What to take urinary tract infections. Penicillins and beta-lactam antibiotics. Types of drugs for the treatment of the urinary system

The genitourinary system is at high risk due to poor lifestyle and infectious diseases.

With age, these risks increase significantly, so the state of the organs responsible for sexual and urinary function should be given more and more attention.

Since the organs in the system are connected, the deterioration of the state of one leads to risks for the other, therefore, in order to avoid serious consequences, the treatment of diseases of the genitourinary system should be as fast and of high quality as possible.

Infectious diseases are the most common pathology of the genitourinary system. Modern medicine has many such diseases, most often caused by bacteria or fungi.

Inflammations are often diagnosed with a delay, since they usually go unnoticed by the patient, sometimes they can only be recognized by complications in other organs.

The structure of the male genitourinary system

Most often, inflammatory processes that have begun in the genitourinary system can be found in the following:

  • external manifestations on the genitals;
  • lack of erection.

Prostatitis

Of all the disorders of the genitourinary system, the largest number of cases occurs, which, in fact, is an inflammation of the prostate gland caused by bacteria (most often chlamydia).

Diagnosis is complicated by hidden and the fact that many other diseases are common.

Symptoms:

  • painful urination;
  • weak;
  • discomfort in the lower abdomen;
  • small amount of urine.

Urethritis

The disease is characterized by an inflammatory process inside the urethra. It may not manifest itself for a long time, and later make itself felt under, or another disease. The main source of infection is unprotected intercourse.

Symptoms:

  • burning sensation when urinating;
  • pain and itching;
  • discharge;
  • pain and cramps are felt in the lower abdomen.

With untimely treatment, inflammation of other organs is possible.

BPH

  • frequent urination (sometimes with interruption of sleep);
  • weak intermittent urine stream;
  • feeling of incomplete emptying of the bladder;
  • inability to urinate without straining;
  • urinary incontinence.

Cystitis

For complex therapy, Ursulfan or is used. Of the plant uroantiseptics, Phytolysin is most often used. To relieve pain, antispasmodics are used:, etc.

Of the diuretics, Diuver or Furosemide is used. Multivitamin complexes Alvittil, Milgamma, Tetrafolevit are excellent for stimulating the immune system, preparations containing selenium and are additionally prescribed.

Diet

Diets are prescribed most often for kidney diseases:

  • diet number 6. Helps limit salt intake, increase the proportion of dairy products, liquids, vegetables and fruits in the diet;
  • diet number 7a. Allows you to remove metabolic products from the body, reduce pressure and swelling.
  • diet number 7b. Increases the amount of proteins compared to 7a.

Depending on the type of disease, there are many types of prescribed diets, they are prescribed only by the attending physician based on the results of the tests.

Physiotherapy

The main purpose of physiotherapy for urological diseases is to strengthen drug treatment. It is also used to directly eliminate certain diseases or is used in cases where medications are contraindicated for the patient.

The main types of applied procedures:

  • EHF-therapy;
  • ultrasound treatment;
  • electrophoresis;
  • inductothermy.

Therapy with folk remedies

In parallel with drug treatment, they are used. Infection in the urinary tract is destroyed by coconut oil (used orally), asparagus and celery help relieve inflammation.

Coconut oil is great for infection

An infusion of boiled onions and basil is used as an antibacterial and diuretic. Garlic is useful in kidney diseases.

For the greatest effectiveness, drugs, folk remedies and physiotherapy are used in combination.

Prevention of inflammatory diseases

The main element in the prevention of diseases of the genitourinary system is hygiene, which includes both regular washing and protected sex.

Despite the simplicity, many ignore these measures. The absence of hypothermia, leading, for example, to cystitis, guarantees the right clothing for the season. To help the body get rid of harmful bacteria, you need to drink 1.5 to 2.5 liters of fluid per day.

They will help to normalize the functioning of the body. Proper nutrition, activity and the rejection of bad habits will help to significantly reduce the risk.

With proper prevention and attention to your health, you can greatly reduce the risk of developing urological diseases.

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Pathologies of the genitourinary system pose a huge threat to the body up to the danger of death. But it is not difficult to prevent these diseases by following a number of simple recommendations. A timely visit to the doctor will help prevent complications and make the treatment as simple, quick and painless as possible.

