Antibiotics for sinusitis in adults: names of tablets for treatment
Sinusitis is an inflammation of the paranasal sinuses, which in most cases is a consequence of acute sinusitis.
The name of the disease comes from the name of the maxillary sinuses of the nose, which are affected in the inflammatory process - the maxillary.
For the first time the symptoms of pathology were described several centuries ago by an English scientist named Gaymor, hence the name.
Among adults, about one in ten people suffer from acute or chronic sinusitis - these figures allow you to get understanding the extent of the prevalence of this pathology and to understand the importance of finding the optimal sinusitis.
More than 10% of cases of acute respiratory viral infection are diagnosed with acute sinusitis caused by the attachment of bacterial infection and corresponding complications.
Given that an adult is infected with ARVI about once a year, we can say that the sinusitis risks everyone. And the latest static data on sinusitis - this pathology is on the fifth place in the list of infectious diseases that need to be treated with antibiotics.
What antibiotics are used - how to choose a medicine
There are general principles that guide the doctor, choosing the best antibiotics for sinusitis for adults.It can not be said that this medicine is the best antibiotic for sinusitis, and it will certainly help everyone, like mucolytics. First of all, the symptoms of the disease, the degree of their severity, the characteristics of the patient are evaluated.
All antibiotics, which can treat sinusitis in adults, are divided into three large categories.
Preparations of the first line
These include those antibiotics for sinusitis, which are most effective at genyantritis and are the drugs of choice. They are appointed adults first. It:
- Amoxicillin.
- Clarithromycin.
- Azithromycin.
All these tablets from sinusitis are usually well tolerated and give excellent results with timely and correct use, like mucolytics.
Preparations of the second line
Drugs from this group of antibiotics are prescribed if the patient lives in a region in which a high level of ENT diseases caused by resistant microorganisms is recorded. They are prescribed to adults, if the symptoms of sinusitis do not disappear after a course of therapy with antibiotics of the first line.
This group includes such tablets from sinusitis:
- Amoxicillin / Clavulanic acid;
- Fluoroquinolones;
- Cephalosporins of the 2nd and 3rd generation.
Such drugs can treat both chronic and acute sinusitis.
Injuries in genyantema
There is a separate category of patients with the so-called nosocomial sinusitis. In this case, tablets from antritis antimicrobial effect are not effective, antibiotics should be administered intravenously. Injection prescribe such drugs:
- Meropenem.
- Imipenem.
- Cefuroxime.
- Cefotoxime.
- Ceftriaxone.
- Gentamicin.
- Tobramycin.
Each medicine from the above has its own peculiarities of the impact on the body with genyantritis, they need to be taken in different dosages and according to different schemes.
Therefore, it is worthwhile to consider in detail each of them, in order to understand when and what it is best to treat sinusitis.
Penicillins in the treatment of genyantritis
Treatment of maxillary sinusitis with antibiotics from the penicillin group is the most reliable and safe. Usually these tablets from a genyantritis are well transferred, they are appointed or nominated to patients of any age.They can be taken during pregnancy and lactation, as well as mucolytics. Numerous official studies have confirmed that these drugs do not have a negative effect on the fetus.
Amoxicillin and its derivatives refer to first line drugs in sinusitis. But they do not always manage to treat atypical strains effectively. Some bacteria are able to produce beta-lactamases - substances that can destroy the beta-lactam ring of the antibiotic.
Antibiotics from the penicillin group are unprotected, and if the sinusitis is caused by pathogenic microorganisms capable of to produce beta-lactamase, to drink Amoxicillin in tablets is meaningless - the symptoms will not disappear, and the disease will be progress.
Antibiotics from the group of macrolides with genyantritis
Alternative drugs of choice, if unprotected penicillins could not eliminate the symptoms of sinusitis - macrolides. These medicines do not have a lactam ring. Consequently, they will be effective even against those strains whose microorganisms are capable of producing beta-lactamases.
