Cystitis of the disease often found of the bladder.Inflammation of the bladder mucosa is caused by pathogens.
More often, women are sick with cystitis in connection with the characteristics of the anatomical structure of the genitourinary tract.Bladder inflammation is accompanied by acute pain to eliminate which antibiotics are used for cystitis in women - products that can rapidly destroy microbes and relieve pain during the period of exacerbation of the disease.
For the treatment process to be effective, you should strictly adhere to the doctor's recommendations.An independent remedy can be ineffective and cause undesirable consequences.
Symptoms
This disease is determined by the following signs:
- I wish frequent urination, despite the time of day, while the liquid flows shortly;
- The urination process is accompanied by diseases in the area of the bottom of the abdomen and genitals (burning and rubber);
- Frequently, urination requests are false in nature;
- In the urine, hematuria (blood discharge), the urine with a bad smell can be observed;
- pain in the lower abdomen, giving the lower back;
- The acute form of cystitis proceeds with nausea, headache and temperature.
Most of the time, cystitis begins after the penetration of pathogenic bacteria in the urethra, so antibiotic therapy is used to destroy pathogenic flora.
What antibiotics are suitable for treatment?
The choice of an antimicrobial agent is performed empirically, this is due to the predictable spectrum of pathogens that cause inflammation.
However, several requirements 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 low resistance in the pathogenic flora;
- Nephrotoxicity must be absent.
At the moment, it is recommended to prescribe cystitis antibiotics for women in short courses.This treatment regime has established well and has a high level of effectiveness.Long courses are attributed to heavy chronic forms with frequent relapses.The three and seven -day courses are differentiated by the duration.
One hour use of the medicine is usually not effective and has a high risk of repeated inflammation or a complete absence of a clinical effect after taking.This treatment is possible only in the case of light acute cystitis that emerged for the first time.
List of antibiotics for cystitis in women
The choice of 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 regime.
The list of the main 6 most popular antibiotics for cystitis is presented in the table:
| Phosphomycin | It is considered the most effective antibiotic of a wide range, is used in acute course.In a suspension format, it is faster delivered by a blood flow to the inflammation area and begins to affect the focus of the infection.Two days are enough until a complete recovery.It is possible to use in pregnancy. |
| Norfloxacin | II Generation Fluoroquinolones.When disease pathogens are resistant to other antibacterial medications, it shows good results and getting rid of pain.Release format - tablets. |
| Roxytromycin | The category of macroline is effective against gram -positive and gram -gram bacteria.The course of treatment is one week.150 mg dose per day. |
| Pipemidic acid | It refers to Chinolons.According to the dosage, it has a bactericidal effect (large doses) or a bacteriostatic effect (small doses).It is also produced in tablet form, suppositories and capsules.Against the pregnant and lactative.The duration of therapy is 6 to 10 days. |
| Furazidine | The Nitrofuranary line, the peculiarity of this tool is a slow stability of microorganisms, which means high therapeutic properties.The terms of therapy are 10 days, it all depends on the course of the disease. |
| Navidix acid | It has a negative effect on all bacteria categories that cause changes in the urinary system.Assign the course - a week. |
Antibiotics in cystitis are required on the list.Inflammation easily enters a chronic form or captures other parts of the genitourinary organs.Pyelonephritis becomes a frequent complication - renal inflammation.Therefore, you need to drink the prescribed medicines until the end.
Important!If cystitis does not pass after taking antibiotics, it means that the dose is selected incorrectly, the course has not been performed until the end or the pathogen is not determined.
Many microorganisms show high resistance to means 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.
Penicilins
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 safety indicators, allowing them to be used for therapy in children and pregnant women.
Now, the preparations of slopexicillin with clavulanic acid are prescribed.
Cephalosporins
Cephalosporins are beta-lactam antibiotics with bactericidal effect.To date, 5 generations of these drugs are distinguished, but only the first three are used in urology.Cephalosporins are considered only with the safest medications among antibacterial agents.
For the treatment of cystitis, these drugs are prescribed:
- Cofuroxim.
- First generation preparations (cefasoline and others) are rarely used due to the resistance of microorganisms.
Cofuroxim is prescribed 0.4 g 1 time or 0.2 g 2 times a day for adults.The dose for children depends on age and body weight.
Tetracyclines
This group of therapeutic agents refers to synthetic antibiotics.Tetracycline has a bacteriostatic effect, ie they inhibit the reproduction of microorganisms.They are used today for the treatment of cystitis in case the standard phosphomycin therapy and nitrofurans are ineffective.
The most commonly used:
- tetracycline;
- Doxicicycline.
Take a 0.1 g doxycycline once or twice a day.It is recommended to additionally monitor the function of renal function and liver every 3 days of taking the medicine.
Phosphomycin trometamol
The drug has a strong bactericidal effect against the intestinal stick, enterococci, staphylococci, klebsell, protrus and other pathogens and are produced in the form of powder bags.
Apply this tool for 2 hours after eating before bed.In this case, the contents of the bag should first be agitated in a small amount of water (about one third of a glass).A unique dose for adults is 3.0 g of the drug.In some cases, after 24 hours, you need to repeat the reception.
