Inflammation of the prostate gland is a common disease among men of all ages; the pathology is especially often diagnosed in patients over 50 years of age.The disease greatly impairs the quality of life, it 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 you think about what antibiotics to take for prostatitis, you need to understand the cause of its occurrence.Contrary to the opinion of many patients, inflammation of the prostate gland 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 bacteria have not been identified, then there is no need to take antibiotics.In this case, symptomatic therapy, diet, physical therapy and proper sexual activity are indicated.
If leukocytes were found in the prostate secretion, and a pathogen was also identified, then bacterial or tuberculous prostatitis is diagnosed.Both types of disease require specific treatment with antibiotics.
Often, a PRC analysis is sufficient, which gives results the very next day.After identifying the bacteria, the doctor prescribes an appropriate antibiotic for prostatitis.If the treatment is ineffective, then a tank culture of the prostate juice will have to be performed to determine sensitivity to the antibacterial agent.
Antibiotic groups
Only a doctor can accurately answer which antibiotics to take for prostatitis.Because the bacteria must first be detected.If you self-medicate, there is a high risk of not guessing the group and transforming the disease 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 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 group of penicillins and cephalosporins are prescribed.Macrolides are used extremely rarely, since they are not particularly effective for prostatitis.Tetracyclines have side effects, so they are rarely prescribed if other drugs cannot be taken.
Aminoglycosides are effective for acute prostatitis.They penetrate the prostate and accumulate in it, which allows you to get rid of the infection.For the treatment of chronic disease, 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 gland they are the most effective.
But it is worth noting that fluoroquinolones have serious side effects, and they should not be taken until tuberculosis has been diagnosed.Such drugs for prostate 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 that were selected based on the results of an examination 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 that is suitable for treating a specific type of prostatitis from the identified pathogen.
The pharmaceutical market offers a huge range of drugs from each group:
- penicillins;
- cephalosporins;
- aminoglycosides.
Tetracycline group drugs are rarely prescribed.Macrolides are indicated mainly 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 group of hydroxyquinolines.The product helps get rid of 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 release form.
For example, one antibiotic is prescribed to take 3 tablets a day, in the morning at lunch and in the evening.And another may be prescribed to administer 1 ampoule per day intramuscularly, at the same time.Treatment is carried out in a course; the drug cannot be stopped ahead of time even if improvements appear.
Conclusion
Every patient 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 needs to consult a urologist-andrologist as soon as possible and get tested.Only on the basis of an accurate diagnosis can antibiotics be prescribed.