Macrolides are more active than unprotected penicillins with respect to the Moraxella bacteria. They can be used in the treatment of acute sinusitis if the patient suffers penicillin intolerance. Most often from this group appoint Clarithromycin and Azithromycin.
Clarithromycin.
This is a second-generation macrolide. It is effective against virtually all microorganisms that can cause acute or chronic sinusitis. Take the drug in this dosage - 500-750 mg twice a day.
Clarithromycin is most effective if taken at regular intervals. The course of treatment lasts no less than 7 and not more than 10 days. Dosage and duration of treatment can be adjusted if necessary by a doctor.
Azithromycin.
This drug is a 15-member macrolide. It has a long half-life. Therefore, the treatment schedule and its duration are radically different from the use of other antibacterial medicines.
On the first day, 500 mg of the drug should be taken once. Then you should take 250 mg daily for four more days. The total duration of treatment is five days.
Treatment of sinusitis with second line antibiotics
If both penicillins and macrolides prove to be ineffective in the treatment of sinusitis, they pass to treatment with antibacterial drugs of the second line. To select the right medicine, the patient's material is first sown to establish sensitivity to various antibiotics.
How can it be determined with empirical prescription of drugs that strains of the microorganism are resistant to the drugs being taken, what are the symptoms indicating this? Infection with antibiotic resistance of the first line by microorganisms can be assumed if no improvement in the patient's state of health is noted after 2-3 days after the initiation of therapy.
Symptoms of an organism intoxication at an acute sinusitis:
- Heat;
- Headache;
- General weakness.
If they do not disappear, but are retained or become stronger, despite the administration of Amoxicillin or Clarithromycin, they proceed to treat pathology with second-line antibiotics. These are fluoroquinolones and cephalosporins.
Amoxicillin plus clavulanic acid
Above it was said about the main and essential shortage of Amoxicillin - due to the presence of the lactam ring it loses its activity in case of infection with microorganisms that are capable of producing beta-lactamase.Therefore, it is best to select an alternative antibiotic, to sow the contents of the maxillary sinuses of the patient. This will allow one hundred percent to accurately determine whether the patient is sensitive to certain antibacterial drugs and which is better to choose. What is the difficulty?
In order to get the contents of the maxillary sinuses, it is necessary to make a puncture - puncture of the paranasal tissues with a special syringe and mucus from them. This is a rather complicated and serious procedure that requires strict adherence to sterility. Not all patients agree to it, because often it is necessary to immediately switch to the selection of second-line drugs.
There is an antibiotic that retains all the properties of Amoxicillin, but is immune to penicillinase. Such preparations are called protected penicillins, these are combinations of Amoxicillin and clavulanic acid.
This is Augmentin in tablets, Amoxiclav, Flemoclav. According to studies of physicians, the effectiveness of treatment of sinusitis with these medicines is more than 90%.
The dosage of amoxicillin protected by clavulanic acid is determined by the doctor, taking into account the nature of the disease and the degree of its manifestation. Adults are prescribed from 500 to 1000 mg once a day.
Cephalosporins in tablets as alternative drugs
Cephalosporins in the form of tablets from the common cold of the second and third generation are alternative second line drugs that are also effective in treating sinusitis. For oral administration, one of the following drugs is selected:
- Cefuroxime.
- Cefpodoxime.
- Cefixime.
In pharmacies most often this antibiotic of the second line from the group of cephalosporins is offered from three different manufacturers - Ceforoxime Sandoz from the German pharmaceutical company, Zinnat from the manufacturer Glaxo and the drug Aksef from the company Medokemi, located on Cyprus.
Cefuroxime is active against most known strains of microorganisms that can cause acute sinusitis. He is also not prone to penicillinase. The standard dosage of the drug is 250 mg twice a day at regular intervals.
Cefpodoxime.