Phosphomycin is hardly metabolized in the patient's body and is most excreted by the kidneys.At the same time, in the urine, 4-6 hours after taking, the therapeutic concentration of the drug is reached, which remains for more than two days.In addition, the drug has several advantages:
- convenience of a time of time;
- low side effects when using;
- Against Limited Indications (severe renal failure, child age under 5 years);
- The medicine can use during pregnancy.
Antibiotics in chronic cystitis
In the transition from infection to the chronic stage, empirical therapy with antibiotics is unacceptable.Without failing, before the prescription of antibacterial medications, a microbiological examination of the urine is required.With this, they also study the resistance of bacteria tension to specific therapeutic agents.This allows the assistant doctor to choose antibiotics from 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, this patient should be comprehensively examined not only genitourinary organs, but also other body systems.Special attention is paid to possible immunological disorders and chronic body infection focuses.
Formorchinolones (ciprofloxacin, offloxacin, norfloxacin) or other reserve drugs on the list are mainly prescribed - tetracycline, third generation of cephalosporins, macrolyides.The course of your reception lasts at least 7 days.At the same time, it should be supplemented with various non -Drug treatment methods:
- Surgical intervention with anatomical defects and/or the presence of chronic infection outbreaks;
- Careful hygiene;
- Selection of comfortable underwear;
- Treatment of immune disorders;
- Temporary deduction of sexual contacts.
Against -indications
Antibiotics for cystitis in women should be used after studying the clinical image of the disease, diagnostic studies and deciphering tests on the susceptibility of pathology as a certain group of substances.Auto -Dedication with antibiotic therapy is unacceptable.
Most antibiotics for women have the following against -indications:
- Hepatic function of severe impairment;
- renal inflammation;
- pregnancy;
- the presence of allergic reactions;
- Problems with the functioning of the cardiac muscle.
How to take antibiotics correctly
In the treatment of bladder inflammation antibiotics, it is necessary to observe various rules for the use of antibacterial drugs that will help undergo a therapy course without prejudice to the body and maintain your health:
- Only the medicines that the assistant doctor prescribe should be taken;
- For high treatment efficacy, it is better pre -despecular microflora for resistance to groups of antimicrobial drugs;
- Strictly observe the time intervals established by the doctor among the techniques of the tablets.If time has passed time, you should not increase the amount of medicine next time.It is better to take the medicine at once, as they remembered and continue to continue according to the doctor's recommendations;
- Do not take antimicrobial drugs with an empty stomach in order to avoid intensive contact of the active substance of the drug with the stomach mucosa membrane.This will help prevent undesirable phenomena of the gastrointestinal tract organs.Before using antibiotics, you should organize a light snack to yourself;
- Cystitis antibiotics should be taken at least three days and no more than two weeks, which is an average of 1 week.Long drug intake is justified in cases of patients' elderly, the presence of diabetes in a patient, with a recurring course, as well as in the treatment of men.Do not stop taking the medicine prescribed by the doctor, even if all pathological signs of the disease have disappeared;
- Before starting treatment, you should definitely read the sheet plan.Instruction usually indicates the most ideal fluid option to drink the medicine;
- Throughout the therapy course, antimicrobials should take probiotics recommended by the doctor.This will help maintain the normal balance of microflora;
- During the use of antibiotics, alcoholic beverages, fatty, fried, smoked and sour products should be excluded from use.This diet should begin to be observed immediately, as soon as the first tablet was accepted.
The correct use of antibiotic agents will help to perform treatment as efficiently as possible and without the appearance of unwanted reactions of the body.In addition to antibacterial drugs, the complex treatment doctor also includes anti -inflammatory drugs, painkillers, antispasmodic and, if necessary, other groups of medicines.
Additional treatment
A heavy consumption regime is recommended with exclusion of alcohol, soda, strong and sweet tea and coffee.Compliance with the basic principles of the 5th Diet in Pevzner is shown.
Non -esteroid anti -inflammatory is used to limit the damage and blockage zone of inflammation mediators.In acute cystitis, systemic anti -inflammatory treatment (nimesulide, diclofenac) is prescribed.These medications also have pronounced analgesic and antipyretic effects.
In the context of chronic cystitis therapy, bladder washing and instillation with antibacterial and anti -inflammatory drugs is used.Use Furatsiline, Boric Acid, Protargol, Collargol solutions.
- With a pronounced pain syndrome (or delay in urination in men), the goal of painkillers and antispasmodic (drug hydrochloride, hydrocarb, papaverine hydrochloride is also shown.
- To eliminate edema, it is shown the use of anti -histamines (Mobilia Napazheilato, Loratadine, dip -shothill).
- Effective immunomodulatory therapy is effective.
- From the means of traditional medicine, the use of yarrow infusions and teas, chamomile, lemon balm, mother, thyme, St. John's grass and mint.
It is important to remember that many herbs are against -Indicated during pregnancy and lactation, also plant -based medicine is not used in the presence of allergic reactions to this plant.