Antibiotics are prescribed for chronic prostatitis to eliminate the bacterial factor that causes inflammation of the gland.
The goals of antibiotic therapy are to relieve symptoms, prevent complications, and restore normal prostate function.
The drugs are prescribed by the attending physician based on the test results. The generic name "antibiotics" means several groups of drugs with different composition with pronounced antibacterial activity.
True antibiotics are substances of natural origin or their complete synthetic analogues.
Classification of chronic prostatitis
There are three main forms of chronic prostatitis:
- Chronic bacterial prostatitisis a lesion of the prostate gland associated with the development of pathogenic microflora. It has symptoms similar to those of acute prostatitis (pain during urination, the presence of pus and blood in the urine, etc. ), but there are more blurred (facilitated) manifestations.
- Chronic nonbacterial prostatitisis a type of prostate lesion in a man caused by causes other than pathogenic bacteria (such as trauma or the formation of prostate stones) found in the presence of infectious diseases. However, the name of the pathology refers only to the etiology of the disease and not to its course, as in the process of pathogenesis the development of pathogenic microflora identical to other types of prostatitis is noted.
- Chronic asymptomatic prostatitisis a pathology of the prostate gland caused by the presence of pathogenic microflora in the prostate area and is asymptomatic or almost asymptomatic. Important! If this type of disease is suspected, usually detected at the time of diagnosis based on the presence of such pathological phenomena as leukocyturia and / or bacteriuria, an additional diagnosis is required. This is due to the similarity of the course of chronic asymptomatic prostatitis with prostate cancer.
Thus, regardless of the type of chronic prostatitis, the use of antibiotics is recommended in all cases. The drugs used in the appointment of therapeutic practice as drugs of choice will be discussed below. And you should start by offering readers antibiotics for a list of chronic prostatitis.
What antibiotics are there?
In recent years, bacterial resistance to certain drugs has increased sharply, so before starting antibiotic treatment of prostatitis in men, it is necessary to examine the patient for the whole group with STIs and pathogenic flora to determine the resistance of certain microorganisms tocertain drugs.
What antibiotics to treat prostatitis at home? The following groups of antibacterial drugs exist (the best antibiotics for prostatitis in men):
- Penicillins.In the past, such antibiotics have been actively used for inflammation of the prostate, with the advent of the most active antibacterial drugs, they have virtually lost their clinical significance due to the increased number of negative bacteria resistant to penicillins.
- Macrolides.These antibiotics for prostatitis have a broad spectrum of action and low toxicity.
- Tetracyclines.They have activity against gonococci, chlamydia, mycoplasma. It is more commonly used in the treatment of chronic infectious prostatitis caused by the above pathogens.
- Fluoroquinolones.It is often used for the complex treatment of chronic inflammation of the prostate and for acute uncomplicated inflammation of the prostate gland (up to 100% effectiveness). They have high activity and low toxicity (do not disturb the intestinal microflora).
- Cephalosporins.Actively used in the treatment of acute forms of bacterial prostatitis. These are good antibiotics for prostatitis, they have a broad spectrum of action and high activity against pathogenic bacteria.
At the same time, modern medicine uses antibiotics for prostatitis or other diseases due to their capabilities:
- quickly destroy the source of the disease and eliminate inflammation;
- produce substances that kill or stop the growth of bacteria and large viruses, but are safe for the cells of the macro-organism;
- works when applied externally (suppositories, ointments) and with other methods of application: intramuscular, oral, intravenous;
- to fight many pathogens simultaneously (broad-spectrum antibiotics).
What are the most effective antibiotics
To cure or reduce the symptoms of infectious prostatitis, strictly follow the recommendations of your doctor. Start the course only after the diagnosis, when the doctor understands the nature of the disease. Self-medication at home is fraught with devastating consequences, improper functioning of the body's systems.
Recommendations for antibiotic therapy
The side effects of antibiotics can be as disturbing as the worsening of prostatitis.
Typical disadvantages of each group of drugs:
- Penicillins: rash, dermatitis, diarrhea;
- Cephalosporins: diarrhea. Rash and fever are rare;
- Macrolides: nausea, vomiting. Occasionally colitis, cholestatic jaundice;
- Fluoroquinolones: abdominal pain, diarrhea.
Diarrhea is the most common side effect of antibiotics. It is provoked by two reasons: an imbalance of the intestinal microflora, an overgrowth of bacteria called Clostridium difficile. It is possible to prevent and eliminate diarrhea by taking pro- and prebiotics at the same time.
Non-antibacterial therapy
In addition to antibiotics, the following treatments are used to successfully treat prostatitis, especially chronic prostatitis:
- prostate massage is the best way to improve blood circulation and the release of inflammatory secretions from the prostate gland;
- physiotherapy;
- non-steroidal anti-inflammatory drugs - not used in parallel with fluoroquinolones;
- herbal preparations;
- alpha blockers.
In order to effectively cure a disease, it is necessary to make a diagnosis that shows the type of bacteria that cause the disease in a particular patient, their sensitivity to drugs. Based on the test results, the doctor decides what means to treat chronic prostatitis or the acute form of the disease.