Enterococci in men are present in the microflora always. They are conditionally pathogenic microorganisms of the intestinal microflora. In a small amount of enterococci fecalis can be found on the mucous cavity of the pharynx. The activity of Enterococcus helps the process of digestion of food and the processing of decomposition products. The quantitative level in the intestine is controlled by the human immune system. But if the work of immunity fails or under the influence of external factors, enterococci can get on the mucous membrane of the urethra and cause a number of pathological processes in a man.
What is the microorganism
Microscopic examination of the bacteria showed that the microorganism has the correct oval shape and small flagella. Enterococcus is capable of movement, belongs to the class of bacilli.
According to the old medical qualification, enterococcus was referred to the genus Staphylococci. In some medical centers, it is still possible to meet the analysis for streptococcus fecalis.
The bacterium is sown by 90% in the fecal masses of man and animal. Inhabits enterococcus in the small and large intestine of a man. The bacterium plays an important role in the process of digestion and the formation of fecal masses. Enterococcus occurs in the intestines of cattle and pigs. When air is collected for fecal contamination, a study is conducted on the content of enterococcus in the assay. If the bacteria content in the air is more than 45%, ecologists note the contamination of the region.
In addition to negative qualities, enterococcus also has positive aspects. The bacterium is widely used in the dairy industry. Enterococcus is used for active fermentation of dairy products, making hard cheese. In medicine, a microorganism is used to hydrolyze lactose. For food and medical production, enterococci is used, which has no pathogenic properties and is grown in laboratory conditions.
The pathogenic effects on the body are exerted by colonies of bacteria. Enterococcus fecalis is a very viable microorganism. The bacterium is not afraid of sudden overheating or hypothermia, lives in conditions with a low oxygen content. Enterococcus is able to tolerate the conditions of permafrost and during thawing to continue normal vital activity.
Routes of infection of the genitourinary system
Enterococcus lives in the body of a healthy person. The bacterium is considered opportunistic because of the specificity of its activity. In a healthy human body, the bacterium lives in the gastrointestinal tract and feeds on the products of the life of a man. Under the influence of some factors, enterococci begin to actively multiply and feed on the cells of the organs in which they parasitize. The following factors influence the reproduction of enterococci:
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The death of other bacteria, under the influence of antibiotics; - Violation of personal hygiene;
- Viral infections in men.
A man who is on treatment with antibacterial drugs or antibiotics may suffer from enterococci in the genitourinary system. Under the influence of antibiotics, the bulk of microorganisms die. Enterococcus is resistant to a wide range of drugs and easily experiences antibiotic therapy. After the death of beneficial bacteria, an empty place is occupied by enterococcus. The bacterium begins to multiply actively and parasitize on a busy site.
Non-observance of the rules of personal hygiene can lead to a number of pathologies in the body. If a man changes his underwear less than once every two days, the microbe can enter the urethra. Frequent washing of the body with antibacterial gels also provokes the appearance of infection. The disease can occur if a man does not use paper or neglects to wash his hands after visiting the toilet. Infection can get on the outer clothing of a man from the external environment. It is necessary to use moist antibacterial napkins when visiting public places.
Viral infections of various etiologies can cause infection of the urinary canal with enterococci. The risk group includes men who have a history of diabetes, hypertensive heart disease, AIDS, chlamydia or gonorrhea.
Signs of infection in the body
If you enter the genitourinary system, enterococcus does not present itself at the initial stages of the disease. With further expansion of the colony, the male can pay attention to the following symptoms:
- Severe pain during urination;
- The presence of various impurities in the urine;
- Erectile function disorder;
- Isolation of purulent mucus from the urinary canal;
- Lack of sexual desire;
- Frequent use of the toilet;
- Appearance of fatigue and general weakness.
If one or more symptoms are found, the man should immediately consult a doctor.
Enterococcus can cause a latent infection of the urogenital system in a man. The latent disease has no obvious signs. The presence of an infection can be detected on a preventive examination by a doctor or at a urologist visit.
Diagnosis of pathology
For correct diagnosis, a man should visit a urologist and take a series of tests. The man takes a smear on bacteria from the urethra, from the anal region and a general blood test. Bakposev sent to the laboratory to identify the bacteria that cause the disease. If a man has problems with an erectile function, then the collection of seminal fluid is taken on the bac. Before taking the tests should not use antibacterial agents to wash the body and drink antimicrobial drugs. Sperm must be taken after a five-day abstinence from sexual contact.
Therapeutic measures
Therapeutic measures are aimed at eliminating the microorganisms causing the infection and restoring a healthy microflora of the genitourinary system. For medicinal therapy in men, the following groups of drugs are used:
- Antibiotic drugs;
- Antimicrobials;
- Immunomodulating substances.
Enterococci have high resistance to a wide range of antibiotics. Due to the long-term treatment of enterococcal infection with tetracycline, the bacterium does not respond to this antibiotic. Treatment with ciprofloxacin proved to be a poorly effective treatment. The microbe is destroyed by ciprofloxacin preparations by 75%."Tsiprolet" is effective in the presence of a male strain that causes sexual infection.
A modern therapeutic antibiotic levofloxacin and rifaximin have a good therapeutic effect in the treatment of enterococcus in a man. Levofloxacin is a broad-spectrum antibiotic, does not have a pathogenic effect on beneficial bacteria, is well tolerated by the body and is of low toxicity. Doctors are popular drug levofloksatsina - "Tavanik."It is available in two dosages and is convenient for the treatment of enterococci in the urinary and reproductive system. In the presence of bacteria in the urinary tract of men, the drug is prescribed to 0.5 g twice a day for five days. If an enterococcus is found in semen, Tavanik is prescribed 1 g and taken one week. After the treatment, a man does not notice a violation of digestion and other side effects of antibiotics.
With a weak form of enterococcus infection, the male is prescribed antibiotic-doxycycline. Doxycycline is not active in all strains of the bacterium, but it is effective against enterococcus, which causes infection of the male reproductive system. Since the drug has a wide range of side effects, an imported generic is used."Unidox Solutab" contains 100 mg of doxycycline and, unlike the Russian drug, is available in the form of dispersible tablets( soluble in water).Due to the form of the release, the drug intake is well tolerated by a man. When ingested, quickly absorbed by the walls of the intestine and immediately begins to act. The drug is prescribed at 200 mg per day for ten days.
For complex treatment with antibiotics, men are prescribed antimicrobial medicines. The most famous is metronidazole. The drug is produced by Russian and foreign producers, has activity against a wide range of microbes. The drug has a harmful effect on the gastrointestinal tract. It is recommended to buy coated tablets. This form of release avoids the appearance of side effects.
When treating enterococcus in men, it is advisable to prescribe immunomodulators. Preparations of this group strengthen the body's immune system, fight the further development of infection. Under normal immunity, the body itself can reduce the colony of enterococci or completely overcome the infection.
Preventive measures
Prevention of enterococcal infection is very simple. Observing the following rules, the man reduces the risk of the disease:
- For anal intercourse, a condom should be used;
- A man must strictly observe the rules of personal hygiene;
- Treatment with antibiotics should be accompanied by the use of immunomodulators;
- It is necessary to use antibacterial napkins in public places;
- When visiting public toilets, a man should avoid direct contact with plumbing.
A man needs to remember that if the organism suffers an enterococcal infection, he should observe sexual rest throughout the treatment.
If any sign of the disease is found, a man should consult a specialist for advice and appropriate treatment.
