Antibiotics from bronchitis and pneumonia

Antibiotics for bronchitis

The thunderstorm of the autumn-spring period is bronchitis. Often it begins with a common cold and other respiratory diseases - sore throat or sinusitis. How to treat bronchitis correctly, only the doctor will say. Many people avoid using strong medicines and are treated with folk remedies. Often this is the reason for the transition of manifestations of bronchitis in the chronic course of the disease. Antibiotics for bronchitis should not be taken alone - be sure to contact your doctor.

Scheme of treatment of bronchitis and pneumonia with antibiotics

Treatment of inflammation of the respiratory tract is carried out in a hospital or outpatient. Light bronchitis is successfully eliminated at home, chronic or acute manifestations require hospitalization. Bronchitis and pneumonia are insidious diseases, so do not self-medicate. For adults and children, doctors prescribe different antibiotics and apply different healing procedures. Thus, antibiotics for bronchitis and the treatment regimen depend on:

• age;
• having a tendency to allergies;
• the nature of the disease (acute, chronic);
• type of pathogen;
• parameters of the drugs used (speed and spectrum of action, toxicity).

Antibiotics powerfully affect the human body, and their thoughtless use can harm, not help. For example, the use of strong drugs in the prevention of bronchitis can have the opposite effect. The constant intake of antibiotics inhibits immunity, promotes the emergence of dysbiosis, adaptation of strains of the disease to the drugs used. Therefore, it can not be said that antibiotics are the best remedy for bronchitis. Treatment of obstructive bronchitis with antibiotics is prescribed in the case of:

• if there is a high temperature (more than 38 degrees), which lasts longer than 3 days;
• purulent sputum;
• protracted nature of the disease - treatment for longer than a month does not bring recovery.
• manifesting severe symptoms during exacerbation.
• if the analysis of sputum revealed pathogens, bacterial or atypical nature.

In adults

What antibiotics to drink in adults with bronchitis? A specific treatment regimen is used based on the severity of the disease, its course and the age of the patient. With bronchitis of acute type, drugs of penicillin group are prescribed - Amoxicillin, Erythromycin. With chronic it is possible to use Amoxiclav, Augmentin. If this group of drugs does not help, they switch to the use of Rovamycin, Sumamed and others.

For the elderly, Flemoxin, Azithromycin, Suprax, Ceftriaxone are prescribed. If sputum analysis was not performed, then a wide range of antibiotics are preferred: Ampicillin, Streptocillin, Tetracycin, etc. After the analysis, the doctor prescribes directed drugs. The decision on what antibiotics to take when bronchitis in adults is taken by the attending physician. In any case, the following treatment principles should be adhered to:

1. Drugs are taken strictly according to the instructions (dosage, schedule) at regular intervals.
2. It is unacceptable to skip the reception of tablets.
3. If the symptoms of bronchitis have disappeared - you can not arbitrarily stop treatment.

Children

Unlike adults, the treatment of bronchitis in children with antibiotics is extremely undesirable and dangerous. It is allowed to use drugs only if there is a suspicion of an infectious type of disease. Children should take penicillin group drugs. For children with asthma, the use of azithromycin, erythromycin is allowed. In the rest the treatment scheme of the child is standard and is aimed at eliminating symptoms. Assign:

• bed rest, child care;
• drugs to reduce temperature;
• means for eliminating cough and sore throat;
• application of traditional medicine.

Groups of antibacterials of new generation

Penicillins (oxacillin, ampicillin, ticarcillin, piperacillin). The group of drugs includes such as "Amoxiclav", "Augmentin", "Panklav", etc. They have a bactericidal effect, they affect the formation of the protein wall of a harmful bacterium, as a result of which it dies. Preparations with it are considered the safest. The only negative is the ability to excite allergic reactions. If the disease is started and the drugs with penicillin do not have the proper effect, then they switch to strong drugs.

Macrolides. An extensive group of drugs, which include erythromycin, oleandomycin, midecamycin, dirithromycin, telithromycin, roxithromycin, clarithromycin. The brightest representatives of macrolides on the pharmacological market are preparations "Erythromycin", "Claricin", "Sumamed". The mechanism of action is directed to the disturbance of the vital activity of the microbial cell. In terms of safety, macrolides are less harmful than tetracyclines, fluoroquinols, more dangerous than penicillins, but they are good for people who are allergic. In combination with penicillins reduce their effectiveness.

Fluoroquinolones (pefloxacin, lomefloxacin, sparfloxacin, hemifloxacin, moxifloxacin). On the market, the drugs are presented by "Afelox", "Afenoxin", and medications that are of the same name with the main active substance, for example, "Moxifloxacin". This group is used as a medicine for bronchitis. It is prescribed only if the previous two groups of antibiotics did not affect the causative agent of the disease.

Cephalosporins (active substances - cephalexin, cefaclor, cefoperazone, cefepime). According to the type of pathogen, the patient is prescribed "Cefalexin", "Cefuroxime axetil", "Cefotaxime". Limited to the effect on some pathogens. For example, such antibiotics absolutely do not affect pneumococci, chlamydia, microplasmas, listeria. Preparations of the first generation are practically not absorbed into the blood, and therefore are administered in the form of injections.

Which antibiotics are the most effective?

Amoxicillin. Form release - capsules and granules. Adults take 500 mg (1-2 capsules) 3 times a day, if the bronchitis in severe form is doubled to 1000 mg. The child is prescribed from 100 to 250 mg per day, depending on the age. To facilitate admission for children, a suspension is prepared - in half a glass of water, the antibiotic is diluted and shaken. The method of intake is only oral, by injection the drug is not administered.

Sumamed. It is used for bronchitis and pneumonia. It is not used by patients with liver and kidney dysfunction. Produced by tablets, capsules, powder for suspensions. Dosage for adults - 500 mg per day, course 3-5 days. Children dose determined by weight - 5-30 mg of medicine per 1 kg. More accurate and correct dosage will be told only by a specialist, do not neglect medical opinion.

Levofloxacin and Moxifloxacin. They are positioned as antibiotics for chronic bronchitis in adults (over 18 years of age). Highly effective in pneumonia, sinusitis, pyelonephritis, infections of various etiologies. The use of this antibiotic is accompanied by a plentiful drink. Avoid direct contact with ultraviolet light of any origin. The form of release - tablets. Dosage - 1-2 times a day for 500 mg.

Cefazolin. Produced by powder for the preparation of infusions and injections. Methods of administration - only intravenously and intramuscularly. For adults, 3-4 injections per day for 0.25-1 g Therapeutic course - 7-10 days. The child's dose is determined proportionally to the weight of the child - 25-50 mg per 1 kg. Stabbing - 3-4 times a day. If patients have renal dysfunction, dosage adjustment is performed.

Side effects

Antibiotics because of their nature have an extensive list of side effects. From the gastrointestinal tract - is diarrhea, vomiting, dysbiosis, constipation, abdominal pain, dyspepsia, flatulence, dry mouth. From the urogenital organs - itching, impotence, kidney failure, blood in the urine. On the part of the locomotor system - dizziness, arthritis, muscle weakness, numbness of the limbs, paralysis. Skin reactions are hives, itching, allergic reactions.

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Antibiotics for bronchitis

Antibiotics for bronchitis are selected after a thorough examination, examination and all necessary tests by the treating doctor.

Bronchitis is a common disease, both among children and among older people; in recent years, the disease has become chronic in the population. In an adult, the signs of the disease manifest themselves differently depending on certain factors. Before you start treating the disease, you need to determine the cause that led to the disease. Unfortunately, modern doctors prescribe antibiotics at random, according to the principle of "no more will be." However, with some forms of bronchitis, the use of antibiotics only hinders recovery. Bronchitis of a viral origin and without antibiotics is well treatable, since viruses are not destroyed by antibacterial agents. When treating viral bronchitis with antibiotics, depression of immunity begins, dysbacteriosis, allergic reactions, bacteria develop resistance to the drug.

With bronchitis in acute form, the focus of inflammation in the bronchi develops due to ingestion of viruses or infection. If before the disease in humans in the lungs there were no pathological processes, in 95% of the bronchitis was caused by viruses. At a bronchitis of the acute form of a virus origin antibiotics are not obligatory. If a person has a strong immune system, then the treatment of staphylococcal, streptococcal, pneumococcal infection is predominantly symptomatic, recovery is an average of two weeks. If the defenses of the body are weakened, antibiotics must be taken. Acute bronchitis is manifested by a strong cough, pain in the chest, increased body temperature. Most of the patients recover fairly quickly (within two weeks), in some cases, cough lasts about a month.

Chronic bronchitis is considered if the disease occurs throughout the year often enough (the total number of days of illness for a year exceeds 90). At a chronic bronchitis of the person excruciates a strong cough with allocation of slime. Such a cough can be associated with harmful working conditions, smoking, allergic manifestations, infections in the upper respiratory tract. With exacerbations or repeated diseases, treatment is carried out with antibacterial drugs in combination with expectorants.