These tablets are a third generation antibiotic. The main difference between the preparations of this group of cephalosporins is their effectiveness against gram-negative pathogenic microflora. Ceppodoxime in liquid form for injection is distinguished by a very high level of bioavailability. But in tablets this same substance, on the contrary, is absorbed by the intestine badly.In the pharmacy it can be found as tablets of various dosages of Cefodox from the Jordanian pharmaceutical company - 100 and 200 mg in one tablet. Less common drug Tsepodem of Indian origin. It is more affordable, but the effectiveness of doctors give preference to Cephodox.
The intestine absorbs Cefodox in tablets by little more than half. This is a fairly low rate, because in no case can you change the dosage and schedule of the drug prescribed by your doctor.
Usually 200 mg of the drug are indicated twice a day. Duration of treatment - up to 10 days.
Cefixime.
The drug refers to antibacterial third generation drugs on a semi-synthetic basis. Has a significant disadvantage - low activity in relation to gram-positive microorganisms. For example, Staphylococcus aureus, which is often the causative agent of acute and chronic sinusitis, is resistant to Cefixima.
The drug is poorly absorbed by the intestine, its bioavailability is even lower than that of Cefpodoxim - only 40-50%. As an alternative medicament, an antibiotic, Suprax, can be considered, which has the same efficacy, but is absorbed better by the dispersible form of release.
Less common, but also can be used as an analogue of the Indian drug Ixim and tablets from the Macedonian company Panzef.
Antibacterial injections for sinusitis
Do you really need antibiotics pricks in sinusitis - this issue still remains controversial for domestic otolaryngologists. Of course, getting immediately into the blood, the antibiotic several times faster than the pill, starts to act, eliminating the symptoms of sinusitis. But is there a need for this?On the one hand, it is easier for a doctor to immediately prescribe an antibiotic for parenteral administration, which will definitely work than pick up pills whose effectiveness is only hypothetical. On the other hand, the patient is only too glad to get rid of the impassive nasal congestion, purulent secretions, headache and finally breathe normally, in this case, often a puncture sinusitis.
Therefore, when the otolaryngologist writes out a prescription of antibiotics in a liquid form for injections, assuring that this the only way to combat the exhausted disease, the patient agrees without hesitation, takes the prescription and obediently goes to pharmacy.
The duration of treatment with the help of injections is the same as treatment with antibiotics in tablets - from 7 to 10 days. And the result is usually noticeable. But the side effects in most cases are so great and serious that after treatment sinusitis has to move to the treatment of other internal organs and the restoration of a completely destroyed immunity.
So are injections of antibiotics necessary for sinusitis? Yes, there are situations when one can not do without them. Parenteral administration of antibacterial drugs is indicated for nosocomial maxillary sinusitis. The causative agents of the inflammatory process are mainly gram-negative microorganisms with high resistance to antibiotics.
Aminoglycoside antimicrobial agents are active in bacteria of this type. In this case, empirical appointments are inexpedient, it is mandatory to make culture sowing to detect the sensitivity of bacteria, and then, according to the results, select an antibiotic.
In conclusion, we offer a cognitive video about antibiotics for sinusitis.
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Chronic sinusitis in children and adults
Chronic sinusitis, the symptoms and treatment of which are discussed in this article, belongs to the group diseases of the paranasal sinuses (sinusitis) and, in particular, is an inflammation of the maxillary sinus.In its prevalence, this form of pathology occupies one of the first places among ENT diseases.
Causes of purulent, hyperplastic and other chronic sinusitis
The most widely known is catarrhal, chronic purulent maxillary sinusitis, and also a mixed form of the disease. In addition, the classification of the disease can be identified chronic hyperplastic maxillary sinusitis, polyposis and atrophic variants of the disease.
The immediate cause of the development in the sinuses of the pathological process, which later turns into a chronic form, most often become streptococci, less often viruses, anaerobic microbes and fungi.
However, the causes of chronic maxillary sinusitis can be seen from the other side: not from the position of the causative agent of the infectious process, but from the point of chronicization of the formed inflammation.
