Antibacterial therapy of prostatitis

Antibiotic therapy for prostatitis is not the only method of treatment. But to neglect its use would also be wrong. Antibacterial drugs are prescribed only in the presence of indications, as a rule, with an increase in the severity of manifestations of prostatitis and periodic exacerbations of the disease.

Usually antibacterial treatment of prostatitis begins after the study of the flora involved in the development of the disease and the degree of its sensitivity to antibacterial drugs. The fact is that different antibacterial agents overcome the prostatic barrier in an unequal degree, therefore their concentration in the prostate gland, and accordingly, the effectiveness in the treatment of prostatitis will be different. In connection with this, only those to which the flora is more sensitive are selected, because only they can penetrate the prostate.

Due to the fact that accurate determination of flora is a complex task, the following condition for the effectiveness of an antibacterial preparation is the availability of a wide range of action. Antibacterial agents with a wide spectrum of activity include penicillin group preparations - oxacillin, benzinpenicillin, ampicillin, carbenicillin and ampiox. The tetracycline series also has valuable properties. Antibacterial preparations of the group of fluoroquinolones( ciprofloxacin, pefloxacin, ofloxacin, norfloxacin, temafloxacin, sparfloxacin and others) are new agents with significant advantages in comparison with others: they have a broader spectrum of antimicrobial activity and the ability to accumulate in the prostate gland at high concentrations with oralApplication. In addition to direct action, fluoroquinolones strengthen immunity.

Patients who are prescribed antibacterial therapy, it is necessary to know that the antibiotics used can have a spermatoxic effect. In this regard, between the use of drugs and the planned conception should be a break for at least four months.

Sometimes, if prostatitis therapy is excessively active or prolonged, intestinal dysbacteriosis may develop. In these cases, it is recommended to use bifikol - a preparation of E. coli, prescribed 5 doses before meals for two to three weeks.

To improve the effectiveness of antibacterial therapy, methods and means for improving microcirculation are also used. The most rational is a massage, which improves blood circulation and resistance of the prostate parenchyma.

The tactics and strategy of antibiotic therapy are diverse and complex, but its use makes it possible to improve the effectiveness of treatment. All antibacterial agents used in the treatment of chronic forms of prostatitis can not be listed, especially if one considers the constantly increasing number of similar drugs produced by various firms. This fact also indicates that the appointment of medicines should be carried out only by a specialist.

After successful antibacterial treatment of prostatitis, a period of well-being may begin. However, over time, painful sensations, as a rule, return. Therefore, the use of only antibacterial drugs is not considered sufficient. A therapeutic program is effective, the purpose of which is to increase local and general resistance. In this case, one can hope that in the treatment of prostatitis antibiotic therapy will be successful, or remission - long.