In a separate category there are bronchitis of Chlamydia and Mycoplasma origin. Recently, bronchitis, provoked by bacteria of chlamydia and microplasma, is diagnosed more often. The development of the disease is very slow, accompanied by signs of intoxication, the disease proceeds in a protracted form, with frequent relapses, treatment such bronchitis succumb extremely hard. In addition to a person's strong cough, fever, high fever, and muscle pains are excruciating.

Antibiotics for pregnant women with bronchitis

The frequency of bronchitis in pregnant women is quite high. This is primarily due to a weakened immune system that is unable to resist viruses and infections. The development of bronchitis begins as a manifestation of the common cold (weakness, temperature). After a few days, a dry cough begins, and after a couple of days sputum begins to appear from the bronchi. It is extremely important for a future mother to take their health seriously, because this threatens with various (sometimes quite serious) complications for the child. If there is a suspicion that the bronchitis is developing, you should immediately consult a doctor.

The excretion of sputum from the lungs in pregnant women is difficult, since the mobility of the diaphragm is reduced, and it is in a raised state. A long time stagnating in the bronchi sputum prolongs the term of the disease, in addition, this state is extremely harmful for the future mother, and for her baby. If in total the disease lasted no more than two weeks, most likely the disease was in acute form, but if the treatment lasted for a month or more - it means that the disease has passed into a chronic form. Acute bronchitis has no harmful effect on the future baby, but a long chronic form of the disease can lead to intrauterine infection of the fetus. After the examination and all tests confirmed the diagnosis of bronchitis, treatment of a woman should be started as soon as possible.

X-rays to pregnant women are prescribed only in extreme cases, when a doctor has doubts about the correct diagnosis, the disease is accompanied by a very serious condition of the woman, various complications arise. Antibiotics for bronchitis are prescribed quite often, but the use of such potent drugs for women in the period pregnancy is not recommended, especially during the first three months you need to exclude any medications. As a rule, antibiotics are prescribed to pregnant women in extreme cases, when mothers are threatened with serious complications. In the event that it is not possible to dispense with antibiotics, preparations from a number of penicillins, which can be used in the treatment of pregnant women, are prescribed. These drugs virtually eliminate the possibility of harm to the child. If a woman is in the second trimester, then the use of cephalosporin group drugs is possible.

With bronchitis in acute form, you can use Bioporox - a local antibiotic with which inhalations are carried out. This agent acts directly in the respiratory tract, therefore, the possibility of penetration through the placenta is completely excluded, which is extremely important for a woman in the position.

List of antibiotics for bronchitis

Aminopenicillins:

• amoksiklav;
• amoxicillin;
• arlet;
• augmentin.

Antibiotics of this series are destructive to the walls of bacteria, their action is directed only at harmful microorganisms, and there is no harm to the body as a whole. The only drawback of such drugs is that penicillins are capable of provoking strong allergic reactions.

Macrolides:

• Macropen;
• sumamed.

Block the multiplication of microbes due to disruption of protein production in cells.

Fluoroquinolones:

• ofloxacin;
• levofloxacin;
• moxifloxacin.

Antibiotics for bronchitis of a wide spectrum of action, their frequent use leads to disruption of the digestive tract, provokes dysbiosis.

Cephalosporins:

• ceftriaxone;
• cefazolin;
• cephalexin.

Antibiotics of a wide spectrum of action, well cope with microorganisms resistant to penicillins. Preparations of this group are usually well tolerated by patients, in very rare cases cause allergic reactions.

Antibiotics for bronchitis in adults

Antibiotics for bronchitis in older people often have a major importance in the treatment of the disease. First of all, anti-infectious agents with antibacterial effect are used: rovamycin, flemoxin, chemomycin, azithromycin.

In second place is a cephalosporin group of antibiotics: suprax, ceftriaxone, cefazolin, cefepime. Such antibiotics are used in light and medium course of the disease, mainly in the form of tablets. Severe stages of the disease are treated with injections, in some cases it is advisable to use combination therapy combining injections and taking tablets. With bronchitis of viral origin, antiviral agents such as vifron, kipferon, geneferon, and the like are used. It is also necessary to take expectorants (ACS, lazolvan, bromhexine, etc.). If you suffer from dyspnea, you can use bronchodilators: teopek, euphyllin, berodual, salbutamol, etc. Also, treatment should be supplemented with vitamin preparations to strengthen the defenses of the body.

If antibiotics are prescribed without sputum analysis, preference is given to broad-spectrum antibiotics, usually penicillin or a protected penicillin group. The most commonly prescribed is augmentin from the group of protected penicillins, which has a disastrous effect on most bacteria that are unable to develop resistance to this drug. Augmentin is available in the form of tablets, injections, suspensions. The drug in the form of a suspension is convenient to use for the treatment of small children, this drug can also be used in pregnancy. Safety of use of the drug in childhood and pregnant women has been proved by numerous studies.

Also, antibiotic preparations of the macrolide group, for example, azithromycin, have a good therapeutic effect. Preparations are convenient to use, since it is required to be taken once, besides the course of treatment is not very long, 3 to 5 days.

However, the appointment of an antibiotic should be carried out taking into account the identified pathogens of the disease, on the basis of bacteriosives (sputum analysis).

Antibiotics for bronchitis in children

To treat such a disease as bronchitis in children, drugs that improve drainage are mandatory bronchi, i.e. a variety of mucolytic agents (liquefying phlegm): ambroxol, licorice root, althea, etc. Recently, inhalers have become very popular with the help of a special inhalation device - a nebulizer, which can be used at home.

Antibiotics for bronchitis in children are often prescribed together with antiallergic and immunomodulating drugs. Its effectiveness and safety for children was proved by the phytoantibiotic Umkalor, which includes bacteriostatic properties. This drug is well suited for the final cure of the disease, after using more powerful antibiotics, since the drug has good immunostimulating properties. Umcalor is recommended to take at least a week after the disappearance of the main symptoms of the disease for prevention.

It is mandatory to take the means to maintain and restore intestinal flora, to prevent the development of dysbiosis and weakening the body's defenses. If treatment is started in a timely manner and an effective course of treatment is chosen, recovery occurs in 2 to 3 weeks.

Antibiotics for chronic bronchitis

Chronic bronchitis develops a change in the bronchial mucosa. Characteristic signs of bronchitis is sputum for more than two consecutive years, frequent prolonged exacerbations of the disease (at least three months a year). With chronic bronchitis there are stages of exacerbation and remission. In case of exacerbations, usually, the patient's extremely difficult condition is observed, in which he is forced to seek qualified help. In such periods, people suffer severe attacks of cough, weakness, increased sweating, fever. Periods of remission are accompanied by regular sputum discharge when coughing, which does not greatly affect a person's daily life. With chronic bronchitis, mucous ulcers get purulent sputum, sometimes bloody impurities appear.

The chronic form of bronchitis is most often sick at an older age, young people and children usually suffer the disease in a protracted form, with frequent relapses.

Antibiotics for bronchitis should be prescribed only after determining the sensitivity of pathogens to the active substance. Exacerbation of the chronic form of the disease can occur with the activity of chlamydia, legionella, and microplasmas. In this case, effective drugs for the treatment of the disease are antibiotics of the macrolide group (azithromycin, rovamycin). If the causative agent is Gram-positive coccal bacteria, antibiotics of the cephalosporin series are prescribed, with Gram-negative coccal infection - preparations of the last generation.

Good efficacy in the treatment of chronic forms of bronchitis are shown by antibiotics of a wide spectrum of action, tetracyclines, macrolides, etc.

Antibiotics for acute bronchitis

The causative agents of the acute form of bronchitis are mainly rhinovirus infections, respiratory-sentient viruses, influenza viruses and the like. Bacterial pathogens of the disease most often are mycoplasmas, chlamydia. The culprits of acute bronchitis are viruses in 90% of cases, in the remaining 10% - bacteria. Also, acute bronchitis can develop as a result of prolonged exposure to poison gas or chemical compounds.

When acute form of bronchitis appears cough with the discharge of mucous sputum (sometimes with an admixture of pus), fever, weakness. In some patients, cough lasts about a month.

Antibiotics for bronchitis, which occurs in acute form, in most cases, use is undesirable, since the disease is most often caused by a viral infection, in which antibiotic therapy is ineffective. Treatment of bronchitis in acute form is mostly symptomatic (antipyretic, antitussive, vitamin preparations). If bronchitis has developed as a result of influenza virus, treatment is advisable to carry out antiviral drugs.

In some cases, the use of antibacterial drugs for bronchitis is still a necessity. First of all, these are people in old age and small children, since they have an increased risk of developing severe complications (exacerbation of chronic disease, pneumonia). Usually, in such cases, amoxicillin (500 mg three times a day), josamycin (500 mg three times a day), spiramycin (2 times a day for 3 million IU), erythromycin (500 mg four times a day) is prescribed in such cases.