First of all, the transition to a chronic form is promoted by illiterate therapy of acute sinusitis.The non-observance of the therapeutic scheme is important:a violation of the dosage and timing of taking medications and other inconsistencies to the prescribed measures.
The chronicity of the described disease is also caused by the constant presence of foci of chronic infection in the nasopharynx: rhinitis, tonsillitis, etc.
Chronic sinusitis can form and against the background of the curvature of the septum of the nose, and with such formations as polyps and cysts, which naturally disrupt the normal movement of air in the sinuses, while stimulating the stagnation of mucus and breaking it Departure.
The development of the disease is influenced by the environment:the more gassed and dusty the higher the risk of getting sick.
Their role in the development of the described ailment is also played by bad habits, allergy and immunity.
Symptoms of chronic sinusitis in children and adults
SymptomsChronic sinusitis in adults and children are often erased or mild. This fact causes difficulties in the diagnosis and treatment of the described ailment.
The main manifestation of the disease is a chronic runny nose, not amenable to traditional therapy. Runny nose is accompanied by nasal congestion (more often one-sided) and other characteristic symptoms.
Often patients have complaints of pain localized in the head and depth of the orbit, passing in the prone position and intensifying with blinking. Dull pain can occur in the infraorbital area.
SymptomsChronic sinusitis include the morning swelling of the eyelids and chronic inflammation of the conjunctiva of the eyes. This characterizes the spread of the process from the maxillary sinus to the orbital walls.
A significant manifestation of the described disease is also considered to be a symptom such as a chronic dry cough. Moreover, this cough does not respond to therapy with the use of antitussive and expectorant drugs. The appearance of a cough for a given disease can be explained by an irritating effect on the pharyngeal region, which pus flows from its affected sinus.
Characteristic for the diagnosis of chronic sinusitis symptoms also include dulling of the olfactory function of the nose.
And the course and prognosis for this disease depend on the quality of the treatment used, as well as on the presence of structural changes in the sinus.
Exacerbations and complications of chronic sinusitis
Exacerbation of the chronic form of sinusitis, as a rule, happens after an infectious disease, for example, scarlet fever, measles, influenza, etc.If the body is weakened by a factor that provokes an exacerbation, even the slightest hypothermia can occur.
In patients with a diagnosis of chronic sinusitis, exacerbation may be accompanied by the appearance of a rather intense pain in the area of the affected sinus. When you click on this area, the pain intensifies. Such a painful sensation is often accompanied by bursting when tilted or abruptly moving the head, which can be, for example, by sneezing or coughing.
Often, the ill begin to tear from the bright light of the eye, due to which there is some photophobia.
The main danger of the described illness comes from the structure and location of the maxillary sinus. Thin walls of this anatomical formation participate in the formation, as well as contact with the membranes of the brain. Given this fact, patients with this disease always have the risk of spreading infection into the cranial cavity with the development of meningitis.
However, with the diagnosis of chronic sinusitis complications of this nature are extremely rare. Bole is likely to transfer infection from the affected maxillary sinus to the orbit, the fiber that fills the orbit, and also to the eye membranes.This swelling of the process is evidenced by puffiness of the eyelids and a certain bulge of the eye on the background of severe pain.
In addition, chronic sinusitis in adults and children plays the role of a source of infection. Because of this, the described disease becomes the cause of frequent recurrences of angina, pharyngitis, and also can lead to the occurrence of diseases of the teeth or maxillary osteomyelitis.
With genyantritis, neuritis of the trigeminal nerve can form, which will be indicated by strong attacks of pain in the face area. Chronic rhinitis, which has appeared as a result of inflammation of the maxillary sinus, can cause atrophy of the mucous membrane and loss of smell. The disease can be complicated by the formation of an abscess.
Patients with chronic sinusitis, as a rule, are treated long and unsuccessfully for chronic bronchitis and other possible causes of chronic cough.
