Prostatitis is a very common male disease.
It can be infectious and non-infectious, the first form being divided into bacterial and non-bacterial.
Antibiotic treatment of prostatitis is with an infectious bacterial lesion of the gland, even if the symptoms are not very pronounced.
They are sometimes prescribed as a test therapy for non-bacterial forms.
Antimicrobial agents actively affect the pathogenic microflora, destroying inflammation pathogens, 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, a doctor selects a drug from one or more groups of antibiotics to which the microbes are sensitive. This is determined by the analysis results.
All antibacterial agents can be divided into the following groups:
- penicillin;
- tetracycline;
- aminoglycoside;
- cephalosporin;
- fluoroquinolone;
- macrolide.
penicillin group
Medicines whose main substance is penicillin are antibacterials 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 pills (or suspensions) at home.
Among the vast list of penicillin antibiotics, the most common is the penicillin of the same name, which is most often prescribed for chronic inflammation.
tetracycline group
Tetracycline as an antibiotic for prostatitis can be prescribed for external use in the form of an ointment or in the form of tablets for oral administration.
The substance effectively kills streptococci, staphylococci, salmonella, chlamydia, shigela and a large group of other microbes, while being rapidly absorbed into prostate tissue.
Recently, tetracycline drugs are less and less used in urology because of the large number of side effects (especially from the gastrointestinal tract).
Among the disadvantages of drugs, the formation of resistance of microorganisms to tetracycline drugs can be highlighted, as well as a series 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 wide range of effects. However, these drugs are highly toxic.
The most common use of the drug, which is highly effective in fighting gram-negative bacterial inflammation pathogens, which include Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are inexpensive and quickly absorbed into the bloodstream - maximum plasma concentration is reached within an hour of ingestion.
Funds Cons:
- Limited spectrum of action - it is only used as an additional agent to combat certain pathogenic microorganisms in the complex therapy of prostate inflammation.
- It can cause many side symptoms, 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 orally - it is injected bypassing the gastrointestinal tract via injection and injection.
Cephalosporin group
These antibacterial agents are also not intended for oral administration, they are given parenterally. They are often prescribed to hospitalized patients.
The funds act on gram-positive pathogens, a small group of anaerobes and gram-negative bacteria.
Funds are often prescribed to fight complicated prostatitis, which is caused by E. coli, enterobacter, gonococcus, staphylococcus, Proteus, Klebsiella and other pathogens.
It is these funds that doctors turn to if the infection cannot be overcome with penicillins, tetracyclines and other antibiotics.
Among the additional advantages of drugs are an acceptable cost and a minimum of contraindications (the exception is hypersensitivity to this type of antibiotic).
Like all antibacterial agents, cephalosporins have side effects:
- headache;
- allergic rashes and local reactions at the injection site;
- intestinal and gastric disorders;
- colitis and others.
fluoroquinol group
These drugs are used in the complex therapy of chronic inflammation of the prostate as they quickly penetrate the gland tissues 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.
Among the side effects, in addition to vomiting, nausea and diarrhea typical of antibiotics, are ICP, tachycardia, fatigue, leukopenia, anemia and impaired renal function.
Important!Medications cannot be combined with certain medications. For example, with adenosergic drugs, the combination with which it drastically reduces blood pressure. It is also not recommended to drink medications together with non-steroidal anti-inflammatory drugs, as 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, its effectiveness has not been confirmed.
treatment regimen
The type of antibacterial agent to be taken is decided by the doctor after testing to determine the type of pathogen and its sensitivity to medications.
Antibiotics are only part of the treatment of acute and chronic infectious prostatitis, which includes a complete list of complementary medications.
The standard therapy system includes:
- Antibacterial drugs - to destroy the source of inflammation.
- Blood circulation stimulants - to exclude 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 and tea infusions (elderberries, blueberries, St. John's wort, comfrey);
- Prostate exercise and massage - to stimulate circulation and reduce congestion.
acute inflammation
In the acute form, both home therapy under the supervision of a physician and hospital treatment are possible.
In this case, drugs that work in a comprehensive and broad way are prescribed: first they resort to powerful drugs from the list of cephalosporins and, with the improvements, they move to fluoroquinols.
It is sometimes advisable to take two types of antibiotics at the same time to get the fastest cure possible.
In acute inflammation, the reaction to medications manifests itself quickly enough - the symptoms disappear within a few days.
But even with the relief of the condition, it is not possible to interrupt the course and change the dosage prescribed by the urologist. This can lead to the transition of the disease to the chronic form and the formation of bacterial drug resistance.
If everything is done correctly, prostatitis is 100% cured without complications.
chronic process
Compared to the acute form, the treatment of slow inflammation with periodic exacerbations is more complex and prolonged. This is due to changes in prostate tissues, which are less sensitive and "keep" antibiotics in their cells.
However, for the chronic course, antibiotics from the following groups are more effective:
- cephalosporins;
- fluoroquinols;
- macrolides.
The duration of therapy is at least a month, but usually this is not enough, so the doctor prescribes several courses at once at equal intervals. It's important to follow these guidelines, even if it gets better: the feeling can be deceiving and will only make the problem worse.
Conclusion
When symptoms of prostatitis appear, don't waste time looking for a solution in forums and themed websites. It is important to consult a doctor before the disease becomes serious and complications start with serious consequences for men's health.