Antibiotics for obstructive bronchitis

Obstructive bronchitis is accompanied by a dry obtrusive cough that lasts almost without stopping, usually arises, and after coughing, there is no relief. Cough often intensifies at night, thus preventing a person from resting, the first time the body temperature is not increased. The usual symptoms of the disease (weakness, headache, fever) are practically not observed. In most cases, dyspnea appears in the disease, difficulty breathing, small children often widen the wings of the nose when trying to breathe, while breathing noisy, with hissing sounds.

The course of obstructive bronchitis occurs in acute or chronic form. Diseases in the acute form are most often affected by children, chronic - adults and elderly people.

Antibiotics for bronchitis of the obstructive form are appointed after a bacterial infection is detected. The usual means used for treatment are fluoroquinolones, aminopenicillins, macrolides. With an exhausting cough that does not give the patient a full rest, an erespal is prescribed (usually one tablet twice a day).

Antibiotics for purulent bronchitis

The development of a purulent form of the disease usually occurs due to the initially incorrect treatment of the acute form of the disease. With bronchitis, sputum analysis is rarely prescribed for sensitivity, and in most cases, drugs with a wide spectrum of action are immediately prescribed. Usually this kind of treatment is effective. Together with antibiotics, thinner phlegm and antiallergic drugs are prescribed. A number of complications are caused by the viral nature of the disease, in this case, antibiotics for bronchitis are completely ineffective, since their effect does not apply to viruses. With such treatment, the disease progresses, and passes into a more severe form, most often into a purulent one. With purulent bronchitis, sputum appears with purulent impurities.

Treatment of the disease should be done after the mandatory determination of microflora and its sensitivity to antibiotics. Good efficacy in the treatment of purulent forms of bronchitis show inhalation.

Natural antibiotics for bronchitis

Natural antibiotics in bronchitis can not completely replace drugs, but they can fully protect the body from most infections, to strengthen immunity (in contrast to chemical), besides natural remedies do not destroy microflora in the intestine and do not provoke dysbiosis.

For a long time people knew the products and plants that had anti-inflammatory and bactericidal properties during treatment. One of the most famous strong antibiotics of natural origin is garlic. It well destroys viruses, bacteria, parasites, penetrating into our body. Garlic acts fatal to such bacteria as Styrmococcus, Staphylococcus, Salmonella, diphtheria, tuberculosis. In total, garlic fights with 23 different bacteria.

Onion is also a widely known powerful natural antibiotic that helps stop the reproduction of sticks of dysentery, diphtheria, tuberculosis, streptococcal, staphylococcal infections. The aroma of onion helps cleanse the airways.

The root of horseradish contains lysozyme, which destroys the cellular structure of bacteria, thereby eliminating the infection.

Black radish acts destructively on cells of microorganisms. In combination with honey, it has a strong bactericidal effect. In addition, it helps to strengthen the defenses of the body, weakened by the disease.

Pomegranate has strong anti-inflammatory and antimicrobial properties, since ancient times pomegranate has been used for the treatment of typhoid, salmonellosis, colitis, gastric diseases, not healing wounds, dysentery, cholera, inflammation of the throat. Substances in the pomegranate function in the human body selectively, in contrast to chemicals, and destroy only pathogens.

Raspberry has long been known for its sweating, anti-inflammatory, bactericidal properties, besides, it has a good soothing effect. Raspberries are especially effective for diseases of the throat, bronchi, and the like.

Kalina has good bactericidal properties, successfully destroys various fungi, bacteria, viruses, and also increases immunity. But the viburnum can not be taken continuously, it is recommended as a prophylaxis of seasonal diseases (in the autumn-winter period).

In honey contains all important for our body trace elements. It helps to cope with various diseases, in particular caused by bacterial infections.

The composition of propolis is rich in essential oils, flavonoids, flavonoids, organic acids. Scientists have repeatedly argued that propolis is effective in fighting a variety of pathogenic microorganisms. Propolis has no contraindications and side effects (except for individual intolerance), in addition, microorganisms do not develop resistance to it.

Aloe - a long-known medicinal plant, which is popular in our days. In scarlet, except for a multitude of trace elements, vitamins, etc., there is one substance that has a strong antiviral, antiseptic, antifungal effect. In addition, scarlet increases the body's defenses and helps cope with serious diseases.

Mumiye in its principle of action resembles propolis. Scientists have already been shown the presence in the mummy of an antibiotic, which is superior in strength to the effects of penicillin. The solution mummy destroys E. coli, staphylococcus and other pathogenic microorganisms. Take mummies should be a course of no more than 10 days, because there is a strong stimulating effect.

In the composition of chamomile is a large number of essential oils, which have a good anti-inflammatory and antiseptic effect on the human body. Also in the composition of chamomile are various acids, glucose, carotene, which are very useful for human health. Modern science has recognized the chamomile as one of the few plants that help a person effectively combat gastrointestinal diseases, nervous disorders, colds, etc. Camomile is also a strong antiseptic and has expectorant properties.

Calendula has a wide variety of uses. Its antibacterial properties of calendula is due to the essential oil entering into its composition. Infusion and flowers of calendula is usually well tolerated by people prone to allergic reactions.

Sage is one of the strong natural antibiotics, which has antiseptic and antiviral properties. Sage has proven itself as an additional remedy in the treatment of diseases that cause various viral and bacterial infections. It is very effective against gram-positive microorganisms (enterococci, staphylococci, etc.).

Essential oils of plants such as sage, cloves, tea tree, fir, lavender, mint, etc. are natural antibiotics that destroy bacteria, viruses, fungi and inhibit the reproduction of microbes.

A good antibiotic for bronchitis

Antibiotics for bronchitis are used in several groups:

• aminopenicillins - act destructively on the walls of bacteria, thus causing the death of microorganisms. Amoxicillin is often prescribed from this group. The human body does not have components that are similar in structure to the bacterial cell walls, so drugs of this group act solely on microbes and do not have a harmful effect on the human body. But penicillin antibiotics are more likely than other drugs to provoke severe allergic reactions.
• macrolides - disrupt the production of protein in bacterial cells, as a result, bacteria lose their ability to reproduce. A wide spread of azithromycin, roxithromycin. If the nature of the disease is protracted, drugs of this group can be treated for a long time, without fear that the medicine will harm the body. This group of drugs can be used in childhood, during pregnancy and lactation.
• fluoroquinolones - break the DNA of bacteria, which leads to their death. Usually moxifloxacin, levofloxacin is prescribed. Preparations of this group show a good result in the treatment of various forms of bronchitis, but they are quite expensive. Fluoroquinolones have a wide spectrum of action (an order of magnitude greater than macrolides and aminopenicillins), therefore, with prolonged reception, the development of dysbacteriosis is provoked.

Antibiotics from which group is better, it is rather difficult to say. The drugs of the first line (ie those that the doctor appoints first) are penicillin antibiotics. With individual intolerance or expressed resistance of microorganisms to penicillins, second-line drugs - macrolides are used. If, for some reason, macrolide antibiotics are not effective in treating bronchitis, they switch to fluoroquinolones. Usually, treatment is limited to only three of the above groups of antibiotics, but in some cases, tetracyclines, cephalosporins can be used. In different clinical situations, a drug is selected that is optimally suited to specific conditions, taking into account the analyzes, the patient's condition and the severity of the disease.

Sumamed with bronchitis

Sumamed is used in the treatment of various infectious-inflammatory diseases. This drug belongs to the group of macrolides, it is well absorbed into the digestive tract, it has a good ability to penetrate into the blood and bacteria cells. In particular, the preparation penetrates into the cells responsible for immunity, which contributes to its rapid entry into the focus of the infection, where it destroys the causative agents of the disease. In the focus of inflammation, a sufficiently high concentration of the drug is observed, for a long time, not less than three days, which reduced the course of treatment. Sumamed is prescribed a course three days once a day (500 mg), an hour before meals or two hours later. This antibiotic is active against a large number of pathogens of the upper respiratory tract, ENT organs, soft tissues and skin integuments, bones, as well as against ureaplasma, mycoplasmal, chlamydial infections, which are difficult to treat.

Antibiotics for bronchitis should be prescribed only after preliminary examination of excreta (sputum) on the sensitivity of bacteria. However, in practice, antibacterial preparations of a broad spectrum of action, such as sumamed, are usually immediately prescribed, and if after analysis found that the bacteria are insensitive to this type of antibiotic, the doctor changes it to another antibacterial drug.

Usually sumamed by patients is well tolerated and does not cause side reactions if all the necessary admission rules are followed. However, adverse reactions still occur in rare cases (as with any other medication): nausea, vomiting, abdominal pain. In the intestine, irritation is not caused by the drug itself, but by a conditionally pathogenic microflora inhabiting the intestine a person who begins an active life after the destruction of beneficial microflora. Also intensify the activity of Candida fungus, which threatens the development of candidomycosis (thrush) of the oral cavity, intestines, genital organs and other mucous membranes. Also, Sumamed can disrupt the liver, nervous system (lethargy, insomnia, dizziness, increased excitability, etc.).

