Prostatitis is a fairly common male disease.
It can be infectious and non-infectious, with the former being divided into bacterial and non-bacterial.
Treatment of prostatitis with antibiotics is carried out with an infectious bacterial lesion of the gland, although the symptoms are not very pronounced.
Sometimes they are prescribed as a test 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 microbes are sensitive. This is determined by the results of the analyzes.
All antibacterial agents can be divided into the following groups:
- penicillin;
- tetracycline;
- aminoglycoside;
- cefolosporin;
- fluoroquinolone;
- macrolide.
Penicillin group
Drugs, the main substance of which is penicillin, are antibacterial agents 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 its affordability and the ability to use tablets (or suspensions) at home.
Among the large list of penicillin-based antibiotics, the most common is 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 as an ointment or as tablets for oral administration.
The substance effectively kills streptococci, staphylococci, salmonella, chlamydia, shigella and a large number 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 minuses of drugs can be distinguished 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;
- liver damage;
- allergy.
Aminoglycosides 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 very effective in combating Gram-negative pathogens of bacterial inflammation, which include Pseudomonas, Proteus, Klebsiella, Salmonella, Enterobacteriaceae.
They are inexpensive and quickly absorbed into the bloodstream - the maximum plasma concentration is reached one hour after ingestion.
Disadvantages of funds:
- Limited spectrum of action - it is used only as an additional agent to combat certain pathogenic microorganisms in the complex treatment of inflammation of the prostate.
- It can cause many side symptoms including: headache, kidney failure, vomiting, nausea, hearing loss, anemia, leukopenia, drowsiness, oliguria (decrease in the amount of urine excreted from 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 hospital patients.
The funds act on Gram-positive pathogens, a small group of anaerobes and Gram-negative bacteria.
Often, funds are prescribed to combat complicated prostatitis, 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 drugs include acceptable cost and minimum contraindications (except for hypersensitivity to this type 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 treatment of chronic inflammation of the prostate, because they quickly penetrate into 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.
Some side effects, in addition to the vomiting, nausea and diarrhea typical of antibiotics, are PCI, tachycardia, fatigue, leukopenia, anemia, and kidney failure.
Important!Medicines cannot be combined with certain medicines. For example, with adenosergic drugs, the combination with which significantly lowers blood pressure. It is also not recommended to drink drugs with nonsteroidal 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 mycoplasmas. However, compared to other potential pathogens, their effectiveness has not been confirmed.
Treatment scheme
The type of antibacterial agents to take is decided by the doctor after performing tests to determine the type of pathogen and its sensitivity to drugs.
Antibiotics are only part of the treatment for acute and chronic infectious prostatitis, which includes a whole list of complementary drugs.
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);
- Infusions and herbal teas (elderberry, cranberry, St. John's wort, comfrey);
- Exercise and prostate massage - to stimulate circulation and reduce congestion.
Acute inflammation
In the acute form, home therapy under the supervision of a doctor and treatment in a hospital setting is possible.
In this case, drugs are prescribed that act in a comprehensive and extensive way: first they resort to strong drugs from the list of cephalosporins, and with improvements they switch to fluoroquinols.
Sometimes it is advisable to take two types of antibiotics at the same time for the fastest possible recovery.
With acute inflammation, the reaction to drugs manifests itself quite quickly - the symptoms subside within a few days.
But even with the relief of the disease, you can not interrupt the course and change the dosage 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 prolonged. This is due to changes in the tissues of the prostate, which are less sensitive to antibacterial drugs and "keep" them in their cells.
Nevertheless, for the chronic course, antibiotics of the following groups are most effective:
- cephalosporins;
- fluoroquinols;
- macrolides.
The course of treatment is at least a month, but this is usually not enough, so the doctor prescribes several treatments at a time at equal intervals. It is important to follow these guidelines, even if it improves: the feeling can be misleading and will only make the problem worse.
Conclusion
When symptoms of prostatitis appear, do not waste time looking for a solution on forums and thematic sites. It is important to see a doctor before the disease worsens and complications begin with serious consequences for men's health.