Can acute seminal vesiculitis cause blood in semen? What are the commonly used drugs for acute seminal vesiculitis

In addition to the general treatment measures, antibacterial treatment is very important when treating the symptoms of bloody semen caused by acute seminal vesiculitis, and hemostasis is not required. However, because there is a lipid membrane on the prostate surface, many antibiotics are difficult to penetrate into the gland through this membrane. Because we should follow some principles.

Treatment principle of semen with blood:

(1) Select according to drug sensitivity.

(2) Select antibacterial drugs with high lipophilicity, high permeability, low protein binding rate and high dissociation.

(3) In combination, the dosage should be sufficient and the course of treatment should be long. The drug was used for more than 4 weeks.

Common drugs and medication methods:

Erythromycin: Erythromycin has strong permeability to prostate epithelium. It can be decomposed into insoluble state in acidic environment, and is very sensitive to Portugal aureus and Streptococcus, but not to Gram-negative bacilli. Therefore, it is often used with kanamycin. Usage: erythromycin 0.25g, four times a day; Kanamycin 0.5g, intramuscular injection twice a day, the first course of treatment is 10-14 days. After the symptoms are improved, the drug is taken orally with compound sulfamethoxazole, two tablets each time, twice a day, for 10-14 days.

Cephalosporins and TMp: anti-inflammatory and bactericidal drugs can enter the prostate through blood. The commonly used cephalosporin VI capsule (cefradine) is taken orally 2 capsules (500mg), 4 times a day. For serious cases, 4~8 times a day. g. Two intravenous injections are prohibited for those with a history of allergy to cephalosporins, and should be used with caution for those who are allergic to penicillin. The usage of TMp is mostly compound preparation, which is used together with sulfanilamide.

Quinolones: In recent years, antibacterial drugs have developed rapidly, and anti-inflammatory drugs for acute prostatitis have also increased a lot. The usage of quinolones is 0.2g norfloxacin, taken orally three times a day; Ofloxacin 0.2g, oral, twice a day; When the disease is serious, the patient can receive intravenous infusion of Ofloxacin, 0.2g each time, twice a day, for 10-15 days. Gastrointestinal symptoms have adverse reactions, and alanine aminotransferase occasionally increases. Get better and take other antibiotics.