In general, sumamed is an effective drug that must be applied correctly and accurately.

Augmentin with bronchitis

Augmentin inhibits the growth of bacteria and acts destructively on microorganisms. The drug refers to the semisynthetic antibiotics of the aminopenicillin group, contains clavulanic acid, which enhances the action of the basic substance. Antibiotic preparation is made in the form of injections, drops, tablets, powder for suspensions. Due to a wide spectrum of action, the drug is used in the treatment of most inflammatory infections caused by bacteria that do not develop resistance to penicillins. Despite the fact that augmentin refers to penicillin antibiotics, its effect on microorganisms is enhanced by clavulanic acid, which blocks the action of beta-lactamase, produced by microorganisms to suppress the activity of penicillins. As a result, augmentin is effective against a greater number of bacteria than other antibiotics in the bronchitis of the penicillin group.

Adverse reactions in the treatment of augmentin develop quite rarely, in some cases, the emergence of dysbiosis, violations of the liver, nausea, urticaria. Very rarely can anaphylactic shock occur. Do not prescribe augmentin for individual intolerance to penicillins, with hepatic or renal failure, during pregnancy (especially in the first trimester).

The dosage of the drug depends on the patient's condition, the individual sensitivity of the microflora, the age of the patient. For young children (up to a year), the drug is prescribed three times in the form of drops per day for 0, 75 or 1, 25ml. In severe cases, intravenous injections are given every 8 hours. Children 7 - 12 years are prescribed a drug in the form of a syrup or suspension of 5 ml 3 times a day. Children older than 12 years and adults with mild and moderate course of the disease are recommended to take the drug three times in the form of tablets per day (0.375 mg). In severe bronchitis it is recommended to take three times a day for 0.625 mg (2 tablets). If the hepatic function, the individual dosage of the drug is determined by the attending physician.

Amoxiclav in bronchitis

Amoxiclav is a combined preparation with a wide spectrum of action, it acts perniciously on the majority of microorganisms-pathogens of infectious diseases. Produced by the drug, like many other antibiotics for bronchitis in various forms: tablets, injections, drops and suspensions. The dosage of the drug depends on the age, body weight, severity of the disease. The recommended dose for an adult is 1 tablet three times a day.

Amoxiclav contains an antibiotic of the penicillin series (amoxicillin) and clavulanic acid, which also has a slight antibacterial effect. Due to this, the drug is effective against bacteria that are resistant to penicillin.

Amoxiclav is well absorbed into the digestive tract, penetrates into the blood, from which it enters various tissues, and it also has the ability to penetrate the placenta. The drug is excreted mainly by the kidneys, decomposing into metabolic products. Usually the drug is well tolerated by patients and has virtually no contraindications. You can not use amoxiclav for individual intolerance, violations of the liver, with lymphocytic leukemia, infectious mononucleosis, in children under 12 years (in the form of tablets). After taking the drug in some cases, nausea, vomiting, dizziness and headaches may occur, rarely convulsions appear. Also, the drug has the ability to reduce the defenses of the body.

New generation antibiotics for bronchitis

Antibiotics for bronchitis are usually prescribed with a wide range of effects, although the choice of drugs should depend on the results of a laboratory study of sputum. The best way to treat the disease will be that which has a disastrous effect directly on the causative agent of the disease. This approach to treatment is due to the fact that laboratory analysis takes quite a long time (3-5 days), and treatment should be started as early as possible in order to avoid complications.

In bronchitis, the following groups of antibacterial drugs are used:

• penicillins - the composition includes penicillin and substances that enhance their effect. Penicillin drugs have been used in medicine for quite some time. During this period, microorganisms acquired resistance to the action of penicillin, so it became necessary to strengthen the drugs with special substances that will block the action of enzymes produced by microorganisms to reduce the activity of penicillin. Currently, the most effective antibacterial drugs of the penicillin series are panclav, amoxiclav, augmentin.
• macrolides - are usually prescribed when there is an individual penicillin intolerance. Today, erythromycin and clarithromycin are widely used for the treatment of bronchitis.
• Cephalosporins are usually prescribed for obstructive forms of the disease. Modern effective drugs are ceftriaxone, cefuroxime.

• fluoroquinolones - are commonly used in the treatment of bronchitis in chronic form in the stage of exacerbation, it is recommended to begin treatment from the first days. Today, moxifloxacin, levofloxacin, ciprofloxacin are of great efficacy.

The effectiveness of an antibiotic is determined after a laboratory test for the sensitivity of pathogenic microflora.

How to cure bronchitis without antibiotics?

Bronchitis is a widespread disease of the respiratory tract, so there are many recipes of folk medicine that help effectively fight against viruses and bacteria. Antibiotics for bronchitis are usually appointed in case of detection of a bacterial infection. In other cases, treatment with such drugs will harm the body more.

The most first aid to man in the fight against diseases are the well-known products: onions and garlic. Their action has been known to people for a long time. For the treatment of bronchitis, tincture of onions with honey was widely used. To make a medicine, grate the onion, then add the honey (1 part of honey and 3 parts of onions) to it. Take such a drug you need about three times a day for a tablespoon, after 20-25 minutes a field of food.

Also, the sweetly baked bulb is effectively helped to fight the diseases of the respiratory tract according to the old French recipe. For cooking, you need to remove the core from the half-cut bulb and pour a teaspoon of sugar into the cavity, bake in the oven at 150 degrees to caramelize the sugar.

A debilitating cough will help to defeat milk with sage. A glass of milk will require a tablespoon of herbs, the broth should be boiled for about 10 minutes. Then the mixture is filtered and taken in a warm form in half a cup. The broth should be drunk in small sips.

A good hot drink helps in the fight against bronchitis: tea with the addition of honey, viburnum or raspberry, in which there is a lot of vitamin C to maintain immunity. Certainly you need to consume more citrus (lemon, grapefruit). Good anti-inflammatory and supporting the body properties are decoctions of linden, mint, pine buds. A decoction from a mixture of plantain, licorice root, violet, mother-and-stepmother (mixed in equal quantities, then a tablespoon is poured into 200 ml of boiling water, brought to a boil and boiled for 20 minutes on a slow fire). The broth is taken about six times a day for 5 tbsp. spoons.

In addition to broths, various inhalations have good efficacy in the treatment of bronchitis, after which dry mucous moisturizes, calves cough, microbes die directly in the source of inflammation. Inhalations can be carried out with the addition of various essential oils (fir, pine, eucalyptus).

Antibiotics for bronchitis help cope with a disease that is of bacterial origin, i.e. is caused by the activity in the bronchi of various bacteria. In viral bronchitis (for colds, flu) antibiotics are prescribed only in extreme cases, when the disease is threatened with serious complications, there is a risk of developing a bacterial infection, etc. Bronchitis with a proper approach to treatment is cured within two weeks. To prevent the disease from turning into a heavier form, it is necessary to comply with bed rest, drink plenty of fluids (mainly teas with the addition of raspberry jam, viburnum, honey, as well as herbal decoctions of mint, linden, chamomile, etc.).

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How to cure bronchitis with antibiotics: a list of the best drugs

Bronchitis is an inflammatory process that develops in the bronchi. There may be several types, each of which has a distinctive symptomatology and specific treatment that the doctor should appoint. Remember that self-medication of such a serious disease as bronchitis, at home is just dangerous!

Types and symptoms

The considered inflammatory process can proceed in the following forms:

• purulent- The sputum, allocated at a cough, contains in itself an admixture of pus; For more information on how to treat purulent bronchitis in adults, read the article.
• purulent-serous- characterized by the release of specific sputum, differing in gray and the presence of "fibers" / inclusions of pus;
• fibrinous- phlegm in the patient is very viscous and dense, poorly separated, which provokes a narrowing of the lumen of the bronchus and, as a consequence, attacks of bronchospasm;
• hemorrhagic- The inflammatory process affects the blood vessels, thinens their walls and the blood gets into the sputum;
• catarrhal- the most common form of bronchitis, characterized by the accumulation of a large amount of mucus in the upper parts of the bronchi.

How is treatment with modern means of chronic obstructive bronchitis indicated in the article.

As the treatment of chronic bronchitis with antibiotics is worth reading for information in this article.

Whether it is possible to breathe over a potato at a bronchitis it is specified in clause here: http://prolor.ru/g/lechenie/stoit-dyshat-nad-kartoshkoj-pri-prostude-kashle.html

This disease can have a different course:

• acute bronchitis- always begins suddenly, accompanied by pain in the chest (even with deep breathing), paroxysmal coughing and fever;
• Chronical bronchitis- is a consequence of an untreated acute form, has all of the above main symptoms of bronchitis, but in a less pronounced form, and hyperthermia (an increase in body temperature) may be completely absent.