Urinary and genital tract infections are closely related and are caused by the same type of infectious agents: bacteria, viruses, protozoa, fungi. There are both non-specific inflammation activated by saprophytic or obligate flora (staphylococci, streptococci, Escherichia coli, fungi of the genus Candida albicans) with a weakening of general or local immunity, and specific processes against the background of infection with bacteria such as mycoplasmas, ureoplasmas, gonococci, pale spirochete. Also, specific processes include chlamydia, when the culprit is a protozoan that has the properties of a bacterium and a virus at the same time. Viral lesions are represented by human papillomavirus and genital herpes.
Lesions of the genital tract in women are represented by vulvitis, colpitis, cervicitis, endometritis, oophoritis. In men - balanitis and balanoposthitis, urethritis, prostatitis, orchitis and epididymitis. Urinary tract infections occur more easily in women due to the anatomical structure of the perineum. In men, urethritis is most common, and lesions of the overlying sections (cystitis), as a rule, are secondary and occur against the background of urinary flow disorders (anatomical abnormalities, prostate adenoma, urolithiasis).
The main symptoms of this group of diseases are pain during urination, burning and itching in the genital area, which are aggravated during sexual activity. Also, pathological discharge from the genital tract (purulent, mixed with blood during a bacterial process, curdled with fungal infections, mucous with a viral infection) and urine changes: darkening, turbidity and impurities of protein and (or) blood.
Diagnosis of infections is carried out on the basis of bacteriological research methods (sowing of scrapings on nutrient media) and serological blood tests (determination of titers of specific antibodies of classes M and G, giving an idea of ​​an acute or chronic process).
Of course, treatment can begin only after the diagnosis and verification of the pathogen. Otherwise, the acute process quickly turns into a chronic one and can lead to severe complications and a long-term course.

Preparations for the treatment of infections of the genital and urinary tract.

I. Antibiotics.
1. Medicines are bactericidal as a result of disruption of the synthesis of microbial wall proteins.
A. Semi-synthetic drugs: oxacillin, amoxicillin (flemoxin), ampicillin, ticarcillin, carbenicillin.
B. Inhibitor-protected drugs: amoxicillin clavulonate (flemoklav, panklav, augmentin, amoxiclav), ampicillin sulbactam (unazine, sultamicillin, ampiside),
B. Combined (ampioks).
2. - lactam-free with a bactericidal effect.
1st generation: cefazolin, cephalexin;
2nd generation: cefaclor, cefuroxime;
3rd generation: ceftriaxone, cefixime, cefazidime, cefoperazone, ceftibuten, cefotaxime;
4th generation: cefepime.
3. . Due to disruption of DNA synthesis of microbes, they are bactericidal. Ofloxacin (Zanocin, Quiroll, Glaufos,), Lomefloxacin (Lomacin, Xenaquin, Lomeflox), Norfloxacin (Quinolox, Loxon, Negaflox), Ciprofloxacin (Ificipro, Quintor, Zindoline,), Lefloxacin, Gatifloxacin, Sparfloxacin (Sparflo), Moxifloxacin, Levofloxacin .
4. . Clarithromycin, azithromycin (azitral, sumamed. chemomycin), josamycin.
5.
1st generation: streptomycin, kanamycin, neomycin;
2nd generation: sisomycin, netilmicin, tobramycin, gentamicin;
3rd generation: amikacin.
6. Tetracycline, oxytetracycline, chlortetracycline.
The choice of antibiotic looks something like this. Chlamydial infections are predominantly macrolides and fluoroquinolones. Mycoplasma - tetracyclines. Gonococci - azithromycin, cephalosporins, penicillins (piprax), fluorochtinolones (norilet, raksar), aminoglycosides (netromycin). Ureoplasma is sensitive to doxycycline or azithromycin.