Treatment of chronic sinusitis at home with drugs
Chronic sinusitis in children and adults requires compulsory treatment, while it is very important that the appointment of therapy carried out by an experienced specialist.
Treatment of this disease should be complex. As a rule, physicians prescribe local or common glucocorticoids, antibiotics and saline solutions for rinsing.
Of all these groups of drugs, antibiotics are considered to be the most important, although the role of bacteria in the development of this ailment remains controversial.
Treatment in a hospital is shown primarily to patients with developed orbital and intracranial complications. In addition, patients with immunodeficiency and children need hospital treatment.
In deciding the question of how to treat chronic sinusitis, one should be guided by drugs that affect the various links of the pathological process. One of these means are decongestants. They cause narrowing of the vessels of the mucous membrane and thereby contribute to the elimination of edema, the reduction of local inflammation and the normalization of outflow from the sinuses.
The most popular drugs in this group are drugs that include oxymetazoline (for example, Nasivin or Nasol), phenylephrine (in particular, Vibrocil), naphazoline (all known as Naphthysin), xylometazoline (these are familiar to many Otrivin and Galazolin).Care should be taken when using drugs of this group in patients diagnosed with chronic sinusitis. You can not tolerate treatment with these drugs for more than 5-7 days, otherwise there is a risk of addiction and drug rhinitis.
After the doctor has determined the symptoms of chronic maxillary sinusitis and treatment in adults, and the children are selected appropriate. And it is quite possible that to obtain the best result the patient will need to prescribe corticosteroids.
Such means for direct introduction into the nose (sprays, drops) are especially effective in the combination of sinusitis with polyps, a medicamentous variant of rhinitis and an allergic rhinitis.
Along with antibiotics, these drugs are key components of the therapy of this ailment.
The most well-known of this group of drugs are fluticasone-based drugs (eg, Fliksonase), beclomethasone (Aldecin) and mometasone (Nazonex).
In the question of how to cure chronic sinusitis, not the last role of the physician is assigned to the lavage of the nose. Used for this, saline solutions, moisturizing the mucous membrane, reducing edema and mucus viscosity.
Solutions may include a solution of sodium chloride or sea water. Most often in pharmacies there are Aqua Maris, Dolphin and Marimer.
The pharmaceutical industry also produces combined preparations, which, in addition to sea water, also contain vasoconstrictor substances. An example of such drugs is Snoop, which is a combination of sea water with xylometazoline.
How to treat chronic sinusitis with antibiotics?
Antibiotics for chronic sinusitis can be used only when there are signs of bacterial infection in the clinical picture of the disease. If this ailment has developed for some other reason, then the use of antibacterial medicines will not yield any results.As a rule, such drugs as Doxycycline and Amoxicillin are used as antibacterial therapy for patients with sinusitis. Trimethoprim or Sulfamethoxazole is also used. If such treatment of chronic sinusitis does not have an effect, then the drugs should be replaced by others.
In the treatment of antimicrobial medicines, it is extremely important to follow the prescribed course of treatment. In most cases this is 10-14 days, but a longer period of therapy may well be required. It all depends on how soon the patient's condition will improve.
If you stop taking medication after a few days, then the manifestations of the illness come back and quickly enough.
How to cure chronic sinusitis at home using folk methods?
Helps with the diagnosis of chronic sinusitis and treatment at home using folk methods.It should be remembered that a good help in the fight against the disease rest. And to dilute the secretions and improve the patency of the nasal passages, you need to drink plenty of fluids. It is better to avoid drinks with caffeine and alcohol, tk. they lead to dehydration, and alcohol also worsens the swelling of the mucous sinuses.
Sleep with this disease is recommended in a position with a slightly raised head. Due to this, it is possible to reduce congestion in the sinuses of the nose.
In patients with a diagnosis of sinusitis, chronic home treatment should include moistening of the sinuses. To do this, you can inhale the steam from the hot water tank while holding the towel over your head and trying not to direct the steam into your face. In addition, you can inhale warm moist air by taking a hot shower. Such procedures facilitate pain and help in the mucus.