When examining the patient and carrying out the diagnosis, the doctor necessarily differentiates the bronchitis according to the functional sign:

• non-obstructive- narrowing of bronchi, sudden bronchospasm and stifling is not observed;
• obstructive- due to a large amount of viscous sputum or because of the anatomical features of the patient's body, there is a significant narrowing of the bronchial lumen. In this case, the patient complains of shortness of breath, attacks of suffocation, accompanied by a strained dry cough. And here's how to treat obstructive bronchitis in children, you can find out by reading this article.

Antibiotics for bronchitis

Only antibiotics contribute to the cure of bronchitis, the remaining funds only facilitate the patient's condition

Many, who noted the first symptoms of the disease in question, begin treatment of bronchitis with propolis, soda, garlic and other folk remedies and regular tablets against coughing - this is fundamentally wrong!Only antibacterial drugs (antibiotics) can relieve directly from inflammation and pathogenic microorganisms(bronchitis has an infectious etiology), and all other methods of treatment and remedies will only alleviate the condition of the patient. This does not mean that you need to immediately and unconditionally go through a course of antibiotic therapy - doctor's consultation all the same it will be necessary, and here what antibiotic at a bronchitis at children is applied more often, it is specified in article.

Important: with acute bronchitis antibiotics are not prescribed at all - this form of inflammation has a viral etiology, and the drugs are absolutely useless in the fight for health with viruses.

Antibiotics can be prescribed in tablets and injections, but most often the tablet form of medicinal means - it allows you to go through the entire course of treatment on an outpatient basis, without the need to be in a hospital. Doctors may prescribe injections with antibacterial drugs in the following cases:

• the body temperature reaches the highest boundaries and keeps at this level for more than a day;
• there is pus in the phlegm;
• bronchospasm and severe dyspnea are observed.

In addition, antibiotics can also be used in inhalations with a nebulizer - this is generally considered to be the most effective method of treatment: the drug falls directly on the walls of the bronchi, affected by the inflammatory process and acts localized.

Antibiotics of the old generation

Augmentin - one of the popular means of the old generation

Most often in the treatment of bronchitis of different forms and types of doctors appointed penicillins - drugs of the old generation, but this did not become less effective. Recommended preparations:

• Augmentin;
• Panklav;
• Amoxiclav.

R

Recommended dosage: 625 mg per treatment. Such receptions per day should be 3 (every 8 hours).Importantly: penicillins give a very good effect, but more often the resistance of pathogenic bacteria that provoked bronchitis to these drugs is revealed.Therefore, the patient is prescribed a medicine, followed by monitoring the dynamics of the disease (during 3 days) and in the absence of positive "shifts" the antibiotic is replaced with another, more effective.

Macrolides

If the patient has an individual intolerance and / or hypersensitivity to antibiotics of the penicillin series, macrolides are assigned to him. To such it is possible to carry:

• Clarithromycin;
• Erythromycin.

They are produced most often in tablet form, so the dosage is calculated as follows: 1 tablet per reception, use should be done every 6-8 hours.

Modern antibiotics

In obstructive bronchitis, antibiotics of a new generation are appointed - cephalosporins, which are injected into the body only by injection - intramuscularly or intravenously (in especially severe cases). These include:

• Levofloxacin;
• Ceftriaxone;
• Ciprofloxacin;
• Cefuroxime.

Please note: the exact dosage should be prescribed by the attending physician - it will depend on the severity of the course of the disease, the general condition of the patient, the "neglect" of the inflammatory process.

Fluoroquinolones

If the patient has previously been diagnosed with chronic bronchitis, then at the first signs of his exacerbation should be taken fluoroquinolones - broad-spectrum antibiotics, identical to cephalosporins, but milder / less benign. The most commonly prescribed are:

• Moxifloxacin;
• Lefofloxacin;
• Ciprofloxacin.

It is recommended to treat with a short seven-day course, injecting any of the above medications intramuscularly twice a day.What amount of the drug is needed for one injection, only a doctor can determine - in this case, it is unreasonable to make a decision independently.

The chronic form of bronchitis is always and certainly treated with antibiotics - they will help "drive" the inflammatory process into the stage of long-term remission.

Antibiotics and nebulizer

Inhalation nebulizer is especially effective in bronchitis

To conduct inhalations with a nebulizer, antibiotics can also be used - the effect will be given almost immediately, because that in this case the drug will act directed / localized and immediately after ingestion.Most often for this type of treatment is appointed Fluimucil - a drug that in its composition contains both antibacterial agent, and special for liquefaction of sputum.Produced antibiotic in the form of a powder - you need to take one package and dissolve in a small amount of sodium chloride (maximum 5 ml), and the resulting liquid is divided into two inhalations per day.

Inhalation Fluimutsilom most effective in purulent bronchitis, but can be prescribed for other types of inflammatory disease.

Indication / contraindications

Antibiotics are quite powerful medications that have categorical indications and contraindications.You can not thinklessly take antibacterial drugs - in most cases they are absolutely useless, but their negative effect on the work of the intestines, liver and kidneys can already have(the so-called side effects). For those who want to know in more detail how many days to drink antibiotics for bronchitis, you can learn from the article. Therefore, one should know clear indications for the appointment / use of antibiotics for the treatment of various forms / types of bronchitis:

• borderline high body temperature, which can not be reduced by usual antipyretic;
• purulent sputum content;
• developing bronchospasm;
• previously diagnosed chronic bronchitis.

It is strictly forbidden to prescribe to doctors or take antibiotics on their own:

• diseases of urinary system of severe course - renal failure / nephropathy;
• violations of the functionality of the liver - selectively, for example, with certain forms of hepatitis;
• ulcerative disease of the organs of the gastrointestinal tract (stomach / duodenum).

Important: it is necessary to exclude an allergic reaction to antibiotics - it can develop rapidly, which leads to anaphylactic shock and edema Quincke.

And notice: if shortly before the development of bronchitis the patient has already been treated with antibacterial drugs of any group, then these funds will be absolutely useless in the treatment of any type of bronchitis.

Possible complications

If you ignore the symptoms of bronchitis, self-treatment, the abandonment of antibacterial drugs can develop quite serious complications of bronchitis:

• pneumonia and pneumothorax;
• bronchial asthma - especially dangerous in this regard, obstructive bronchitis;
• pulmonary hypertension;
• emphysema of the lungs;
• bronchiectatic disease.

Please note: acute bronchitis with properly conducted treatment is cured quickly enough, otherwise the form of the disease will certainly be replaced by a chronic one.

Video

From this video you will learn about the proper treatment of chronic bronchitis:

Frequent recurrences of chronic bronchitis, prolonged obstructive, purulent and / or catarrhal appearance of the disease in question can lead to the development of inflammation in other organs and body systems - as complications otitis (acute / chronic), tonsillitis (compensated / decompensated) are considered.

ProLor.ru

Antibiotics for bronchitis in adults: names of tablets for treatment

Bronchitis is a dangerous and common disease that can develop at any age.

This disease is characterized by an inflammatory process that occurs in the bronchial mucosa. Characteristic symptoms of bronchitis:

• temperature increase;
• cough;
• hard breath.

When should antibiotics be used for bronchitis?

Despite the fact that bronchitis in adults develops quite often, there is no specific treatment plan for this disease. In this case, the most urgent issue is how much it is necessary to take modern antibacterial drugs of a new generation and a broad spectrum of action.

Bronchitis develops when the viruses get into the bronchi. Therefore, if treated with antibacterial agents, it will be ineffective.

In addition, antibiotics from bronchitis in adults can cause the opposite effect:

1. dysbiosis;
2. depression of the immune system;
3. allergic reaction;
4. development of resistance to drugs.

Consequently, there is no single answer. After all, to treat the symptoms of chronic or acute bronchitis with antibacterial therapy should only be a doctor.

However, in 10% of cases with bronchitis should take antibacterial tablets of a new generation. But what situations indicate the need for antibiotic treatment?

So, to get rid of fever and cough with bronchitis patients aged 60 years or older should definitely drink Augmentin or Azithromycin. Immunity of an elderly patient can not quickly overcome the infection, which can lead to complications, including pneumonia, in obstructive bronchitis.

Another new generation of antibiotics is needed if the symptoms do not last 30-40 days. This indicates that the body can not overcome the infection on its own.

In chronic obstructive bronchitis, which often develops in smokers, during the exacerbation of the disease the patient's condition worsens severely. So, there are such symptoms as:

• heat;
• coughing;
• hyperhidrosis;
• the discharge of purulent sputum with blood;
• malaise.

In this case, the patient should drink antibacterial drugs of a new generation of a wide spectrum of action. These include drugs such as Augmentin and Azithromycin.

Allergic manifestations contribute to the appearance of bronchial asthma, as a result of which frequent attacks of suffocation develop. Patients who have infectious-dependent bronchial asthma should take antibacterial pills at an early stage of the disease. This will help prevent the development of allergies and destroy pathogens.

An antibiotic from bronchitis is often prescribed if the disease is chemical and is formed due to the influence of aggressive substances that enter the body after inhalation. Such substances may be alkali or acid pairs.