II. Nitrofurans disrupt the processes of oxidation in microbial cells. They are used to treat urinary tract infections. They can be both bacteriostatics and bactericides. Nitrofurantoin (nifurtoinol, furadonin), furazidin (furomax, furomag),

III. Antiviral drugs.
1.
A. Antiherpetic. Acyclovir (Zovirax), valaciclovir (Valtrex), penciclovir (Famciclovir, Famvir).
B. Ion channel inhibitors (orvirem).
B. Specific HA chaperone. (arbidol).
D. Neuraminidase inhibitors (peramivir, repenza, Tamiflu)
D. NP-protein inhibitors (ingavirin).
2. Alpha and gamma interferons block the translation of viral RNA, the presentation of viral antigens. Viferon, interferon, gripferon, kipferon.
3. start the synthesis of their own interferon. Amiksin, cycloferon, kagocel.

IV. Antifungal drugs.
1. Fungistatic action.
A. Imidazoles. Ketoconazole (oronazole, nizoral).
B. Triazoles. Irunin, diflucan, flucanazole, flucostat, itraconazole (orungal), mycosyst.
2. Antifungal antibiotics. Amphotericin B, pimafucin (natamycin), levorin, nystatin.

V. Antiprotozoal. Metronidazole. Effective for trichomoniasis.

VI. Antiseptics used to prevent sexually transmitted infections.
1. Based on iodine - betadine in suppositories or solution.
2. Based on chlorine-containing preparations: chlorhexidine in solution, miramistin (solution, suppositories, gel).
3. Based on gibitan - solution and candles "Hexicon".

The main forms of release of drugs for the treatment of genitourinary infections are tablets and injection solutions. Except in cases of fungal infections of the vulva, external treatment is not very effective, and systemic medication is required. Violation of treatment regimens, inadequate dosages or attempts at local treatment of urinary and genital tract infections contribute to the chronicity of inflammatory processes. Self-medication for sexually transmitted infections and urinary tract infections is not acceptable. Treatment should be carried out according to the doctor's prescription and monitored by laboratory tests.

Urinary tract infections (UTIs) are a group of diseases of the organs of urination and urinary excretion that develop as a result of infection of the genitourinary tract by pathogenic microorganisms. With UTI, bacteriological examination in 1 ml of urine reveals at least one hundred thousand colony-forming microbial units. In women and girls, the disease occurs ten times more often than in men and boys. In Russia, UTI is considered the most common infection.



  1. Depending on which part of the urinary tract affects infectious agents, the following types of UTIs are distinguished:
  • upper urinary tract infection- this is pyelonephritis, in which the kidney tissue and the pyelocaliceal system suffer;
  • lower urinary tract infection- these are cystitis, urethritis and prostatitis (in men), in which the inflammatory process develops in the bladder, ureters or prostate gland, respectively.
  1. Depending on the origin of the infection in the urinary system, there are several types of it:
  • uncomplicated and complicated. In the first case, there is no violation of the outflow of urine, that is, there are neither anomalies in the development of the urinary organs, nor functional disorders. In the second case, there are developmental anomalies or dysfunctions of organs;
  • hospital and outpatient. In the first case, the causes of infection are diagnostic and therapeutic manipulations performed on the patient. In the second case, the inflammatory process is not associated with medical interventions.
  1. According to the presence of clinical symptoms, the following types of the disease are distinguished:
  • clinically expressed infections;
  • asymptomatic bacteriuria.

Urinary tract infections in children, pregnant women and men in most cases are complicated and difficult to treat. In these cases, there is always a high risk of not only recurrence of the infection, but also the development of sepsis or kidney abscess. Such patients undergo an extended examination in order to identify and eliminate the complicating factor.

FACTORS CONTRIBUTING TO THE DEVELOPMENT OF UTI:

  • congenital anomalies in the development of the genitourinary system;
  • functional disorders (vesicoureteral reflux, urinary incontinence, etc.);
  • concomitant diseases and pathological conditions (urolithiasis, diabetes mellitus, renal failure, nephroptosis, multiple sclerosis, kidney cyst, immunodeficiency, spinal cord lesions, etc.);

  • sexual life, gynecological operations;
  • pregnancy;
  • advanced age;
  • foreign bodies in the urinary tract (drainage, catheter, stent, etc.).

