Prostatitis is a fairly common male disease.
It can be infectious and non-infectious, and the first form is 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 trial therapy for non-bacterial forms.
Antimicrobial agents actively affect the pathogenic microflora, destroying the pathogens of inflammation, 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 tests.
All antibacterial agents can be divided into the following groups:
- penicillin;
- tetracycline;
- aminoglycoside;
- cefolosporin;
- fluoroquinolone;
- macrolide.
Penicillin group
Drugs in which the main substance is penicillin are antibacterial agents with a wide spectrum of action.
In this case, the substance can be of natural and synthetic origin. The advantage of this group of drugs is their 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 often prescribed for chronic inflammation.
Tetracyclines 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, shigella, and a large group of other microbes, while being rapidly absorbed into prostate tissue.
Recently, tetracycline drugs are used less and less in urology due to the large number of side effects (especially from the gastrointestinal tract).
Among the disadvantages of drugs, one can highlight the formation 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;
- Hepatic injury;
- 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 very toxic.
The most common use of the drug, which is highly effective in fighting gram-negative pathogens of bacterial inflammation, including Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are inexpensive and are rapidly absorbed into the bloodstream: the maximum plasma concentration is reached one hour after ingestion.
Cons of funds:
- Limited spectrum of action - used only as an additional agent to combat certain pathogenic microorganisms in complex therapy of inflammation of the prostate gland.
- It can cause many secondary symptoms, including: headache, kidney failure, vomiting, nausea, hearing loss, anemia, leukopenia, drowsiness, oliguria (a decrease in the amount of urine excreted compared to normal), and others.
- The drug is not sold in oral form: it is injected bypassing the gastrointestinal tract by injection and injection.
Cephalosporin group
These antibacterial agents are also not intended for oral administration, they are administered parenterally. They are often prescribed for hospitalized patients.
The funds act on gram-positive pathogens, a small group of anaerobes, and gram-negative bacteria.
Funds are often prescribed to combat complicated prostatitis, which is caused by E. coli, Enterobacter, Gonococcus, Staphylococcus, Proteus, Klebsiella and other pathogens.
It is to these funds that doctors turn if the infection cannot be defeated with penicillins, tetracyclines and other antibiotics.
Additional advantages of the drugs include an acceptable cost and a minimum of contraindications (the exception is hypersensitivity to these types of antibiotics).
Like all antibacterial agents, cephalosporins have side effects:
- headache;
- allergic skin 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 tissues of the gland 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.
Side effects, in addition to the vomiting, nausea, and diarrhea typical of antibiotics, include ICP, tachycardia, fatigue, leukopenia, anemia, and impaired kidney function.
Important!Medications cannot be combined with certain medications. For example, with adenosergic drugs, the combination of which dramatically reduces blood pressure. It is also not recommended to drink drugs together with non-steroidal anti-inflammatory drugs, since 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 efficacy has not been confirmed.
Treatment regimen
The doctor decides what type of antibacterial agents to take after conducting tests to determine the type of pathogen and its sensitivity to drugs.
Antibiotics are only one 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.
- Stimulants of blood circulation - to exclude stagnation of blood 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 infusions (elderberry, cranberry, St. John's wort, comfrey);
- Prostate massage and exercise: to stimulate circulation and reduce congestion.
Acute inflammation
In acute form, both home therapy under the supervision of a doctor and hospital treatment is possible.
In this case, drugs that act comprehensively and broadly are prescribed: first they turn to powerful drugs from the cephalosporin list, and with improvements they go to fluoroquinol.
Sometimes it is recommended to take two types of antibiotics at the same time to achieve the fastest possible cure.
In acute inflammation, the drug reaction manifests itself quickly enough - symptoms disappear within a few days.
But even with relief from the condition, you can not interrupt the course and change the dose prescribed by the urologist. This can lead to the transition of the disease to a chronic form and the formation of bacterial resistance to drugs.
If everything is done correctly, prostatitis is 100% cured without complications.
Chronic process
Compared with the acute form, the treatment of slow inflammation with periodic exacerbations is more complex and lengthy. This is due to changes in the tissues of the prostate, which are less sensitive and "keep" antibacterial drugs in its cells.
However, for the chronic course, antibiotics from the following groups are more effective:
- cephalosporins;
- fluoroquinol;
- 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 improves - the sensation can be misleading and will only make the problem worse.
conclusion
When the symptoms of prostatitis appear, don't waste time looking for a solution on thematic forums and sites. It is important to consult a doctor before the disease worsens and complications begin with serious consequences for men's health.