If the mucous membrane of the bronchi is damaged, a high probability of bacterial infection joining appears. Therefore, in this case it is advisable to carry out treatment with the help of antimicrobial agents.

If acute bronchitis is complicated by the appearance of a cough with the release of sputum with purulent impurities, and when analyzing is detected presence of inflammation, a high index of ESR and leukemia, then the best and most effective method of treatment is antibacterial therapy.

Mycoplasmal and chlamydial bronchitis, which appear with an exhausted immune system and last for a long time, is quite difficult to treat.

Therefore, it is best to take broad-spectrum antibiotic drugs, such as Augmentin or Azithromycin.

Specificity of the effects of antibiotics on the body and their varieties

In pharmacology, antibiotics are drugs that can help localize tumors, fungi and bacteria, or rather, stop the process of their growth and reproduction. The chemical structure and mechanism of action vary considerably. Therefore, in order to get rid of a particular disease, it is necessary to take a certain antibiotic for bronchitis.

Therefore, the treatment of different types of bronchitis implies the use of antibacterial drugs belonging to different groups. So, what antibiotics of the new generation is better for drinking with different forms of bronchitis?

There are such groups of antibiotics:

• Aminopenicillins;
• Macrolides;
• Cephalosporins;
• Fluoroquinolones.

Aminopenicillins have a destructive effect on the walls of bacteria, resulting in microorganisms perishing. Since there are no components in the human body whose structure is similar to the bacterial cell membranes, antibiotic agents, belonging to this group, affect only pathogens, without harming human health. It should be noted that penicillins, such as Augmentin, very often provoke the occurrence of allergic manifestations.

Macrolides upset the process of protein synthesis in microbial cells, resulting in the bacteria stop multiplying. Such antibiotics for bronchitis in adults are prescribed if the disease is long and difficult. Usually, macrolides such as Azithromycin are indicated if the patient does not have any allergies to penicillin drugs.

Fluoroquinolones have a destructive effect on the DNA of microbes, which leads to their death. These are antibiotics from bronchitis and pneumonia, which have a wide spectrum of action. However, if you take such drugs for a long time, it will lead to the appearance of a dysbiosis.

Cephalosporins inhibit the production of a substance that is the basis of the cell membrane of microbes. These antibiotics affect the constantly growing bacteria, so they stop multiplying.

However, Cephalosporins cause an allergic reaction, but to a lesser extent than penicillins.

What antibiotics are better for drinking with a certain type of bronchitis?

What kind of antibacterial strong drug is needed to treat a particular type of bronchitis can only be said by a doctor. The most effective antibiotics for bronchitis and pneumonia are drugs, the causative agent of the disease will be most sensitive to the active substance. So, below is a list of drugs used for bronchial cough.

Acute bronchitis is not accepted to treat with antibacterial therapy in the early days of the disease. In this case, modern antibiotics from a broad spectrum of bronchitis are prescribed if there is a risk of complications.

As a rule, you should take a new generation of drugs, such as Erythromycin, Spiramycin and Amoxicillin. And the cost of the last means ranges from 18 to 70 rubles.

Treatment of chronic bronchitis is carried out with the help of drugs belonging to the penicillin group. So, the list of antibiotics that help get rid of cough in the chronic form of the disease is as follows:

1. Flemoklav (the price is from 378 to 876 rubles);
2. Amoxicillin (approximately 360 rubles);
3. Arlet (293-506 rubles);
4. Augmentin (about 320 rubles);
5. Amoxiclav (380-880 rubles).

In addition, with chronic bronchitis, some new-generation macrolides may be prescribed: Azithromycin and Rovamycin (110-270 rubles).

In the treatment of elderly patients, antibiotics from bronchitis play an important role. So, first of all, drugs such as Azithromycin, Flemoxin, Hemomycin (up to 300 rubles) and Rovamycin can be used first.

Secondary treatment consists in receiving funds belonging to the cephalosporin group:

• Ceftriaxone (26-30 r.);
• Cefazolin (30 p.);
• Cefepime (380-400 rubles);
• Supraks (390 rubles).

Such antibiotics for bronchitis in adults are prescribed if the degree of the disease is mild or moderate. So, these forms of the disease are treated by injections.

Sometimes, complex treatment is performed, in which the tablets are combined with injections (for example, Azithromycin in injections and Augmentin in tablets). However, if antimicrobials are prescribed, when there is no preliminary analysis of sputum, then the doctor prescribes a new generation of a wide spectrum of action.

In obstructive bronchitis, Augmentin and Azithromycin are shown when a bacterial infection has been detected. As a rule, cough treatment is carried out with medicines belonging to aminopenicillins, macrolides and fluoroquinols. The list of preparations is as follows:

1. Sumamed (270 - 730 rubles);
2. Augmentin (100 - 700 rubles);
3. Levofloxacin (from 73 rubles);
4. Clarithromycin (170-550 r.);
5. Clarithromycin (150 - 250 r.);
6. Moxifloxacin (from 900 r.);
7. Ciprofloxacin (10 - 40 p.);
8. Erythromycin (from 900 rubles.).

Antibacterial therapy in pregnancy

Unfortunately, many women who are in the position, for various reasons, may develop bronchitis. Often the factors of its occurrence lie in reduced immunity. The initial symptoms of the disease are similar to the symptoms of a simple cold, but after a few days there is malaise, dry cough, temperature and sputum production.

It is worth noting that during pregnancy, excretion of phlegm is difficult due to elevated position and reduced diaphragm mobility. But sputum stagnation in the bronchi is very harmful, since it increases the duration of the course of the disease.

In addition, the therapy of bronchitis in pregnancy is complicated by the fact that taking antibiotics, however, like other drugs is undesirable, in particular, at the beginning of pregnancy. So, what antimicrobial tablets can you drink during pregnancy? These can be drugs belonging to the penicillin group, whose name is as follows:

• Flemoxin;
• Amoxicillin;
• Augmentin;
• Penicillin.

These antibiotics from bronchitis in adults during pregnancy are most harmless, since they do not have a negative effect on the fetus. In the second half of the course of pregnancy antimicrobial agents of the cephalosporin group may be prescribed. But fluoroquinolones and tetracyclines can not be categorically prescribed.

Acute bronchitis in pregnancy is treated with Bioparox. It is an antibiotic with a local effect, which is used for inhalation in bronchitis.

Due to this method of treatment, the possibility of drug penetration through the placenta is excluded.

Specificity of antibiotic use

There are certain recommendations regarding the intake of antibacterial agents. So, the course of therapy with these medications can not be interrupted, and its duration should be exactly the same as prescribed by the doctor.

If the state of health improved on the fifth day of treatment, and the doctor prescribed a seven-day course, then therapy can still not be stopped. In the opposite case, bacteria, which are provocateurs of the disease, will acquire resistance to this disease.

And to drink new generation drugs from cough, such as Augmentin and Azithromycin, follows the time, adhering to the recommendations specified in the instruction attached to the funds. Holding pauses is an important measure by which you can constantly maintain a certain level of drug in the blood.

However, it is important to monitor the effect that occurs after the use of the drug. So, when after two days, if there has been no improvement, then the medicine needs to be replaced, because, most likely it does not affect this type of bacteria.

What is bronchitis, and how to treat it in the video in this article will tell a specialist.

stopgripp.ru

Treatment of bronchitis with antibiotics

Bronchitis- an inflammation of the bronchi, which often acts as a complication of the common cold, flu or ARVI. His treatment is rarely dispensed with without antibacterial agents, to which the bacteria that caused inflammation are sensitive.

However, the pharmaceutical market is large today, and a wide range of antibacterial products come on sale, which may prove ineffective against bronchitis. Therefore, further we will consider antibiotics of a new generation in bronchitis, and also pay attention to the old, which are sometimes no less effective.

List of antibiotics for bronchitis

Before choosing an antibiotic, you need to decide which groups exist. In pharmaceutics, all antibacterial drugs are divided into several categories:

• beta-lactam; This includes penicillins and cephalosporins, monobactams and carbapenems.
• macrolides;
• aminoglycosides;
• rifamycins;
• glycopeptides;
• ristomycins;
• polymyxins;
• gramicidin;
• polyene antibiotics.

All these categories of antibiotics contain subgroups. They are divided according to the principle of exposure to bacteria, as well as the effectiveness of destruction of each of their species.

The principle of antibiotics:

1. Antibiotics that inhibit the development of bacteria, so that the body can cope with the disease itself: carbapenems, ristomycin, penicillin, monobactams, cephalosporins, cycloserine.
2. Antibiotics that destroy the structure of bacterial membranes: polyene antibiotics, glycopeptides, aminoglycosides, polymyxins.
3. Antibiotics that inhibit the synthesis of RNA (at the level of RNA polymerase): a group of rifamycins.
4. Antibiotics that inhibit the synthesis of RNA (at the level of ribosomes): macrolides, tetracyclines, linkomycins, levomycetin.