Elderly people is a separate risk group. Infection of the genitourinary tract in them is promoted by the failure of the epithelium, the weakening of general and local immunity, the decrease in secretion of mucus by the cells of the mucous membranes, and microcirculation disorders.

urinary tract infections in women develop 30 times more often than in men. This happens due to some features of the structure and functioning of the female body. The wide and short urethra is located in close proximity to the vagina, which makes it accessible to pathogens in case of inflammation of the vulva or vagina. There is a high risk of developing urinary tract infections in women with cystocele, diabetes, hormonal and neurological disorders. The risk group for the development of UTIs includes all women during pregnancy, women who have an early sexual life and have had several abortions. Non-compliance with personal hygiene is also a factor contributing to the development of inflammation of the urinary tract.

As women age, the incidence of UTIs increases. The disease is diagnosed in 1% of girls of school age, in 20% of women aged 25–30 years. The incidence reaches its peak in women over 60 years of age.

In the vast majority of cases, urinary tract infections in women recur. If the symptoms of UTI reappear within a month after recovery, this indicates a lack of therapy. If the infection returns after a month after treatment, but no later than six months, it is considered that a re-infection has occurred.

UTI CAUSES AND WAYS OF THEIR PENETRATION INTO THE BODY

In the etiology of all types of UTIs, Escherichia coli plays a major role. The causative agents of the disease can be Klebsiella, Proteus, Pseudomonas aeruginosa, Enterococcus, Streptococcus, fungi of the genus Candida. Sometimes the infectious process is caused by mycoplasmas, chlamydia, staphylococci, Haemophilus influenzae, corynebacteria.

The etiological structure of UTI is different in women and men. In the former, Escherichia coli dominates, while in the latter, the disease is more often caused by Pseudomonas aeruginosa and Proteus. Hospital UTIs in outpatients are twice as likely to be caused by E. coli as compared to inpatients. With bacteriological in patients undergoing treatment in a hospital, Klebsiella, Pseudomonas aeruginosa, Proteus are more often sown.

To assess the results of a bacteriological study of urine, doctors use the following quantitative categories:

  • up to 1000 CFU (colony-forming units) in 1 ml of urine - natural infection of urine when it passes through the urethra;
  • from 1000 to 100,000 CFU / ml - the result is doubtful, and the study is repeated;
  • 100,000 or more CFU / ml - an infectious process.

Routes of entry of pathogens into the urinary tract:

  • urethral (ascending) path, when the infection from the urethra and bladder "rises" through the ureters to the kidneys;
  • descending path, in which pathogenic microorganisms from the kidneys "go down";
  • lymphogenous and hematogenous pathways, when pathogens enter the urinary organs from nearby pelvic organs with the flow of lymph and blood;
  • through the wall of the bladder from adjacent foci of infection.

SYMPTOMS OF URINARY TRACT INFECTIONS

In newborns with urinary tract infection, the symptoms of the disease are nonspecific: vomiting, irritability, fever, poor appetite, low weight gain. If the baby has at least one of the listed symptoms, you should immediately consult a pediatrician.

Clinical picture of urinary tract infection in preschool children- these are most often dysuric disorders (pain and cramps during urination, frequent urination in small portions), irritability, apathy, and sometimes fever. The child may complain of weakness, chills, pain in the abdomen, in its lateral sections.

School children:

  • In school-age girls with urinary tract infections, the symptoms of the disease in most cases are reduced to dysuric disorders.
  • In boys under 10 years of age, body temperature often rises, and in boys of 10–14 years, urination disorders predominate.


Symptoms of UTIs in adults are increased and impaired urination, fever, weakness, chills, pain above the pubis, often radiating to the lateral sections of the abdomen and to the lower back.
Women often complain of vaginal discharge, men often complain of urethral discharge.

The clinical picture of pyelonephritis is characterized by pronounced symptoms: high body temperature, pain in the abdomen and in the lumbar region, weakness and fatigue, dysuric disorders.

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DIAGNOSTICS OF URINARY TRACT INFECTIONS

To make a diagnosis, the doctor finds out the patient's complaints, asks him about the onset of the disease, about the presence of concomitant pathology. Then the doctor conducts a general examination of the patient and gives directions for examinations.

The main biological material for research in case of suspected UTI is urine collected in the middle of urination after a thorough toilet of the perineum and external genitalia. For bacteriological culture, urine should be collected in a sterile container. Clinical and biochemical analyzes of urine are carried out in the laboratory, material is sown on nutrient media to identify the causative agent of the infectious process.

