Treatment of bronchitis in children with antibiotics

What antibiotics are used for children with bronchitis?

Bronchitis is an inflammatory process that is concentrated in the mucous membrane of the bronchi. Often, pathology affects the nasal mucosa and throat. At the initial stage of the disease, inflammation is concentrated in the nasopharynx, and only then passes to the respiratory tract. Treatment of bronchitis in children is a very painstaking process, because in addition to the fact that it should have a comprehensive approach, it should be prescribed taking into account the age of the patient and the course of the disease.

What medications are suitable

Antibiotic drugs for children's bronchitis are indispensable medicines, but which one is the best and should be taken and treated is a special issue. You can apply them for 2-3 days. Duration of treatment is not less than 5 days. If necessary, the therapy should be extended, otherwise the resistance of bacteria to antibiotics will come and bronchitis from acute to chronic. Here signs of chronic bronchitis are described.

Up to 1 year

What is the most effective antibiotic for bronchitis for babies? To such small patients for the treatment of bronchitis the doctor can appoint:

• Ciproxacin,
• Erythromycin,
• Amoxicillin.

CiprofloxacinIs an antibacterial drug that is part of a group of fluoroquinols. With the help of such therapy, small children can achieve a powerful bacterial effect. This medication has such side effects as nausea, weakness, diarrhea, headaches. With caution, it is necessary to apply the drug to babies with a violation of blood circulation in the brain, mental abnormalities.

Amoxicillin- Antibacterial drug, a member of the penicillin group. With this treatment, it is possible to obtain the maximum effect and eliminate the activity of aerobic bacteria. Therapy with amoxicillin should be carried out under the supervision of a specialist. In doing so, he will monitor the work of the liver and kidneys. Side effects can be disorders in the digestive system, the nervous system. Amoxicillin is also available as a suspension.

Erythromycin- a medicament that is part of the macrolith group. During the use of the drug, you can defeat the causative agent of the disease. Compared with the previously presented drugs, Erythromycin very rarely can cause an allergic reaction to the skin and is well tolerated by the intestine.

For children 2-3 years

For the treatment of bronchitis in these children very often appoint Umkalor. This drug is considered an excellent alternative antibacterial agent.It has an antimicrobial effect, has a plant origin and is released in the form of drops.Side effects can be allergies, vomiting, pain in the stomach, diarrhea.

The dosage of the medication per day is determined by the attending physician. For children 2-3 years should be consumed 6-10 drops per day. The therapeutic course is no more than 10 days.

In addition, patients of this age may be prescribed macrolide antibiotics. They effectively eliminate the symptoms of acute and chronic bronchitis. A positive influence is achieved by blocking the production process of protein, which is so important for the construction of RNA bacteria. The most effective antibiotics of this group are:

• Sumamed;
• Hemomycin;
• Azithromycin Zentiva;
• Zetamax Retard.

Older children

Penicillins and aminopenicillins are medicines that actively fight with such pathogens of bronchitis as streptococci, pneumococci and staphylococci.

For older children with bronchitis, a doctor can prescribe antibiotics

• Augmentite
• Amoxiclav, which enter the penicillin group.

Macrolides are antibacterial drugs that are actively used to treat children's bronchitis due to their ability to destroy even the most resistant microorganisms. Their next advantage is that their removal from the body is carried out through the respiratory system and blood. The most popular are such drugs as Rulid, Erythromycin, Summed. Their high popularity is due to the fact that after taking in children very rarely allergic reaction occurs. Therapeutic course is 2-5 days. Dosage preparation for every day - 0, 25 - 1 g.

Find out what antibiotics to take with sinusitis.

Here you can see a photo of what a necrotic sore throat looks like.

The causes of herpes sore throat in children: http://prolor.ru/g/detskoe-zdorove-g/gerpesnaya-angina-u-rebenka.html.

Medications for different forms of bronchitis

Bronchitis can take place in the spirit forms: acute and obstructive. Each has its own antibacterial drugs.

The video tells about the use of antibiotics for bronchitis in children:

In acute form

To treat such bronchitis in children, the doctor prescribes antibiotics with a wide range of effects. They have the same effect on most microorganisms, block them. In pediatrics, the following drugs are in great demand:

• Augmentin;
• Amoxiclav;
• Ceftriaxone;
• Cefotaxime.

