Prostatitis is a fairly common male disease.
It can be infectious and non-infectious, with the first being 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 pronounced.
They are sometimes prescribed as an experimental therapy for nonbacterial forms.
Antibacterial agents have a positive effect on the pathogenic microflora, destroy pathogens that cause inflammation, and broad-spectrum antibiotics also become a method of preventing complications that can affect the genital system.
Classification of antibiotics for prostatitis
In cases of acute or chronic inflammation, your doctor will choose a drug from one or more groups of antibiotics to which the bacteria are sensitive. This is determined by the results of the analysis.
All antibacterial agents can be divided into the following groups:
- penicillin;
- tetracyclines;
- aminoglycosides;
- cefolosporin;
- fluoroquinolones;
- macrolides.
Penicillin group
Drugs in which the main substance is penicillin is a broad-spectrum antibacterial agent.
In this case, the substance can be of natural or synthetic origin. The advantage of this class of drugs is that they are affordable and can be used in the form of tablets (or suspensions) at home.
Among the extensive list of penicillin antibiotics, the most popular is the penicillin of the same name, which is often prescribed for chronic inflammatory cases.
The 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.
This substance effectively destroys streptococci, staphylococcus, salmonella, chlamydia, shigella and a large group of other bacteria, and is rapidly absorbed into prostate tissue.
Recently, tetracyclines are used less and less in urology because of the large number of side effects (especially on the gastrointestinal tract).
Among the disadvantages of the drug can be pointed out the formation of resistance of microorganisms to the drug tetracycline, as well as a number of side effects:
- intestinal cramps;
- nausea;
- digestive disorders;
- anemia;
- eosinophilia;
- increased intracranial pressure;
- liver damage;
- allergy.
The aminoglycoside group
For a long time, these drugs have been used as an antibiotic to treat prostatitis in men with many effects. However, these medicinal products are highly toxic.
The most common use of the drug, which is highly effective against inflammatory gram-negative bacterial pathogens, includes Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are inexpensive and quickly absorbed into the blood - maximum plasma concentrations are reached one hour after oral administration.
Cons of the fund:
- Limited spectrum of action - it is used only as an adjunct agent against certain pathogenic microorganisms in the therapy of complex prostatitis.
- It can cause many side effects, including: headache, kidney failure, vomiting, nausea, hearing loss, anemia, leukopenia, drowsiness, oliguria (reduced urine output compared to normal)common) and other diseases.
- The drug is not sold in oral form - it is given through the gastrointestinal tract through injections and injections.
The cephalosporin group
These antibacterial agents are also not intended for oral administration, they are administered parenterally. They are usually prescribed for inpatients.
Funds act on gram-positive pathogens, a small group of anaerobes and gram-negative bacteria.
Fund is often prescribed to combat prostatitis complicated by E. coli, enterobacter, gonococcus, staphylococcus, Proteus, Klebsiella and other pathogens.
Doctors will turn to this funding if the infection cannot be defeated with penicillin, tetracycline and other antibiotics.
Among the additional advantages of the drug are its acceptable cost and minimal contraindications (the exception is hypersensitivity to this antibiotic).
Like all antibacterial agents, cephalosporins have the following side effects:
- headache;
- allergic rash on the skin and local reactions at the injection site;
- intestinal and stomach disorders;
- colitis and others.
fluoroquinol group
These drugs are used in the complex treatment of chronic inflammatory disease of the prostate gland, since they quickly penetrate into the tissues of the gland and have a long-lasting effect.
They should be taken if the disease is caused by mycobacteria, gram-positive and gram-negative microorganisms, chlamydia or mycoplasma.
Among the side effects, in addition to the vomiting, nausea, and diarrhea typical for antibiotics, were ICP, tachycardia, fatigue, leukopenia, anemia, and impaired renal function.
Important!The drug cannot be combined with some drugs. For example, with antiallergic drugs, the combination with the drug significantly lowers blood pressure. It is also not recommended to take the drug together with non-steroidal anti-inflammatory drugs, since their combination increases the negative effect on the nervous system.
The macrolide group
They are sometimes used to treat prostatitis caused by chlamydia or mycoplasma. However, relative to other potential pathogens, their effectiveness has yet to be confirmed.
Treatment protocol
The type of antibacterial agent will be decided by the doctor after conducting tests to determine the type of pathogen and its sensitivity to the drug.
Antibiotics are only one part of the treatment of acute and chronic infectious prostatitis, including the entire list of complementary medicines.
The standard therapy system includes:
- Antibacterial drugs - to destroy the source of inflammation.
- Blood circulation stimulant - to eliminate blood stagnation in the small pelvis.
- Anti-inflammatory drugs - to reduce swelling and pain.
- Immunomodulatory - to maintain and activate the body's defense system;
- Sedative;
- Vitamins and trace elements (zinc, magnesium, selenium, vitamins A, B, C, E);
- Herbal teas and infusions (elder, reishi, St. John's wort, comfrey);
- Prostate exercise and massage - to stimulate circulation and relieve congestion.
Acute inflammation
In the acute form, both home therapy under the supervision of a doctor and inpatient therapy is possible.
In this case, the prescribed drugs have a comprehensive and broad effect: at first they use potent drugs from the list of cephalosporins, and with improvements they switch to fluoroquinolones.
It is sometimes recommended to take two antibiotics at the same time for the fastest cure.
In acute inflammation, the reaction to the drug manifests itself quickly enough - the symptoms disappear within a few days.
But even if the condition is in remission, you cannot interrupt the course and change the dosage prescribed by the urologist. This can lead to the transformation of the disease into a chronic form and the development of antibiotic resistance in the bacteria.
If everything is done right, prostatitis is 100% cured without complications.
Chronic process
Compared with the acute form, the treatment of scleritis has more complicated and prolonged exacerbations. This is due to changes in the tissues of the prostate, which are less sensitive to and "hold" antibacterial drugs in their cells.
However, for the chronic stage, antibiotics of the following groups are most effective:
- cephalosporins;
- fluoroquinolones;
- macrolite.
The duration of treatment 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 as it gets better: feelings can be deceiving and will only make matters worse.
Conclusion
When symptoms of prostatitis appear, do not waste time looking for solutions on forums and topics. It is important to seek medical attention before the disease worsens and begins to have serious consequences for men's health.