Important:urine prepared for analysis must be quickly delivered to the laboratory, since every hour the number of bacteria in it doubles.

If necessary, the doctor prescribes ultrasound of the genitourinary tract, X-ray studies, CT, MRI, etc. And then, based on the results obtained, confirms or not the diagnosis of UTI, differentiating the level of damage and indicating the presence or absence of factors complicating the course of the disease.

A patient diagnosed with a urinary tract infection can receive treatment both on an outpatient basis and in a hospital. It all depends on the form and severity of the course of the disease, on the presence of complicating factors.

Important: any infectious process in the urinary organs should be treated by a doctor: therapist, pediatrician, nephrologist or urologist. Self-medication threatens the development of complications and relapses of the disease.

With urinary tract infections, treatment begins with regimen measures. These include limiting physical activity, frequent and regular (every two hours) urination, and drinking plenty of water to increase the amount of urine produced. In severe cases, patients are prescribed bed rest.

Smoked meats and marinades should be excluded from the diet, more foods containing ascorbic acid should be consumed. This is necessary to acidify the urine.

Of the drugs, antibiotics or sulfonamides are prescribed without fail, to which the infectious agent identified in the patient is sensitive. Comorbidities are being treated.

With a pronounced clinical picture of UTI, antispasmodics, antipyretics, antihistamines and painkillers are used. Phytotherapy and physiotherapy give a good effect. According to the indications, local anti-inflammatory treatment is carried out - installations of medicinal solutions through the urethra into the bladder.

PREVENTION OF URINARY TRACT INFECTIONS

Prevention of UTIs is as follows:

  • timely detection and elimination of factors contributing to the development of infection in the urinary tract (anatomical abnormalities, inflammatory processes in the body, hormonal disorders, etc.);
  • maintaining a healthy lifestyle and observing the rules of personal hygiene;
  • treatment of existing diseases;
  • for women - registration with a doctor for pregnancy at its earliest stages.

Zaluzhanskaya Elena Alexandrovna, medical observer

Inflammation of the genitourinary system has become more common in recent years, especially for young people. Moreover, the vast majority are unaware of their presence in the body.

They can be divided into two groups: the first affects the genitourinary system, and the second affects only the genitals. from inflammation of the genitourinary system is used quite often among such patients.

The most common diseases of the genitourinary system among men are:

  • urethritis. It is an inflammation of the urethra. During its course, the patient has redness, sticking and from the urethra, and painful urination appears;
  • . Covers mainly men over 30 years old. The disease is an inflammation of the prostate gland. With it, the patient feels spasms in the groin area and, as well as chills.

In the female half, the most common diseases are:

  • pyelonephritis. The diagnosis is inflammation of the kidney cavity. With it, the following symptoms are observed: spasms in the sides and lumbar region, pain over the pubis, aggravated by urination, frequent urges, which are accompanied by small secretions, fever;
  • . The disease is very common, with it the bladder becomes inflamed. During its course, cloudy urine is observed, frequent urge to urinate with small secretions, accompanied by pain;
  • urethritis. It proceeds the same way as in men.

Causes

The causes of inflammation of the genitourinary system can be:

  • viral infections;
  • mechanical damage;
  • hypothermia;
  • activation of conditionally pathogenic microflora;
  • insufficient or excessive sexual activity;
  • drop in immunity;
  • non-compliance with personal hygiene;
  • the entry of bacteria from the perineum into the urethra.

Symptoms

Signs of different urinary diseases are often similar to each other. They may be as follows:

  • an increase in the frequency of urination (manifested with, cystitis, pyelonephritis, prostatitis and glomenuronephritis);
  • discharge from the urethra (manifested in men with urethritis, urogenital infection and prostatitis);
  • difficulty urinating (manifested with prostate adenoma and prostatitis);
  • redness of the genitals in men (manifested with urogenital infection, allergies and urethritis);
  • chills;
  • intermittent urination (manifested with prostate adenoma, and);
  • spasms in the perineum (manifested in men with);
  • pain in the upper part of the pubis in women (manifested with cystitis and pyelonephritis);
  • absence ;
  • temperature rise.

Antibiotics

Antibiotics are divided into several groups, each of which is characterized by personal characteristics in terms of the mechanism of action.

