The abuse and non-standard application of antibiotics in the treatment of prostatitis are common problems, so there is an urgent need to establish clinical norms for the using of antibiotics.
What principles of antibiotic treatment do patients with prostatitis and doctors need to defer to?
1. Drugs are highly sensitive to bacteria, so they must be used strictly according to bacterial culture and drug sensitivity test.
2. To determine that the application of drugs should feature high lipid solubility, high permeability, low binding rate with plasma protein, high degree of dissociation of drugs.
3. A combination of two or more drugs that have a synergistic effect is allowed.
4. If there is no obvious effect after about 15 days of treatment with one antibiotic drug, switch to other drugs. Commonly, the minimum duration of antibiotic treatment is 2 to 4 weeks, and if symptoms do not get improved, the treatment should be discontinued, plus the diagnosis and treatment should be reconsidered.
5. Antibiotic treatment should not last longer than 6 to 8 weeks for those who do not get improved.
6. The function of liver and kidney should be checked regularly, and antibiotics should be discontinued if there is abnormality related to the kidney.
7. Antibiotics can be used immediately in patients with acute prostatitis, acute onset of chronic bacterial prostatitis, or fever of slow prostatitis.
8. According to the characteristics of antimicrobial spectrum and pharmacokinetics, it is recommended to use quinolone antibiotics and ammonium sulphate antibiotics, but the adverse reactions of the latter limit their wide application.
9. Roxithromycin is similar to ciprofloxacin in improving symptoms caused by prostatitis and may be a new antibiotic treatment option.
Besides antibiotics, the efficacy of anti-inflammatory drugs in the treatment of chronic prostatitis is encouraging and it is a reasonable choice for long-term second-line treatment as well.
For example, the herbal medicine Diuretic and Anti-inflammatory Pill is very nice treatment method for patients with chronic prostatitis, which can effectively kill bacteria and viruses, improve blood circulation, remove blood stasis, disperse painful symptom and help patients get cured more quickly.
Further, because a considerable number of patients are accompanied by obvious emotional disorders, who can cooperate with the medical adjustment of mental tension and anxiety, which may even become the necessary treatment of chronic prostatitis.
By the way, through physical and mental medical consultation, dietary system improvement, lifestyle adjustment, plant medicine therapy, vitamin and mineral supply, nutrient supplement and other means to prevent and assist the treatment of chronic prostatitis, a comprehensive therapy in recent years has made some achievements. While the treatment experience needs to be summarized scientifically, so it does not belong to a traditional medicine or mainstream medicine category.
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