The form of administration of the drug is determined taking into account the severity of the disease. Also, the doctor will be prescribed to take Azithromycin in an amount of 5 mg / kg body weight. The reception is conducted for 5 days. Erythromycin is taken at 30-50 mg / kg per day.

Here you can read about the treatment of obstructive bronchitis with folk remedies.

In obstructive

When treatment of obstructive bronchitis in children, they are prescribed Azithromycin 5 mg per kg of body weight or drugs belonging to the group of macrolides. These can be Vilprofen, Macropen, Rulid, Erythromycin. Duration of admission 7-10 days. The dosage is determined taking into account the age of the patient.

Opinion of Komarovsky

During the therapy of pediatric bronchitis, one should not allow self-medication. Only a timely doctor's help will effectively and quickly eliminate the symptoms and the disease itself. Understand the direction of treatment and a list of effective medicines, it is possible to decide whether treatment without antibiotics is possible only by an experienced pediatrician.

In the video, Dr. Komarovsky talks about the use of antibiotics in children with bronchitis:

Treatment of small patients from bronchitis is carried out at home, but the doctor constantly monitors the whole process.If there is a risk of bronchitis transition to a chronic form, a rise in body temperature, then hospitalization will be required.Typically, this applies to young children. The reason is that they do not fully have respiratory organs.

As for the use of antibiotics, in children's bronchitis this is quite justified action. But their reception should be conducted strictly on the recommendation of the attending physician. Otherwise, the baby may develop side effects.

In addition to antibiotics, the physician should prescribe to the patient physiotherapeutic procedures, as well as compliance with the diet. All recommendations should be implemented in a complex, otherwise to achieve positive results from treatment will be impossible.

Bronchitis in a child is a disease that causes him a lot of discomfort. To cure it with antibiotics alone will not learn, since an integrated approach is required here, but without them it will not be possible to make quality treatment. The expediency of their appointment can be said only after a thorough diagnosis. Perhaps you will also be useful information about the symptoms of viral bronchitis. The link describes the popular treatment of chronic bronchitis. Also, read whether you can breathe over a potato with bronchitis.

ProLor.ru

Antibiotics for children with bronchitis: which ones to choose?

Bronchitis is one of the most common and serious respiratory diseases in children. Often doctors prescribe antibiotics for treatment. But this is not always justified. In most cases, bronchitis is caused by a viral infection or an allergic reaction. And antibiotics are needed to fight bacteria or other microorganisms. Unjustified prescription of such drugs can cause complications and harm the health of the child. Therefore, antibiotics should be used for children with bronchitis only after carrying out the necessary tests and determining the cause of the disease.

When it is necessary to prescribe antibacterial drugs

Antibiotics for children with bronchitis are prescribed in the presence of bacterial infection. Such preparations for viruses do not work and only worsen the state of the child, as they reduce immunity. And to determine the causative agent of the disease is possible only when analyzing sputum, which is not always done. Therefore, there are other signs that indicate the presence of bacteria in the child's body:

• more than 3 days the temperature is kept to 38 degrees;
• the child can hardly breathe, even in dyspnea;
• leaves a viscous greenish phlegm with impurities of pus;
• there are signs of intoxication;
• if the child is less than a year old.

In no case should you yourself give antibiotics for bronchitis for children 4 years and under. Only a doctor can decide whether such medications are necessary for the child.

How to apply antibiotics

The main rule for the use of such drugs is that they must be taken under strict medical supervision. Only a specialist can choose the right medicine and determine its dosage and duration of administration. And parents must comply with all of its regulations. In most cases, antibiotics for bronchitis for children 7 years and older are given in the form of tablets or capsules. But there are now such drugs and in the form of suspensions or syrup, which is more convenient for small children.

How correctly to apply antibiotics for children with bronchitis?

• Usually, such drugs are prescribed for a period of 5 to 7 days. If bronchitis occurs with complications and in chronic form, the reception time can be extended to 2 weeks. You can not stop taking your medication yourself earlier than this time, even if there is an improvement. Bacteria can develop resistance to the antibiotic.
• One of the features of the use of such drugs is the schedule of admission. Drink them must be strictly at regular intervals - 8, 12 or 24 hours. This is the only way to ensure a constant level of antibacterial substances in the blood.
• When prescribing an antibiotic for children, it is very important to determine the exact dosage. It depends on the age and body weight of the child.
• It is necessary to study the instruction to find out, before meals or after you need to take the drug.

What antibiotics are prescribed for children with bronchitis?

