Thursday, March 6, 2008
How male urinary tract infection treatment?
Clinically, according to the bacteria, antibiotics combination of the pharmacological effects and the patient's specific circumstances, Selection of antibiotics in the treatment of male urinary tract infection. However, the male urinary tract infection, unlike female urinary tract infection can predict species of bacteria and the antibiotic sensitivity of it before treatment, Urine should do the bacterial culture and drug susceptibility tests, according to results adjusted treatment programs. Men pyelonephritis law and the administration of the same female. However, single-dose antibiotic treatment is not applicable to men, Most elderly male patients had abnormal urinary tract or prostatitis, and other problems so that the treatment is very difficult, treatment should be extended. According to reports, the treatment extended to 6 ~ 12 weeks, the cure rate to more commonly used in the course of two weeks longer. Male urinary tract infection the prognosis is favorable for a single urine culture bacteria growth (especially Escherichia coli), No urinary tract obstruction, or urogenital no functional or anatomical abnormalities. Male urinary tract infection treatment of the main problems is recurrent urinary bacteria that the treatment appears successful, but also recurrence within a month, and for the same bacteria cause. This more chronic prostate infection failed to use the standard regimen of antibiotics to eliminate, or urinary function, anatomic abnormalities lead to treatment failure. For such recurrent patients, the following may be considering the selection of one of three options : ① long course antimicrobial therapy; ② each attack by re-6-12-week course of treatment; ③ surgical correction. The selection depends on the patient's age, sex, body position and whether there is a bladder outlet obstruction. Acute bacterial prostatitis pathogens associated with the same cystitis. Almost all patients from hypothyroidism, and systemic diseases often need antibiotics gastrointestinal foreign administration. Most antibiotics arrived acute inflammation of glands high concentration, the penicillins, cephalosporins, amino-glycosides and other antibiotics are effective, but chronic prostatitis right above the penetration of antibiotics greatly reduced and the effect of lower it currently advocate the use of the prostate with a high concentration of antibiotics, such as sulfonamides synergist, erythromycin, doxycycline, amino-glycosides, also recommended penicillin, but the effects are not yet sure, Although the long-term (6 ~ 12 weeks) using the antibiotics, Chronic bacterial prostatitis treatment failure rate is still as high as 30% ~ 40%. Repeated several long-term course of treatment or preventive use of antibiotics to help some patients, when necessary, the need prostate surgery. particularly prostate stones.
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