic 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 selected based on the results of an examination carried out by an experienced doctor.There is no magic pill for all diseases;all drugs 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 wide range of drugs from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Drugs 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 the treatment of prostatitis is a drug that belongs to the hydroxyquinoline group.The product helps eliminate 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 particular drug and its form of release.
For example, an antibiotic is prescribed to be taken 3 tablets a 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.Treatment is carried out in one course;the drug cannot be stopped prematurely even if improvements appear.
Conclusion
Every patient should remember that antibiotics are very serious drugs, 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.