Pain can also be reduced with a warm compress:for example, put a warm towel on the cheek area of the nose.
Solving the question of how to cure chronic sinusitis at home, do not forget about washing.
Usually, for this disease, special devices are used to rinse the nasal passages:in particular, a syringe with a flexible tube or syringing. Used for washing, usually salt water. You can also rinse your nose with propolis.
Surgical treatment of chronic sinusitis
If even after adequate, properly prescribed therapy the disease continues to develop, then the treatment of chronic sinusitis in adults and children should be performed surgically.
Nowadays there is endoscopic surgery. Doctors using an endoscope first examine the paranasal sinuses, and then remove polyps and tissues that cause nasal congestion with a special tool.
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Methods and methods of treatment of sinusitis in adults
Sinusitis - inflammation of the paranasal sinuses, many do not consider it an important and dangerous disease. Treatment of maxillary sinusitis in adults is more often associated with persuasions, moods and refusals of drugs than children.Adult intelligent people come to the doctor already with a severe form of chronic sinusitis, with severe headaches, complete absence of nasal breathing.In such cases, for a quick relief of the condition, it remains to puncture and wash the sinuses. The procedure is not pleasant, but the patients themselves do not leave themselves the choice. The doctor thinks about possible complications and spread of the inflammatory process to the meninges, damage to the facial and trigeminal nerves.
When you go to an early stage of the disease, you can pick up medicines to treat sinusitis, offer folk remedies, physiotherapy, massage.
Methods of treatment of sinusitis in adults
In adult patients, a polyclinic of the genyantritis is most often associated with an untreated viral infection after a respiratory illness or flu. A prolonged runny nose causes pathological pathogens to penetrate into the maxillary and frontal sinuses of the nose, a bacterial infection joins and suppuration occurs. A chronic process is quickly formed. Exacerbations occur after each hypothermia, several times a year.
Medication
To treat chronic sinusitis you need a whole complex of medications.
- Treatment with antibiotics of acute sinusitis, as a rule, is not effective. Not because the drugs are not prescribed, but because of the lack of the ability of antibiotics to act on viruses. Pathogens of influenza, adenoviruses, herpes infection are insensitive to antibiotics. However, a bacterial infection complicates the disease and leads to severe inflammation. Therefore, the use of broad-spectrum antibiotics with a short course in this case is justified, the dose and duration of treatment is determined only by the doctor.
You can not prescribe antibiotic treatment yourself or stop prescribing ahead of schedule.This contributes to the loss of sensitivity of pathogens to the antibiotic.
In the severe stage of chronic sinusitis, antibiotics are administered intramuscularly, hormonal agents are prescribed.
A more effective way of treatment is the local use of anti-inflammatory drugs based on antibiotics in the form of sprays. "Bioparox "Isofra "Polidex" are popular in chronic sinusitis sprays with a deep penetration of the anti-inflammatory drug close to the source of the disease. Use medicinal sprays need 15-20 minutes after the use of vasoconstrictors and possible cleansing of the nasal passages.
For treatment of chronic sinusitis, a spray with an antiviral effect is recommended - Sinupret.
- As vasoconstrictive medications for adults, nasal drops (naphthyzine, galazoline, ximelin) or sprays are recommended. It is necessary to use these drugs no longer than five days, as they cause the mucous membrane to overdry. To hypertensive people any vasoconstrictive medicines are contraindicated.
- To dilute the contents of the sinuses, wash the nasal passages from the remains of mucus, pus and germs can be used sprays based on sea water containing plant mucolytic agents - "Marine "Aqua Maris " "Sinuforte". For washing, a weak solution of potassium permanganate or furacilin is suitable.
- Symptomatic means. With severe headaches, you can apply aspirin, analgin, ibuprofen. Do not abuse these drugs if there is chronic gastritis.