According to the rules, you can choose antibiotics for the treatment of bronchitis only after determining the pathogen. But most often, preparations of a broad spectrum of action are prescribed. According to the experience of doctors, the most sensitive pathogens of bronchitis to three types of antibiotics:

• penicillins - "Amoxicillin" Amoxiclav "Flemoxin solutab
• cephalosporins - "Ceftriaxone" Cefotaxime "Zinnat
• macrolides - "Macropen" Sumamed "Hemomycin".

The choice of the drug depends on the age of the child, the state of his health and the features of the course of the disease.

How to use antibiotics for bronchitis for children 3 years and younger

At this age, inflammation of the bronchi is very dangerous because of the features of the anatomy and physiology of the child. Much more often complications of bronchitis occur in babies. Small bronchi are clogged with phlegm, and it leaves very hard, which can cause the development of pneumonia. Therefore, in many cases, the treatment of this disease occurs in the hospital.

If there is a need to take antibacterial drugs, then at this age, many of them are contraindicated. In addition, antibiotics for bronchitis for children 1 year and younger are most commonly used as injections. In this way, the medicine acts faster. A doctor's observation in the treatment of antibiotics in children is necessary because these drugs often cause serious side effects. In young children, except for diarrhea and vomiting, there may be convulsions, faints and a change in the picture of blood.

Antibiotics of the penicillin group

These antibacterial drugs are active against most pathogens of bronchitis. But they have many side effects, most often cause allergic reactions or dysbiosis. Therefore, they should be taken together with vitamins C and B, as well as with probiotics to preserve the intestinal microflora. It should be taken into account that the drugs of the penicillin group are active against staphylococci, streptococci and pneumococci, but ineffective against chlamydia and mycoplasmas, which may also be the cause bronchitis.

Of this group, antibiotics are often prescribed for bronchitis for children 10 years and under: "Amoxicillin" Flemoxin soluteba "Sulbactam Ospamox." Antibacterial action is marked by drugs containing amoxicillin with clavulanic acid: "Amoxiclav" Augmentin. "

Cephalosporins

Effectively, the bacteria are also killed by the antibiotics of the cephalosporin group: Zinnat Cefadox Loprax Suprax. They are used less often, mainly if the patient is intolerant of penicillins. They are also used in the complex therapy of complicated bronchitis. Most often prescribe to children several drugs.

• "Zinnat" is available in the form of granules for the preparation of a suspension. Applied for children from 3 months.
• "Supraks" - cephalosporin of the 3rd generation. The drug is prohibited for babies up to six months. Suspension should be given to a child 2-3 times a day.
• "Ceftriaxone" - a very effective drug that helps cope with inflammation in 3-4 days. But this antibiotic is produced in a solution for injections.

Macrolides

This group of drugs has recently been prescribed most often, since penicillins and cephalosporins cause disturbance of the intestinal microflora and other side effects. Macrolides do not have a toxic effect on the kidneys and intestines. In addition, they are active against a large number of microorganisms and penetrate deep into the cells. Therefore, they are considered more effective. The most commonly prescribed antibiotics for bronchitis for children 5 years and older:

• "Rulid
• "Macropen
• "Azithromycin" and its imported analogue "Sumamed
• "Hemomycin".

Which antibiotic to choose

The safest and most effective drugs are those containing amoxicillin. But there are bacteria that mutated and became insensitive to the action of these drugs. Therefore, you need to choose such drugs from this group that contain clavulanate or sulbactam. On the package it should be written: "Amoxicillin + clavulanate." The most effective in this regard are modern drugs.

• "Amoxiclav" is a suspension that is used for children from 3 months. You need to give depending on the weight of the child 2 times a day. The drug has great efficacy against pathogens of bronchitis.
• "Flemoxin Solutab" - a drug based on amoxicillin, is shown to children from 1 month. Effectively removes inflammation.
• "Augmentin" is often prescribed for bronchitis. The combination of amoxicillin with clavulanic acid effectively destroys bacteria. Children are prescribed a drug in the form of a suspension.

Features of antibiotic treatment

The main thing that parents should know is that you can not give antibiotics yourself to a child without prescribing a doctor. In addition, with this treatment, you must follow several rules:

• if after 3 days of improvement does not occur or the child becomes worse, the drug should be canceled, but the doctor must do it;
• it is very important to observe the dosage prescribed by the doctor and not to miss the time of taking the medication;
• antibiotics disrupt the intestinal microflora, therefore simultaneously with them probiotics are appointed: "Linex" Normobakt "Bifiform
• with such treatment it is important to constantly monitor the reaction of the child and, if side effects occur, stop taking the medication and tell the pediatrician.

