Prostatitis is a common disease among men of all ages;pathology is especially often diagnosed in patients over 50 years of age.The disease greatly impairs the quality of life, leads to urination, fertility and potency problems, and causes pain.
Diseases must be treated immediately and comprehensively.This patient is prescribed medicines, physiotherapy and a healthy lifestyle.Antibiotics are one of the main methods of treatment for bacterial prostatitis, 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 you think about what antibiotics to take for prostatitis, you need to understand the reason for its occurrence.Contrary to the opinion of many patients, inflammation of the prostate occurs not only due to infection, but also due 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 performed, with the help of which the doctor detects the pathogen.If the bacteria have not been identified, you do not need to take antibiotics.In this case, symptomatic therapy, diet, physical therapy and appropriate sexual activity are required.
If leukocytes were found in the prostate secretion and a pathogen was identified, then bacterial or tuberculous prostatitis is diagnosed.Both types of disease require special antibiotic treatment.
A PRC analysis is often 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 the prostate juice should be performed to determine susceptibility to the antibacterial agent.
Antibiotic groups
Only a doctor can answer exactly which antibiotics to take for prostatitis.Because the bacteria must be detected first.If you self-medicate, there is a high risk that you will not find the group, and the disease will turn into a chronic form, which will significantly complicate the treatment process.
You also need to understand that the cause of the pathology may be a fungal infection, not a bacterial one.In this case, antibiotics will not help;you must take an antifungal medication.
Acute and chronic forms of the disease are treated with the following drug groups:
- Tetracyclines.It is prescribed when bacteria are detected: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomanada, seratia, E. coli.
- Fluoroquinolone.It is prescribed for the following bacteria: ureaplasma, mycoplasma, gonococci, chlamydia, Proteus, Klebsiella, Escherichia coli and Koch's bacillus.
- Penicillin.Recommended if detectable: gonococci, enterobacteria, enterococci, Klebsiella, Proteus, Seratia, Escherichia coli.
- Cephalosporins.It is prescribed for the following bacteria: enterobacteria, enterococci, Klebsiella, Proteus, E. coli.
- Macrolides.Indicated if: gonococcus, chlamydia, ureaplasma, mycoplasma are detected.
- Aminoglycosides.It is prescribed for the following bacteria: Klebsiella, Enterobacteriaceae, Pseudomonas.
- Hydroxyquinolines.Effective against the following bacteria: ureaplasma, mycoplasma, trichomonas, klibsiella, E. coli, etc.
Most often, drugs belonging to the group of penicillins and cephalosporins are prescribed.Macrolides are extremely rarely used because they are not particularly effective in prostatitis.Tetracyclines have side effects, so they are rarely prescribed when other drugs cannot be taken.
Aminoglycosides are effective in acute prostatitis.They penetrate the prostate and accumulate in it, which allows you to get rid of the infection.Such antibiotics are usually not prescribed for the treatment of chronic diseases, since it is not possible to achieve the necessary concentration of the substance in the gland.
In the case of chronic bacterial prostatitis, doctors most often choose the group of fluoroquinolones.They are the most effective for inflammation of the prostate.
But it is worth noting that fluoroquinolones have serious side effects and should not be taken until tuberculosis is diagnosed.Such drugs against prostate tuberculosis must be taken together 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 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 wide selection of drugs from all groups:
- penicillins;
- cephalosporins;
- aminoglycosides.
Drugs belonging to the tetracycline group are rarely prescribed.Macrolides are mainly recommended in the fight against mycoplasma and chlamydia.
One of the most effective drugs for the treatment of prostatitis is a drug belonging 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.
The dose for men is 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 take 3 tablets a day, morning, lunch and evening.And another can be prescribed, 1 ampoule per day intramuscularly, at the same time.The treatment is carried out in a course;the drug cannot be stopped prematurely, even if improvement occurs.
Conclusion
All patients 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 undergo an examination.Antibiotics can only be prescribed based on an accurate diagnosis.