Treatment of tracheitis and bronchitis with antibiotics

If bronchitis is complicated by tracheitis, which is always caused by either staphylococci or streptococci (in very rare cases - other bacteria), then a broad-spectrum antibiotic is used. For example, Flemoxin soluteba is used in treatment if samples for bacteria have not been taken, and doctors can not exactly tell which ones caused the disease. This antibiotic refers to the penicillin series and destroys both gram-positive and gram-negative bacteria.

If tracheitis and bronchitis are caused by a viral infection, then antibiotics do not apply: in this case, they not only ineffective, but also harmful, since they suppress immunity, and this prolongs the time of illness.

Antibiotics for pneumonia and bronchitis

The combination of bronchitis with pneumonia is a complicated case, and this requires appropriate treatment. Antibiotics based on levofloxacin may be effective here. This new generation, which at a small dosage has a significant effect in the fight against infectious diseases of moderate severity. In pneumonia it is used for 7-14 days for 1 or 2 tablets (depending on the severity), taking into account that 1 tablet contains 250 g of substance.

Treatment of chronic bronchitis with antibiotics

Treatment of chronic bronchitis depends on whether it has complications. For example, with uncomplicated bronchitis, aminopenicillins and tetracyclines are prescribed. Tetracyclines are not assigned to children.

In chronic bronchitis with complications, macrolides and cephalosporins are prescribed.

Macrolides of the first generation are represented by erythromycin and oleandomycin, and the third - by azithromycin.

Cephalosporins of the first generation include cephalosin, and the latter for today - cefepime.

Injections of antibiotics for bronchitis are prescribed if the treatment is stationary. They are more effective because they are quickly absorbed into the blood. The choice of antibiotic injection, as a rule, depends on the bacterium of the pathogen, but if it is unknown, broad-spectrum antibiotics are used: ampicillin or ceftriaxone. Treatment lasts for at least 7 days.

WomanAdvice.ru

Antibiotics for bronchitis in children and adults

Bronchitis is a common disease that in recent years has been chronic in the population, and the signs of bronchitis in adults vary and depend on many factors.

Before the treatment of bronchitis it is necessary to find out the cause that caused the disease. Unfortunately, antibiotics for adults are prescribed empirically in adults, and in some states their purpose is completely inappropriate.

It is known that bronchitis without antibiotics is easily treated if the inflammation has a viral origin, since the virus is not treated with antibacterial agents.

If you take antibiotics during ARVI - this only interferes with the body's defense mechanisms to fight the virus, they depress the immune system system, lead to the development of dysbacteriosis, allergies, develop the resistance of microorganisms to the drug.
Depending on the type of bronchitis the doctor is prescribed the appropriate treatment:

Types of bronchitis

• Acute bronchitis

It is an inflammatory process in the bronchi that occurs most often against the background of Orvi, the flu. With a normal immune response, the body can cope with the virus and in this case antibiotics are not shown. But with the accession of a bacterial infection - pneumococci, staphylococci, streptococci, with a severe course of acute bronchitis without antibiotics is indispensable. Symptoms of acute bronchitis: purulent sputum (yellow or green) with a strong cough, temperature 37.5-38.5C, chest pain. The doctor prescribes expectorants, mucolytic agents for improving the excretion of sputum (bromhexine, lazolvan, chest collection), showing inhalation. With a dry, painful, unproductive cough, the anticancer preparations are shown (Sinekod, Libexin). Well helps therapeutic exercises, physiotherapy, vibrating massage. With timely and adequate treatment, the disease passes quickly, residual phenomena in the form of a cough may persist for 3-4 weeks after the illness.

• Chronical bronchitis

If the number of days of illness in two years exceeds three months, such bronchitis is considered chronic. It is distinguished by the presence of a strong cough with mucus. This can be due to smoking (see. lung cancer and smoking), occupational hazard, allergic reaction and respiratory tract infections.

Separately stands out atypical forms of bronchitis. Mycoplasmal and chlamydial bronchitis are special types of inflammation of the bronchi and lungs, which are caused by such atypical pathogens as chlamydia and mycoplasma. Recently, these bronchitis have become more often diagnosed. Mycoplasmal and chlamydial bronchitis and pneumonia develop slowly, are accompanied by intoxication, have a recurrent and protracted nature, are difficult to treat. In patients other than cough, there is a high body temperature, chills, muscle aches.

Which antibiotic is better

The table provides a choice of treatment depending on the type of bronchitis:

Types of bronchitis	additional characteristics	Treatment choice
Acute bronchitis	Viral etiology	Expectorants, Inhalation Bed rest Abundant drink Bronchitis without antibiotics
Chronic uncomplicated bronchitis	Less than 4 exacerbations per year	Aminopenicillins Macrolides
Chronic complicated bronchitis	More than 4 relapses per year, the patient's age is more than 65 years	Amoxicillin, Amoxiclav Cephalosporins Macrolides
Chronic bronchitis with concomitant diseases	The presence of chronic diseases, diabetes, kidney, heart failure	Fluoroquinolones (in resistant flora, contraindicated in children)
Chlamydia bronchitis	It develops in children and in adults with weakened immunity	Tetracyclines Macrolides Fluoroquinolones
Mycoplasma bronchitis	It develops in children and in adults with weakened immunity	Macrolides

• Aminopenicillins - first-line drugs

This is Amoxicilin (average price 50-100 rubles.), Amoxiclav (average price 250-280 rubles), Augmentin (price 120-180 rub.), Arlette (price 240-260 rubles). Such antibiotics destroy the bacterial cell walls, acting only on microbes, without harming the body. The disadvantage is that penicillins very often cause allergic reactions in patients.

• Macrolides - second-line drugs

Azithromycin (Sumamed price 540-560 rub. Azithromycin, Azitrox, Hemomycin, Z-factor, Azitrus 140 rub., Azicid, Azitral), Midekamycin (Macropen price 220-230 rubles.). Violate the production of protein in the cells of bacteria, so the microbes stop multiplying.

• Fluoroquinolones - appointed with inefficiency, allergic reactions to the first 2 rows

Levofloxacin (price 430-670 rub.), Ofloksatsin (price 30 - 170 rubles.), Moxifloxacin (Avelox price 1100-1200 rub.). Quite expensive drugs, refer to antibiotics of a wide spectrum of action, are contraindicated to children, cause dysbacteriosis, are considered to be preparations of the reserve.

• Cephalosporins

Cefazolin (10-12 rubles a bottle for 1 injection), Ceftriaxone (17-50 rubles per bottle for 1 in.), Cefalexin (capsules 40-50 rubles. for 16 pcs.), Cefixim (Suprax, Panzef, Ixim).

What is the best antibiotic for bronchitis?

This is the one to which the causative agent of the disease is most sensitive. How to determine this, and what antibiotics to drink with bronchitis? The most correct choice of a drug will be after the result of bacterial culture of phlegm on sensitivity to antibacterial agents. The disadvantage of such an analysis is the duration of the result, as well as the fact that the analysis is not done because of savings in reagents or lack of laboratories. Most often, the doctor prescribes a broad spectrum antibiotic according to the standard of treatment.

Antibiotics for children

The use of antimicrobial agents in children with colds is unacceptable, their administration is justified only in case of complication development:

• This may be the case when after the flu virus, ARVI after 4-5 days, the deterioration of the general condition of the child, the rise of high fever, a wet cough with purulent sputum. In this case, call a doctor.
• The safest and most effective drugs that can be prescribed for children are aminopenicillins and macrolides. Cephalosporins and macrolides are prescribed if there is an allergy to penicillins.
• During and after taking antibiotics, the child should take probiotic drugs in between using antibiotics, and at the end course of treatment continue the use of Bifiform, Rio Flora Immuno, Acipola, Bifidumbacterin, Linex for another 2-4 weeks. a complete list of probiotics, analogues of Linesque).

The main rules for taking antibiotics

• Continuity of the course of treatment. The doctor evaluates the patient's condition and determines the duration of therapy, usually enough 5-7 days, with macrolide treatment - 5 days.
• Take exactly the time. It is necessary to observe the frequency of reception and maintain the same time intervals (24, 12, 8, 6 hours), that is, if an antibiotic is prescribed 3 times a day, then it is taken every 8 hours. This is necessary to maintain a constant concentration of the drug in the blood. Some antibiotics should be drunk 1 time per day (every 24 hours), others 2 (every 12 hours), some three (8 hours).
• Monitor the effect of the antibiotic. If there is no improvement within 72 hours, then the causative agent to this antibacterial agent is stable and should be changed.
• Continue treatment 2-3 days after the obvious improvement, recovery (see, for example, 11 rules for the correct intake of antibiotics).

For any malaise, cough, temperature, always consult a doctor. Distinguish manifestations of diseases, differentiate the disease, which drug should be chosen better for bronchitis and how to correctly take it, only a specialist can do it. Trust doctors, then you will not have to deal with the situation of complications from untimely or incorrect treatment, as well as with unreasonable intake of medications.