Antibiotics for children are prescribed by a specialist in severe bacterial infections. You can not choose your own medicine. These drugs are very serious drugs, often causing side effects.

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Antibiotics for bronchitis in children - names

Bronchitis is a very common disease, especially in young children. It can be caused by various causes and proceeds in both acute and chronic forms.

Contrary to popular belief, this disease does not always need to take antibiotics. If a child diagnosed with acute bronchitis, provoked by a viral etiology, you can cope with it with the help of inhalations, plentiful drink and expectorant medications. If the disease has passed into a chronic form, or its causes are not associated with viral damage to the body, there is no way to do without antibiotics.

In this article, we will tell you which antibiotics should be taken with bronchitis in children in each case in order to alleviate the condition of the child and get rid of the symptoms of the disease as much as possible faster.

What antibiotics are correct for treating bronchitis in children?

There are several categories of antibacterial drugs that can be used to fight bronchitis. However, not all of these drugs are suitable for treating babies. As a rule, in children with bronchitis antibiotics are used, the names of which are listed in the following list:

1. The most popular group of funds ismacrolides.They can be used for any type of bronchitis, however, their destructive effect does not extend to all types of pathogens. Starting from the age of six months, the doctor can prescribe to the crumb such drugs from the category of macrolides, like Sumamed, Azithromycin, Hemomycin, AsritRus or Macroben. The latter of these drugs, if necessary, can be used in newborn infants. In addition, children such as Zi-Factor are often used in children older than a year.
2. If the course of the main ailment in a child is not complicated by the presence of other concomitant diseases, he may be prescribed drugs from the groupaminopenicillin.Antibiotics of this category in bronchitis are prescribed, including, and children under one year, since they bear the least danger for a tiny organism among all such medicines. The most commonly used drugs here are Augmentin, Amoxicillin and Ampiox, approved for use in newborns and premature infants.
3. Finally, if the drugs of the first two categories or their individual intolerance are ineffective, funds from the groupcephalosporins,for example, Fortum, Cephalexin and Ceftriaxone.

In any case, only a qualified doctor is able to choose a suitable antibiotic for the treatment of bronchitis, especially in a young child. At occurrence of the first signs of disease at the kid it is necessary to address immediately to the doctor for conducting a detailed survey, identifying the true cause of the disease and treatment.

WomanAdvice.ru

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 on, 5-1 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.

sovets.net

What antibiotic can I take with bronchitis in children?

What antibiotic for children with bronchitis is better to apply? This question worries many parents.Treatment of bronchitis with antibiotics is prescribed by a doctor only when all the circumstances of the disease are taken into account, its causes are clarified.

Features of bronchitis treatment

Bronchitis can be called one of the most frequently diagnosed diseases in children and adults. Manifestations of bronchitis are quite diverse. The main symptoms include abundant secretion of mucus of yellowish or grayish hues and coughing attacks, which cause pain in the upper part of the chest.

Before prescribing treatment with folk remedies, medications or a combination of them, the doctor should find out the cause of the disease. Do not rush to prescribe antibiotics, because they do not pretend to be a panacea. In some cases, antibiotics not only will not cure bronchitis, but will also significantly inhibit recovery, as, for example, in the treatment of viral bronchitis, when the drug not only does not destroy the virus, but also partially suppresses the work of protective forces organism.

For the treatment of bronchitis in children, antibiotics are most often used, and all kinds of expectorants are designed to remove excess sputum from the bronchi.

It can be such preparations, as ambroksol, or such natural means, as licorice and althaea roots.

How to treat bronchitis with antibiotics

To date, a popular means for treating bronchitis in children are all kinds of inhalations like using a special device, and with the use of hot water, essential oil and several towels.

In most cases, antibiotics for the treatment of bronchitis in children are not required, although many modern doctors are trying to still write out this or that drug of this group "just in case". Incorrect use of drugs such as antibiotics can not only help but also cause harm, especially to the child's body, so you need to pay close attention to the choice of the treating doctor and treatment.

Antibiotic for bronchitis for children with this type of disease is prescribed together with immunomodulators and antiallergic drugs. One of the safest bacteriostatic phytoantibiotics is Umkalor. He is appointed, usually at the end of treatment after taking more powerful antibiotics.