Some drugs have a narrow spectrum of antimicrobial activity, while others have a wide spectrum.

It is the second group that is used in the treatment of inflammation of the genitourinary system.

Penicillins

These drugs are the very first ABP discovered by man. For quite a long period of time they were universal means of antibiotic therapy.

But then pathogenic microorganisms mutated, which contributed to the creation of specific defense systems, which required the improvement of medical preparations.

Genitourinary infections are treated with such drugs of the group under consideration:

  • Amoxicillin. It is an antimicrobial drug. The effectiveness of Amoxicillin is quite similar to the following antibacterial drug. However, its main difference lies in the increased acid resistance. Due to this feature, the drug is not destroyed in the gastric environment. For the treatment of the genitourinary system, it is also recommended to use analogues of the drug Amoxicillin: Flemoxin and Hiconcil. Combined antibiotics are also prescribed for admission, such as: Klavulanta, Augmentin;
  • Ampicillin. It is a semi-synthetic drug intended for oral as well as parenteral use. By blocking the biosynthesis of the cell wall, its effect is bactericidal. It is characterized by a fairly low toxicity, as well as high bioavailability. If it is necessary to increase resistance to beta-lactamases, this medication can be prescribed in combination with Sulbactam.

Cephalosporins

These medications belong to the group of beta-lactams, they differ from penicillins in their increased resistance to the destructive effects of enzymes produced by pathogenic flora. They are prescribed mainly for oral use.

Among cephalosporins, such antibiotics are used to treat the genitourinary system:

  • Ceklor, Alfacet, Cefaclor, Taratsev. They belong to the second generation of cephalosporins and are prescribed by a doctor exclusively for oral use;
  • Cefuroxime, as well as its analogues Zinacef and Zinnat. They are produced in several dosage forms. They can be prescribed even in childhood (in the first months of a child's life) due to their low toxicity;
  • Ceftriaxone. Available in powder form. Similar substitutes for this medication are Lendacin and Rocephin;
  • Cefalexin. It is a drug whose action is directed to all organs of the genitourinary system. It is prescribed for oral administration only and has a minimum list of contraindications;
  • Cefoperazone. It is a member of the third generation of cephalosporins. This medical product is available in the form of injections and is intended for intravenous as well as intramuscular use;
  • Cefapim. It is a representative of the fourth generation of the antibiological group and is prescribed exclusively for oral administration.

Cephalosporins are often used in urology, but without a doctor's prescription, they are not recommended. Some of them have a number of contraindications, including for pregnant women and during lactation.

Fluoroquinolones

This type of antibiotic is the most effective today for various infectious diseases of the genitourinary system in men and women.

Norfloxacin tablets

They are powerful synthetic bactericidal agents. However, their scope is limited by age categories, because this type of antibiotics has a fairly high toxicity. It is also not prescribed for pregnant and lactating women.

The most popular drugs of the fluoroquinolone group include:

  • Ofloxacin. It is a fluoroquinolone antibiotic, known for its widespread use due to its high efficiency and antimicrobial action;
  • Norfloxacin. It is prescribed for oral administration, intravenous or intramuscular administration;
  • Ciprofloxacin. This remedy is quickly absorbed and copes with various painful symptoms. It is prescribed for parenteral use. The drug has several analogues, the most popular of which are Tsiprobay and Tsiprinol;
  • Pefloxacin. It is a drug aimed at the treatment of infections of the genitourinary system, it is used parenterally and orally.

Medicines of the fluoroquinolone group are prohibited for use:

  • persons under the age of 18;
  • during pregnancy;
  • persons diagnosed with tendonitis;
  • during lactation.

When taking fluoroquinolones, it is necessary to pay attention to the fact that they have a negative effect on the connective tissue.

Aminoglycosides

This type of antibacterial drugs is prescribed for parenteral administration.

The most famous representatives of the aminoglycoside group are:

  • . It is a drug of the second generation of antibiotics-aminoglycosides. It is not well adsorbed in the gastrointestinal tract, so it must be administered intravenously or intramuscularly;
  • Amikacin- aminoglycoside, the effectiveness of which is maximized when used against complicated urinary tract infections.

Contraindications:

  • lactating women;
  • young children;
  • during pregnancy.

Aminoglycosides have a long half-life, which is why they need to be used only once a day.

