prostatitis often affects middle-aged men, activating the inflammatory processes in the prostate gland.Depending on the causes of the disease, its duration, the current, the sensitivity of a particular male body physician, based on the indications are selected individually treated for prostatitis antibiotics.Since in many cases do without antibiotic therapy.
Prostatitis to classify into two groups:
the treatment of non-bacterial prostatitis antimicrobial agents are not used.They are required for chronic and acute prostatitis, even asymptomatic.To determine the need for treatment with antibiotics is necessary to restore the root cause of the pathogen, adhering to the following inspection steps:
The results of the survey will be determined by the form of the disease:
is not to say that there is a universal antibiotic from prostatitis, as with any antimicrobial therapy should be considered individual sensitivity of bacteriaeach case.Selecting the drug depends on the type of pathogen, as well as its s
Massage gland, as well as manual massage with a microwave thermal therapy are shown only after the elimination of the risk of contracting tuberculosis,since the thermal effect and massage cause a sharp worsening of tuberculosis.
Depending on the type of pathogen, based on its sensitivity to certain drugs, choosing different antibiotics:
addition to these pathogens, inflammation of the prostate or urinary system, can participate fungal agents.
To date, the most effective agents of prostatitis are fluoroquinolones, because these antibiotics have phototoxicity and neurotoxicity.Fluoroquinolones are included in the TB therapeutic complex, so in the case of a patient waiting culture results for TB, this drug should not be used.
use of tetracyclines has recently dropped significantly.Now mainly used doxycycline, which patients suffer relatively easier to other tetracycline antibiotics.
From penicillin group are now widely used drug on the basis Klavualanoy acid and amoxicillin, which is characterized by a strong antibacterial effect.
cephalosporin preparations intended for intramuscular administration.These include Supraks, cefotaxime, Kefadim, Tsefspan, klaforan, Ceftriaxone, and others.
Macrolides are not often used, due to the lack of studies that have confirmed the feasibility of their use in the treatment of prostatitis, but they are virtually non-toxic and are very active in the fight against a number of bacteria, especially mycoplasma and chlamydia.
Few antibiotics tend to accumulate in high concentrations in the tissues of the prostate that should take into account when choosing a product, as in the treatment of prostatitis is very important level of drug concentration in the prostate gland.Therefore, most preferably the use of aminoglycosides, macrolides, fluoroquinolones.Including in the diagnosis of acute bacterial prostatitis desirable destination at the same time several (usually two) of antibacterial drugs to more quickly get rid of acute inflammation.
course of antibiotic therapy can last for 6-12 weeks, and the drugs can be used alternately.It is also allowed the use of multiple medications.
If prostatitis causes the patient fever, intense pains, the resort with intravenous antibiotics.The duration of their admission can be 4-6 weeks.Physician several medications may be recommended.If after a course of antibiotics the patient's health has not improved, then most likely, the disease was not caused by a bacterial infection.
strictly prohibited independent cessation of antibiotic treatment even in cases of clear improvement of the patient, as prostatitis, being a very insidious disease, is characterized by a tendency to relapse.