This drug is known for having immunostimulating qualities, so even after the body the child successfully overcame the main symptoms of bronchitis, it is still at least 7 days to take it in preventive purposes.

Antibiotics, prescribed for the treatment of a disease such as bronchitis, are divided into 3 groups:

1. Aminopenicillins, which destroy the walls of bacteria. These are often prescribed amoxicillin. To be afraid, that such antibiotics will start to destroy cells of a human body, it is not necessary, as its or his the action is directed solely at the walls of bacteria, the structure of which differs significantly from human.
2. Macrolides, which cause disorders in the organism of bacteria, associated with the production of vital proteins. Affected by them, bacteria lose their ability to reproduce. These include roxithromycin and azithromycin. Such children's antibiotics are excellent for long-term treatment of prolonged bronchitis. The drug is safe and can be prescribed even to pregnant and breastfeeding women.
3. Fluoroquinolones cause destructive changes in the structure of bacterial DNA, causing them to die. Levofloxacin and moxifloxacin are popular. These antibiotics show an excellent result, but their cost makes them inaccessible to the broad masses of the population. With prolonged use, they can provoke the development of dysbacteriosis, since they have a wider spectrum of action than the previous 2 groups.

Folk remedies

When treating bronchitis in children, you can use natural antibiotics. Many plants have antibacterial effect.

Excellent plant fights with bacteria such a widely used in cooking plant, like garlic. It kills more than 20 different types of bacteria. Garlic can be an excellent preventive.

Another edible antibiotic is the onion. The fragrance of freshly cut onions will help unlock the respiratory tract and kill many harmful bacteria in the respiratory tract.

The lysozyme contained in the horseradish root is capable of destroying the walls of harmful bacteria.

The juice of black radish with honey is known for its bactericidal effect and supports the body's defenses. It is often used as a cough syrup.

Chamomile is known for its high content of essential oils and nutrients. It removes inflammation, kills harmful microorganisms, stimulates expectoration and excretion of sputum from the bronchi, calms and treats diseases of the gastrointestinal tract.

Tincture of calendula is a good natural antiseptic, which is suitable even for allergic people.

Sage not only kills harmful bacteria, but also successfully fights against all sorts of viruses.

Many years in the treatment of colds used raspberries. Young shoots of raspberries are added to tea, and raspberry jam is a mix of goodies and medicines. The child with much greater enthusiasm and pleasure will drink tea with raspberries, rather than swallow the tasteless tablets.

Before you go to the pharmacy with a list of medications, consult your doctor about the possibility of using natural antibacterial and antiviral means. Treatment of bronchitis with phytoantibiotics is not only useful, but also safe for both the child and the family budget.

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After taking a course of antibiotics prescribed by a doctor, you must definitely drink a course of drugs, the effect of which directed to the regeneration of the intestinal microflora and the restoration of a healthy balance of microorganisms in the internal environment. Antibiotics destroy both harmful and beneficial bacteria, so their use can lead to the development of a disorder such as dysbiosis.

respiratoria.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 immune system, lead to the development of dysbacteriosis, allergies, develop the resistance of microorganisms to the drug 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 3, -3, C, 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 after end of the course of treatment to continue the use of Bifiform, Rio Flora Immuno, Acipola, Bifidumbacterin, Linex for another 2-4 weeks (cm. 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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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 bronchitis, but in a less pronounced form, and hyperthermia (fever) can and does 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 propolis, soda, garlic and other folk remedies and usual tablets from a cough - it's in the bud 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 - consultation a doctor will still be needed, but the antibiotic used most often for children with bronchitis is indicated in the article.

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

Antibiotics can be prescribed in tablets and injections, but most often the tablet form is used medicines - it allows you to go through the entire course of treatment on an outpatient basis, without the need to find 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.

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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 for 3 days) and in the absence of positive "shifts" the antibiotic is replaced by 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 a patient has previously been diagnosed with chronic bronchitis, then at the first signs of his exacerbation take fluoroquinolones - broad-spectrum antibiotics, identical to cephalosporins, but more soft / gentle. 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 rendered almost immediately, because in this case the drug will act directed / localized and immediately after it hits the organism.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 the patient has already undergone treatment shortly before the development of bronchitis antibacterial drugs of any group, then these funds will be absolutely useless in the treatment 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 inflammation in other organs and body systems - as complications are considered otitis (acute / chronic), tonsillitis (compensated / decompensated).

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