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Inflammation of the genitourinary system can be treated in many ways, including medications. Antibiotics are selected by the doctor for each case separately, all kinds of factors are taken into account, the most suitable drugs are determined. They may differ in effect on certain organs, method of administration and other characteristics.

Pyelonephritis, cystitis and other diseases of the urination system require complex therapy. Antibiotics are an effective remedy for infections of the genitourinary system, but they should be used only as directed by a doctor. Only by passing tests can you determine the pathogen that led to the disease and determine an effective medicine.

If you have a urinary tract infection, you may need to take several types of medications for a full recovery.

Indications for treatment

The genitourinary system and kidneys during inflammation and infection with harmful bacteria are determined by specific symptoms. Diseases are accompanied by pain, burning and frequent urination. The patient, when diagnosing genitourinary infections, cannot have a normal sexual life. Without the use of properly selected drugs, inflammation of the urinary tract leads to complications. Drug therapy is prescribed for such diseases:

  • pyelonephritis;
  • cystitis;
  • urethritis in men;
  • vaginitis in women;
  • chlamydia.

Some types of pathogenic microorganisms are sexually transmitted. Timely diagnosis will help to avoid negative consequences.

Types of drugs for the genitourinary system

In kidney diseases, taking into account the etiology of the disease, various groups of drugs are used to combat pathologies. Depending on the active substances that make up the drugs, they affect the body in different ways. The main types of medicines that are used to treat infections of the genitourinary system:

Antibiotics, uroseptics, NSAIDs, immunomodulators and other medicines are taken from urinary tract infections.

  • NSAIDs;
  • uroseptics;
  • drugs for symptomatic treatment;
  • immunomodulators.

Antibiotics

And urinary tract infections are prescribed depending on the pathogen. But it takes time to determine it, therefore, as a rule, therapy begins with broad-spectrum antibiotics. Treatment with such drugs helps to get rid of the problem in a short time, but requires an integrated approach. After a course of taking such funds, attention should be paid to the restoration of beneficial microflora.

Drug groups

To cure inflammation of the genitourinary system, the following types of antibacterial agents are used:

  • Nitrofuran drugs - prescribed to fight infection in the elderly. Do not use in renal failure.
  • Cephalosporins - effectively destroy almost all types of pathogenic microorganisms of the genitourinary system.
  • Macrolides have immunomodulatory and anti-inflammatory effects. But they are used only as directed by a doctor.
  • Sulfonamides - successfully fight bacterial inflammation. Do not use for kidney problems.
  • Antibacterial agents based on pipemidic acid are used to fight infection in men caused by prostate adenoma.

Anti-inflammatory drugs


Anti-inflammatory drugs for urinary tract infections can quickly eliminate the pathogenic microflora.

A group of drugs that can quickly relieve pain and inflammation of the bladder. Contribute to the restoration of normal blood circulation and the cessation of spasms. Means based on "Ibuprofen" quickly help to return to a normal way of life, alleviate the symptoms of the disease. When diagnosing gastrointestinal problems, do not use pills. An anti-inflammatory agent is administered intramuscularly or rectal suppositories are used to prevent stomach disorders.

uroseptics

Medicines of this group have antimicrobial and antiseptic effects. They are based on herbs and, as a rule, are used for the prevention of diseases in people with chronic infectious diseases of the urinary system. The action of the funds is aimed at improving the functions of the genitourinary organs, disinfect urine and promote the elimination of harmful substances in a natural way.

Symptomatic drugs

A urinary tract infection is accompanied by the following symptoms:

  • pain in the lower back or in the suprapubic area;
  • burning when urinating;
  • frequent urge to go to the toilet, every 10-15 minutes;
  • the appearance in the urine of pus, blood or mucus;
  • temperature rise.

To get rid of these symptoms in inflammation of the kidneys, doctors prescribe symptomatic therapy with antispasmodics, diuretics or analgesics. The former prevent urinary retention and relieve pain. Diuretics increase the amount of urine. In turn, painkillers should not be nephrotoxic. Otherwise, acute renal failure develops. In addition, while taking a course of antibiotics, it would be useful to use prebiotic preparations to restore the functioning of the gastrointestinal tract and restore beneficial microflora.