Cystitis of often encountered bladder disease.Inflammation of the bladder mucosa is caused by pathogens.
Most often, women are ill with cystitis with regard to the features of the anatomical structure of the genitourinary tract.Bladder inflammation is associated with acute pain, to eliminate which antibiotics are used for cystitis in women - products that can quickly destroy germs and relieve pain during the period of deterioration of the disease.
In order for the treatment process to be effective, you need to strictly adhere to the doctor's recommendations.An independent drug can be ineffective and provoke undesirable consequences.
Symptoms
This disease is determined by the following signs:
- frequent demand for urination, despite the time of day, while the fluid flows slightly;
- The urination process is associated with diseases in the area of the lower abdomen and genitals (burning and rubber);
- Often, urination calls are false in nature;
- In the urine, hematuria (blood discharge) can be observed, urine with a bad odor can be observed;
- pain, in the lower abdomen, giving the lower back;
- The acute form of cystitis persists with nausea, headaches and fever.
Most often, cystitis begins after the penetration of pathogenic bacteria into the urethra, so antibiotic therapy is used to destroy the pathogenic flora.
Which antibiotics are suitable for treatment?
The choice of an antimicrobial agent is performed empirically, this is due to the predictable spectrum of the pathogens that cause inflammation.
However, a number of requests are presented to the medicine:
- Antibiotics for cystitis and urethritis in women should have the widest range of action and cover the entire range of pathogens;
- Create high concentrations in the urine;
- have a low resistance in the pathogenic flora;
- Nephrotoxicity should be missing.
At the moment, it is recommended to prescribe cystitis antibiotics for women in short courses.Such a treatment regimen is well established and has a high level of effectiveness.Long courses are set in severe chronic forms with frequent relapses.And three and seven days are distinguished by duration.
One use of a drug time is usually not effective and has a high risk of recurrent inflammation or a complete lack of a clinical effect after taking.Such treatment is only possible in the case of mild acute cystitis that was first set up.
List of antibiotics for cystitis in women
The choice of the drug depends not only on the pathogen but also on the form of its course.In an acute and chronic course, different antibiotics can be prescribed for the treatment of cystitis in women with an individual treatment regimen.
The top 6 list of antibiotics best known to the cystitis is shown in the table:
| Phosphomycin | It is considered the most effective antibiotic of a wide range, used in the acute course.In a suspension format, it is distributed faster by a blood flow to the inflammation area and begins to affect the focus of the infection.Two days are enough until a full recovery.It is possible to use in pregnancy. |
| Norfloxacin | II Fluoroquinolone generation.When the pathogens of the disease are resistant to other antibacterial drugs, it shows good results and get rid of pain.Issuing format - tablets. |
| Roocythromycin | The macroline category is effective against gram -positive and gram -negative bacteria.The course of treatment is a week.Dosage 150 mg daily. |
| Pipemidic acid | Refers to chinolons.In accordance with the dose, it has bactericidal (large doses) or a bacteriostatic effect (small doses).Produce produced in tablets, also assumptions and capsules are made.Contraindicated with pregnant and lactating.The duration of therapy is 6-10 days. |
| Furazidin | The nitrofuranar line, the peculiarity of this tool is a slowly developed stability of microorganisms, which means high therapeutic properties.The conditions of therapy are 10 days, it all depends on the course of the disease. |
| Navidix acid | It has a negative effect on all categories of bacteria that cause changes in the urinary system.Set the course - a week. |
Antibiotics in cystitis are required in the list.Inflammation easily goes into a chronic form or captures other parts of the genitourinary organs.Pyelonephritis becomes a frequent complication - kidney inflammation.Therefore, you should drink the medication determined to the end.
Important!If the cystitis does not pass after taking antibiotics, it means that the dose is incorrectly selected, the course is not performed until the end or the pathogen is not determined.
Many microorganisms show high resistance to the tools used against them.Therefore, if the status does not occur, it is necessary to change the product to another.In this case, the medicines of another group are usually used.
PENICILLIN
Penicillin preparations have limited use for cystitis.This is due to a decrease in efficiency due to the development of resistance in microorganisms.However, penicillins have high security indicators, which allows them to be used for therapy in children and pregnant women.
Amoxicillin preparations with clavulanic acid are now described.
Cephalosporina
Cephalosporins are beta-lactam antibiotics with a bactericidal effect.So far, 5 generations of these medicines are distinguished, but only the first three are used in urology.Cephalosporins are considered only the safest medicines among antibacterial agents.
For the treatment of cystitis, such medicines have been prescribed:
- Cofuroxim.
- First -generation preparations (Cefasolin and others) are rarely used due to resistance of microorganisms.
Cofuroxim is described 0.4 g 1 time or 0.2 g 2 times daily for adults.The dose for children depends on their age and body weight.
Tetracycline
This group of therapeutic agents refers to synthetic antibiotics.Tetracycline possesses a bacteriostatic effect, that is, they inhibit the reproduction of microorganisms.They are used today for the treatment of cystitis if standard therapy with phosphomycin and nitrofurans was ineffective.
Most used:
- tetracycline;
- Doxycycline.
Get a doxycycline at 0.1 g once or twice a day.It is advisable to monitor the function of kidney and liver function every 3 days from taking the medicine.
Trometamol phosphomycin
The drug possesses a strong bactericidal effect against the intestinal stick, enterococci, staphylococcus, klebsell, protrus and other pathogens, and are produced in the form of dust bags.