Folk remedies
Traditional medicine is widely recommended for the treatment of chronic sinusitis.
- With the help of chamomile, marigold, plantain, it is possible to effectively and safely wash the nose both during the period of exacerbation and for prophylaxis. Decoctions are prepared as tea one spoon for a glass of boiling water.
- These same broths are used for compresses on the forehead, nose and nose. Treating from sinusitis with compresses is better at night.
- From calanchoe, aloe, beet, juice is obtained for instillation in the nose or treatment with nasal tampons moistened in solution.
Puncture of the maxillary sinus
In severe inflammatory process, adult patients after local anesthesia undergo a puncture of the maxillary sinuses followed by washing, suctioning of purulent contents and the introduction directly into the inflammatory focus of antibiotics, diluting enzymes (trypsin, chymotrypsin). In the period between the punctures, it is possible to use the washing of the nose with folk methods.
Treatment by physiotherapy methods
It is carried out in conjunction with medicines and folk remedies. Applied UHF apparatus, lamp "Sollux tube-quartz, laser therapy. These apparatuses allow, in addition to a small bactericidal action, to remove edema of the nasal passages, to restore epithelial cells, and to stimulate local immunity.
The use of electrophoresis and ultrasound therapy presupposes a profound introduction of medicinal anti-inflammatory drugs with the help of physical stimulation.
To treat chronic sinusitis, laser irradiation can be performed inside the nasal passages and outside at the points of acupuncture points.
Massage or self-massage is prescribed in the early stages of the disease or during the recovery period. If there is purulent contents in the sinuses, the massage is strictly contraindicated.
Any kind of treatment of sinusitis in adults is associated with possible side effects of drugs, antibiotics, herbal remedies, with increased individual sensitivity of the body. Therefore, it is necessary to consult with the attending physician on all matters.
With a clear performance of all medical measures, exacerbation of the sinusitis is cured within 7-10 days. To get rid of the chronic process, you will have to be treated with all possible measures for two to three months and will be involved in the prevention of the disease.
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Antibiotics for sinusitis: which ones to choose, and which ones should be abandoned
Antibiotic therapy, which over the past few years is characterized by rapid development, often becomes the only method that allows to stop the course of the disease in time. Antibiotics for sinusitis are sometimes the only way to overcome the developing inflammation.Sinusitis is a serious disease that is dangerous for a person's life by that often causes many complications. Therefore, for any signs of sinusitis, you should consult a specialist who usually prescribes antibiotics at the initial stages of the ailment.
Features of antibiotic use
Antibiotics are common drugs used in the occurrence of infectious diseases in the body. They are medicines created by artificial chemical means or using certain fungi and bacteria. Their
The use against sinusitis allows you to defeat the infection within 3-4 days from the time the treatment started.The drugs can be administered orally, in the form of injections, by administering the drug into the nasal sinuses. With serious, neglected forms of maxillary sinusitis, simultaneous use of several types of antibiotics is acceptable.
The patient should understand that alcohol consumption in the treatment with antibiotics is unacceptable, because they interfere with the action of the drug, cause strong intoxication of the body.
Widely used medicines
Most often, experts prescribe to their patients such drugs as Penicillin, Biseptol, Cefazolin, Ampicillin. Among the potent antibacterial drugs are the following:
- Tavanik;
- Macropean;
- Rulid;
- Azithromycin;
- Augmentin;
- Zitrolide.
Treatment of sinusitis with such antibiotics can be accompanied by complications - severe bleeding from the nose, dizziness, nausea, vomiting, allergies, dysbiosis, digestive disorders system.
To the least toxic preparations with which the antritis is treated at the very beginning of the development of pathogenic microorganisms, belongs Zitrolid. These antibiotics exert bactericidal action on bacteria that parasitize bacteria, which speeds up the healing process. However, in the treatment of antibiotics of this type against sinusitis, side effects may occur-bloating, abdominal pain, signs of nervous exhaustion, nausea, heart palpitations. Do not treat sinusitis with sytrolide in renal and hepatic insufficiency.Sinuphorte is an effective antibiotic against sinusitis. It promotes increased secretion in the nose, causing a large amount of pus excreta.
