What Should You Notice When Treating Chronic Prostatitis With Antibiotics?
Before choosing antibiotics, it is usually necessary to conduct bacterial culture examination of prostatic fluid to identify pathogenic bacteria, so as to select drugs with high sensitivity to bacteria.
1. How to choose antibiotics?
Chronic prostatitis mainly includes chronic bacterial prostatitis and chronic non-bacterial prostatitis. Chronic non-bacterial prostatitis accounts for the majority of prostatitis, which is about 90%. But there is no clear pathogenic bacteria for this type of prostatitis, so antibiotics are not necessarily required for the treatment. Bacterial prostatitis, on the other hand, requires antibiotics, and a combination of these drugs is recommended to enhance the effect.
In order to achieve effective concentration of the drugs in the prostatic stroma and prevent the occurrence of urinary tract infection, sufficient dosage of antibiotics should be used instead of stopping or reducing the dosage randomly. If it is not clear which pathogenic bacteria it is, the broad-spectrum antibiotics with a wider antibacterial spectrum may be a priority.
After the etiological examination, the doctor will choose the appropriate antibiotic type and determine the dose. Treatment needs enough doses and time. If because of concerns about potential toxicity or adverse reactions, or some conditions in work and life, you decide to reduce dosage or shorten the period of treatment, it will not only be ineffective in the treatment of prostatitis, but also may result in the pathogen resistance, the drug resistance enzyme and the spread of the infection. In this case, the disease will be more difficult to cure.
2. How long should the patient take the antibiotics?
It is generally accepted that the minimum time for antibiotic treatment for bacterial prostatitis is 4 weeks and should be stopped if symptoms do not be improved. But if symptoms has been improved, treatment should be continued for two to four weeks to eliminate the pathogen completely.
At the end of a course of treatment, the drug must be discontinued and an etiological examination should be conducted regardless of whether symptoms are relieved. If the pathogen causing inflammation is sensitive to the used antibiotic, it will be completely killed in the treatment, so there is no need to continue to use antibiotics. If the pathogens still exist after treatment, the remaining pathogens usually will be resistant to the antibiotics, and the treatment options should be changed.
In general, herbal medicine Diuretic and Anti-inflammatory Pill is a useful choice for patients with chronic prostatitis, which has an incredible ability to eliminate pathogens and can relieve painful symptoms. What's more, it doesn't result in drug resistance no matter how long you take the pill. It is obviously safe and will not bring about any side effects.
3. How to determine whether the prostatitis is treated by antibiotics?
Patients always concern about whether the prostatitis is completely treated after using antibiotics for a certain period. The following are the reference criteria for thorough treatment.
(1) Symptoms you can feel have disappeared, such as urinary frequency and urgency.
(2) Rectal palpation of the prostate is normal or significantly improved.
(3) The results of the segmented urine tests are normal.
(4) The number of white blood cells is less than 10 in each high power microscopic field of prostatic fluid microscopy.
(5) No pathogenic bacteria have been found in prostatic fluid smear and culture medium.
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