Apply this tool once 2 hours after eating before bedtime.In this case, the contents of the bag must first be stirred in a small amount of water (about one -third of a glass).A single dose for adults is 3.0 g of the drug.In some cases, after 24 hours, you should repeat the reception.
Phosphomycin is practically not metabolized in the patient's body and most of it is excreted by the kidneys.At the same time, in the urine, 4-6 hours after taking, the therapeutic concentration of the drug, which remains for more than two days, is achieved.In addition, the medicine has several advantages:
- the comfort of using a time;
- low side effects when using;
- limited contraindications (severe kidney failure, child age under 5 years);
- The drug is allowed to use during pregnancy.
Antibiotics in chronic cystitis
In the transition of infection to the chronic phase, empirical therapy with antibiotics is unacceptable.Without failing, before the antibacterial drug recipe, it is necessary to perform a microbiological urine examination.With it, they also study the bacterial strain resistance to specific therapeutic agents.This allows the doctor who participates in choosing antibiotics in chronic cystitis, which will be more effective for a particular patient.
There is an opinion that this form of pathology is rarely an independent disease.Therefore, such a patient should be examined in a comprehensive way not only the genitourinary organs but also the other systems of the body.Particular attention is paid to possible immune disorders and chronic infection focuses in the body.
Formorchinolones (Ciprofloxacin, Offloxacin, Norfloxacin) or other reserve medicines from the list are mainly prescribed - tetracycline, third generation cephalosporins, macrolides.Their waiting course lasts at least 7 days.At the same time, it must be supplemented by different non - -tank methods of treatment:
- surgical intervention with anatomical defects and/or the presence of chronic infection seals;
- Careful hygiene;
- selection of comfortable underwear;
- treatment of immune disorders;
- Temporary deduction from sexual intercourse.
Contraindications
Antibiotics for cystitis in women should be used after studying the clinical figure of the disease, diagnostic studies and deciphering tests on the sensitivity of pathology as a particular set of substances.Self -medication with antibiotic therapy is unacceptable.
Most antibiotics for women have the following contraindications:
- damaged liver function damaged;
- kidney inflammation;
- pregnancy;
- presence of allergic reactions;
- Problems with the functioning of the heart muscle.
How to get antibiotics correctly
In the treatment of bladder inflammation antibiotics, it is necessary to observe a number of rules for the use of antibacterial drugs that will help to undergo a course of therapy without prejudice to the body and maintain your health:
- Only those medicines should be taken that the attending physician should be taken;
- For the high effectiveness of treatment, it is best to predetermine microflora for resistance to antimicrobial drug groups;
- Strictly observe the time intervals determined by the doctor between tablet techniques.If time has passed time, you should not increase the amount of the drug next time.It is better to take the medicine immediately, as they remembered it, and continue to continue in accordance with the doctor's recommendations;
- Do not take antimicrobial medicines on an empty stomach in order to avoid intense contact of the active substance of the drug with the gastric mucosa.This will help to avoid undesirable phenomena from the organs of the gastrointestinal tract.Before using antibiotics, you need to arrange a snack for yourself;
- Cystitis antibiotics should be taken at least three days and no more than two weeks, which is on average 1 week.Long -term medication is justified in cases of patients' elderly, the presence of diabetes in a patient, with a recurring course, and in the treatment of men.Do not stop taking the medicine prescribed by your doctor, even if all the pathological signs of the disease are gone;
- Before you start treatment, you should definitely read the leaves plane.Instruction usually shows the most optimal option of fluid to drink the medicine;
- Throughout the course of therapy, antimicrobes should receive probiotics recommended by the doctor.This will help maintain the normal microflora balance;
- When using antibiotics, alcoholic beverages, fats, fried, smoked and sour products should be excluded from use.Such a diet should begin to notice immediately, once the first tablet was accepted.
Accurate use of antibiotic agents will help perform the treatment as efficiently as possible and without the appearance of undesirable reactions from the body.In addition to antibacterial drugs, the doctor in complex treatment also includes anti -inflammatory, painkillers, antispasmodic and, if necessary, other groups of medication.
Additional treatment
A heavy drinking regimen with the exclusion of alcohol, soda, strong and sweet tea and coffee is recommended.Compliance with the basic principles of the 5th diet in pevzner is shown.
Non -steroidal anti -inflammatory are used to limit the damage area and blockage of inflammation mediators.In acute cystitis, systemic anti -inflammatory treatment (nimesulide, diclofenac) is prescribed.These medicines also have a pronounced analgesic and antipyretic effect.
In the context of chronic cystitis therapy, washing and introducing the bladder with antibacterial and anti -inflammatory drugs.Use furatsillin solution, boric acid, protargol, kolargol.
- With a pronounced pain syndrome (or delay in men's urination), the purpose of the sedatives and antispasmodics (drootaverin hydrochloride, hydrocarbons, hydrochloride papverine) is shown.
- To eliminate edema, the use of antihistamines (furnithydroin napazheilate, loralatadine, hydrochloride is indicated.
- Effective immunomodulatory therapy is effective.
- From traditional medicine tools, use of infusions and teas from Yarrow, chamomile, lemon balm, mother, thyme, St. John's and mint wort.
It is important to remember that many herbs are contraindicated during pregnancy and lactation, and herbal medicine is also not used in the presence of allergic reactions to this plant.