In what form is it better to take the drug?
Medicinal antibacterial preparations against sinusitis can be produced in various forms. Treat sinusitis can be antibiotics in these forms:
- pills;
- drops, sprays;
- injections.
Pills
As a rule, antibiotics of general action in the form of tablets are used against sinusitis. Specialists choose to treat this disease with antibacterial drugs of a new generation - Flemoxin, Augmentin, Solutab, Macroben. In therapy against the inflammatory process in the nasal sinuses, they have a stronger and faster effect. The advantage of these antibiotics against sinusitis still lies in the fact that they are not only able to overcome bacteria, but also prevent the development of many complications, which entails genyantritis - otitis media, meningitis. By choosing the treatment of sinusitis with drugs of this form, you can stop it after 5 days of taking.
Drops and Sprays
Effective antibiotics of local action against sinusitis are considered to be drops and sprays. But, treatment with them becomes possible only with the condition of free passage to the maxillary sinuses.
It is important to know that in case of severe suppuration, antibacterial therapy against sinusitis can be applied only after using vasoconstrictive drops.
To enhance the effect of the active ingredient, the complex use of drops and tablets is often prescribed.
Injections
In situations where the genyantritis has already acquired a neglected form or when the organism is intoxicated, antibiotics are administered intramuscularly. They very quickly penetrate into the mucous membrane of the nasal sinuses, so that the treatment becomes the most effective. Treating sinusitis with antibacterial drugs should, based on the form and stage of the disease, the patient's condition.
Sinusitis in children
Antibiotics from sinusitis in children are prescribed systematically, and treatment is performed by a pediatrician. The most effective are local drugs that affect the focus of the infection. To treat childhood genyantritis can be an antibacterial medicine of a new generation Bioparox. Applying it, the active ingredients act solely on the mucous membranes of the nose. When treating children before 2, 5 years of age, use this medication is contraindicated. Also, in situations where there is no improvement after 3 days, it is recommended that the disease be treated with general-purpose antibiotics.
Treatment of sinusitis in children can be supplemented with physiotherapy and nasal sinus washing. Experts say that when doing physical exercises, it becomes necessary to reduce the dosage of the medication and the duration of its administration.
When is antibiotic therapy inevitable?
Antibiotics, being a potent remedy, must be taken in situations where the sinusitis grows into a serious stage of development. Sinusitis can cause serious disturbances in the patient's body, causing such complications as meningitis, otitis, osteomyelitis, neuritis, pneumonia, chronic bronchitis. That is why, if there is no possibility to stop the development of inflammation in the nasal sinuses with the help of weak-acting drugs, an antibiotic against the sinusitis comes to the aid of the patient.
Thus, it should be understood that the treatment of sinusitis should be at the initial stages of its development. Therefore, at the first signs of malaise, which manifests itself as a headache, painful sensations in the postorbital area, a runny nose, it is necessary to visit a doctor.
Good to know!
If shortly before the sinusitis appeared, patients were treated with antibiotics, this should be notified to the doctor. Usually, treatment is carried out with other antibiotics, since some people may become addicted to certain bacteria.
- Antibiotics should be changed to others and in cases if there is no improvement after a 4-day course.
- Taking antibiotics against inflammation in the maxillary sinuses, a rash appeared on the body, redness, the patient complains of itching, it is necessary to consult a doctor.
- Avoid excess dosage, established by a specialist, because antibiotics often cause violations of intestinal microflora, dysbiosis.
Cure maxillary sinusitis with antibacterial therapy is possible without the occurrence of side effects only if all the rules of its application are observed. Antibiotics for sinusitis are a powerful tool in the hands of an experienced specialist.
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