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Treatment of bronchitis with antibiotics in adults. Acute bronchitis: treatment with antibiotics

Bronchitis is an inflammation of the bronchi, when the narrowing of their lumen occurs, breathing becomes difficult, a cough with phlegm appears. Let's further define what is bronchitis. Symptoms and treatment with antibiotics of this disease will be considered in the article.

This ailment, as a rule, appears due to the penetration of the infection into the body. Most often these are viruses (parainfluenza, influenza, adenovirus), bacteria (staphylococci, hemophilia, pneumococcus, streptococci), intracellular parasitic elements. During the cold, there is an inflammation of the respiratory tract. Now, there are 100 microbes that cause disease. Infections such as PC infection, influenza, attack the bronchi directly, and already in the first days of the disease lead to bronchitis. As a rule, the bacterial infection is replaced by a viral infection (for example, during the flu).

Factors of bronchitis

It is possible to isolate the following factors that lead to the development of this disease:

• physical factors - wet, cold air;
• sharp temperature fluctuations;
• radiation, dust and smoke;
• chemical factors - such substances in the air as carbon monoxide, ammonia, hydrogen sulphide, vapors of acids, cigar smoke;
• bad habits - alcoholism, smoking;
• diseases that lead to stagnation in the circulation;
• infection of the nasal cavity, for example, sinusitis, sinusitis, tonsillitis;
• congenital pathology and hereditary predisposition;
• trauma of the chest.

Treatment of bronchitis

There are chronic and acute bronchitis.

Therapy for acute illness includes:

• Bed rest.

• Abundant drink leading to liquefaction of sputum.

• Use of antipyretic and anti-inflammatory drugs.

• Appointment of mucolytic and antitussive medications.

Treatment of bronchitis in adults with antibiotics is the most difficult moment, when solving it, you need to consider the validity of using these medical devices.

The main cause of acute bronchitis is considered to be viral infections, so the use of antibiotics does not have the desired therapeutic effect. Moreover, the unreasonable use of such medications can lead to intestinal dysbiosis, which leads to a decrease in immunity, forms immunity to bacteria, causes allergic reactions.

The prophylactic use of antibiotic drugs has a negative impact on the recovery process. And the treatment of bronchitis and pneumonia with antibiotics, such as "Levomycetin", "Penicillin", "Erythromycin", "Tetracycline", can weaken the immune system.

Most often, antibiotic drugs are selected empirically, that is, without performing an appropriate study of the microflora of the body for susceptibility to these substances.

Treatment of bronchitis in adults with antibiotics is performed with such symptoms:

• A temperature increase of more than 38 ° C for more than three days.

• Shortness of breath.

• Severe intoxication.

• Detection of leukocytosis in the blood (over 1, 00 in one microliter), shifting left leukoformula.

Acute bronchitis: therapy

Treatment, as a rule, is carried out at home on an outpatient basis.

• Mode - semi-bed.

• Abundant drink, twice the amount of daily needs.

• Milk and vegetable diet, limiting allergenic foods and spicy foods.

• Antiviral therapy: 5 cap. preparation "Interferon" six times a day. When the flu is prescribed remedy "Remantadin", and for acute manifestations of acute respiratory viral infection, a medication "Immunoglobulin" is prescribed.

• The drug "Azithromycin" is used for five days and often cures acute bronchitis.

• Antibiotic treatment is prescribed if there is a clear bacterial infection, severe inflammatory changes, revealed by a general blood test, with a tendency to a protracted illness.

• It is recommended to perform inhalations - soda-salt, soda.

• If it is difficult to get rid of sputum, it is recommended to take expectorants ("Pertussin", licorice root syrup, "Mukaltin", breastfeeding, "Thermopsis") and mucolytic preparations that are used for viscous sputum (Bronchicum, Erespal, Mukoprint, Ambroxol, Lazolvan, and Ascoril) in appropriate dosages.

• With a plentiful discharge of phlegm, a vibrating massage is prescribed.

• Antitussives ("Sinekod", "Kofeks") is prescribed for dry cough, in the early days of the disease.

The use of plant expectorants (althea, anise, thermopsis, plantain, elecampane) helps maintain bronchiolar peristalsis, and also leads to an improvement in the output of sputum.

Obstructive bronchitis: treatment with antibiotics

This type of bronchitis manifests itself in the form of a narrowing of the lumen of small bronchi and pronounced bronchospasm. His symptoms are leukocytosis, high fever, shortness of breath, cough, intoxication of the body.

Therapy of this disease includes bed rest, in large quantities warm drink, the use of antitussives. At a high temperature prescribe antipyretic drugs.

Antibacterial substances with obstructive bronchitis are used if it is of bacterial origin. Often, they use medicines from the category of macrolides:

• The drug "Erythromycin". Characterized by bacteriostatic and bactericidal action. Dosage is prescribed by a doctor.

• The drug "Rovamycin". It differs excellent tolerance, with it the treatment of bronchitis with antibiotics in adults is effective. Dosage is prescribed by the doctor, based on the weight of the patient and the severity of the inflammation process.

• The drug "Azithromycin". This is a very effective remedy, well tolerated by many patients. The doctor determines the dosage of the drug, based on the age of the patient, the severity of the disease, the individual characteristics of his body. Undoubted advantage of the tool is the convenience of use. The drug "Azithromycin" is used once a day. The course of treatment is six days.

Acute bronchitis: treatment with antibiotics

With this type of bronchitis, antibiotic agents are prescribed very rarely, since it often occurs due to viruses against which these medicines are powerless. Therefore, such drugs for acute bronchitis are prescribed only when its treatment is complicated by severe bacterial infection. In such cases, antibiotics of the penicillin group are usually used. If the patient is allergic to penicillins, then drugs such as "Azithromycin" or "Macropen" and the like may be prescribed.

Antibiotics for chronic bronchitis

In contrast to acute bronchitis, with chronic antibiotic agents are used in almost all cases. And if there is a purulent bronchitis, treatment with antibiotics is an effective way to defeat the disease. The main medicinal products used in the treatment of the chronic form of such diseases are medicines, which we will consider below.

Macrolides

This means "Macropen", "Clarithromycin", "Erythromycin". They are effective antibacterial drugs, have a wide spectrum of action and remove most harmful microorganisms. Not bad are transferred by patients.

Penicillins

These include the following medicinal products: Flemoxin, Solutab, Panklav, Amoxiclav, Augmentin. Antibiotics of this group are the basis for the treatment of chronic forms of the diseases under consideration. Treatment of bronchitis with antibiotics in adults usually begin with them. They have relatively few side effects, but, unfortunately, do not help much in the fight against neglected cases of the disease. Therefore, if antibiotics of other groups are not responding to penicillins, the causative agent of the disease is prescribed.

Fluoroquinolones

Fluoroquinolones are medicines "Ciprofloxacin", "Moxifloxacin", "Levofloxacin". They, unlike all other antibiotics, have a unique chemical structure and origin. Used to fight it with chronic bronchitis. Fluoroquinolones work in the bronchi and have few side effects. Antibiotics of this category are prescribed only if the pathogens of bronchitis are unresponsive to the groups of other antibiotic drugs.

Cephalosporins

These drugs are "Ceftriaxone" and "Cefuroxime." These new antibacterial agents will allow effective treatment of bronchitis in adults with antibiotics. The injections are prescribed by a doctor. In addition, these drugs have many side effects.

Antibiotics for bronchitis in pregnant women

As a rule, in the future mothers the immune system of the body is often weakened and can not resist different viruses and infections. Therefore, in pregnant women, cases of bronchitis occur frequently. A woman has a violent cough, and she goes into phlegm. This is dangerous for both the future mother and the baby.

Strongly-acting antibiotic drugs taken during pregnancy are not advised (especially in the first 3 months). Antibiotics are prescribed only in case of a real threat to the health of the fetus and the mother. As a rule, pregnant women are recommended antibiotic drugs penicillin group, since they are less harmful.

You can apply the antibiotic Bioparox, which enters the bronchi by inhalation and acts locally, so penetration through the placenta is prevented.

Self-treatment of bronchitis with antibiotics in adults is not allowed, especially for pregnant women. Only the doctor can prescribe them!

Injections with bronchitis

Injections with bronchitis should be prescribed only by a doctor, after the necessary thorough examination.

1. If there is treatment of bronchitis with antibiotics, injections should be done only by a medical professional. Also, only a specialist prescribes the dosage of the drug.

2. As a rule, antibiotics are prescribed simultaneously with broths of medicinal herbs and tablets ("Mukaltin").

3. Most often, when the treatment of bronchitis in adults with antibiotics, injections are prescribed intravenous solution of the drug "Benzylpenicillin." In some cases, it is diluted with the drug Streptomycin.

Treatment of bronchitis with antibiotics in adults should be combined with the reception of other drugs. Therefore, do not neglect useful and valuable medical recommendations and apply all methods that help to quickly recover. Often people suffering from bronchitis are advised to stop smoking, drink more warm liquids and drink herbal medicinal herbs.

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