Injections with bronchitis adults from cough: antibiotics and hot prick (calcium gluconate)
The injections from bronchitis to adults are rarely prescribed, with especially severe forms of the disease or when there is no possibility to take antibiotics orally.
Currently, injections of cough are almost not used, including because all the drugs are in the form of tablets.
Only the doctor will be able to determine whether the patient needs injections of bronchitis.
Treatment of acute bronchitis
In most cases, the disease in adults appears suddenly. After a few hours or 24 hours a person has a wet cough and sputum, inflammation of the mucous membranes of the bronchi begins.
Acute bronchitis is formed due to such negative factors:
- bacteria and viruses,
- an unfavorable ecological situation,
- severe hypothermia of a person.
Bronchial and viral bronchitis, most often occurs after ARI.
As a rule, acute bronchitis, which does not have complications, is treated on an outpatient basis. Hospitalization is indicated for cardiovascular diseases, problems with the lungs and in old age in conjunction with chronic ailments.Therapy of acute form of bronchitis in adults involves the use of temperature-lowering agents, and mustard plasters are placed on the sternum.
From medicines it is necessary to apply those that effectively dilute sputum, as well as anti-inflammatory drugs:
- Amidopyrine,
- Indomethacin,
- Prodectin,
- Acetylsalicylic acid.
Antibiotics are necessary without fail, if there is purulent sputum.
An enormous role is played by drugs with expectorant action in the treatment of the disease. Among them there are the most effective:
- Bronchicum,
- Lazolvan,
- Ambroxol,
- Bromhexine.
Preparations for the treatment of chronic bronchitis
If the bronchial tubes become inflamed annually, there is a list of concomitant symptoms and the condition is observed for more than three months, then doctors diagnose a person with chronic bronchitis and prescribe antibiotics.
Inflammation of the bronchi in adults can be non-infectious or infectious, in any case there is:
- cough,
- secretion of thick sputum (mucus),
- dyspnea.
Chronic bronchitis is an ailment of adults that is rarely diagnosed in children.
The disease is divided into primary and secondary bronchitis. The primary form of the disease is not associated with previous lesions of the lungs. The secondary form acts as a complication of an already existing lung function disorder, it is a question of pneumonia and lesions of the bronchi or trachea.
To treat chronic bronchitis in adults is necessary in a comprehensive manner, which implies the use of various medications and procedures:
- use of medicines,
- physiotherapeutic procedures,
- sanation of the lungs,
- physiotherapy,
- healthy lifestyle.
The cause of the disease is viral or bacterial damage to the mucous membrane, as well as irritation with mechanical particles, dust or chemicals.
Doctors often note focal lesions of the lungs and bronchi. Therapy significantly improves the situation, but bronchitis can constantly progress and change the stage.
At first the disease can be in long periods of remission, then they are shortened. If a person is not treated, then in a few years there will be a respiratory failure, and in fact it was possible to do inhalations with bronchitis, and do not run so sick.
All drugs have their own categories:
- antibacterial,
- anti-inflammatory,
- bronchodilators,
- expectorating,
- fortifying preparations: calcium gluconate, nutritional supplements and vitamins.
Antiviral and antibacterial agents are shown during exacerbation, as well as purulent phenomena in the bronchi and when the temperature rises.
If, prior to initiation of therapy, the patient has not been given an antibioticogram - a test for the sensitivity of bacteria to the antibiotic, then penicillin is administered intramuscularly.
Antibiotics are effective against pneumococci and hemophilic rod. If an antibioticogram is done, then one of the following drugs is prescribed:
- Azithromycin,
- Sumazid,
- Zitrolide,
- Sumamed,
- Hemomycin,
- Azitroxy,
- Ampicillin,
- Oxacillin,
- Levomycetin,
- Tetracycline,
Classical dosage of drugs is 1.5-2 g per day. In addition, Rondomycin is prescribed in the amount of 0.8 - 1.6 g per day. Antibiotics are combined with sulfonamides.
The patient may take drugs in the form of injections or injections, which option is preferable - the doctor decides on the basis of the features of the course of the disease. Injections of bronchitis in adults can be done both in a hospital setting and in a treatment room.Antibiotics are used for as long as the doctor decides, based on the condition of the person and the stage of the disease. As a rule, recovery occurs in 10-12 days. Together with this, you can take bronchodilators.
Obstructive chronic bronchitis occurs when ordinary bronchitis does not pass despite treatment. This complication is characterized by shortness of breath and changes in bronchial tissue.
Antibiotics in this case show less effect, because in the bronchi there is a change in the mechanical properties of tissues and their structure, as a result of which the volume of mucus increases and bronchospasm appears.
Obstructive chronic bronchitis is subsequently complicated by hypertension or emphysema of the lungs.
Disease in neglected form is life-threatening. To increase the resistance of the body, the doctor can prescribe drugs:
- Methyluracil,
- Potassium orotate,
- Pentoxyl.
Anti-inflammatory effect is possessed by Presocil and Sodium Salicite. The general strengthening and stimulating effect is provided by: Ascorutin, Ascorbic acid and Galaxorbin.
In the treatment of bronchitis, these agents are used, which have resorptive functions, for example:
- extract of aloe,
- vitreous body,
- calcium gluconate,
- FIBS preparation (extract with coumarins and cinnamic acid).
It is important to know which adaptogens have a positive effect, it is a tincture of magnolia vine, ginseng and pantocrine.
There are bronchodilators that are used if there is asthma that does not respond to bronchospasmolytic therapy:
- Atropine,
- Belladonna,
- Ephedrine,
- Beta-adrenostimulants,
- Euphyllinum.
When obstructive bronchitis is prescribed corticosteroids, which is especially important when there is an asthmatic syndrome.
Hydrocortisone should be taken intravenously, the first dose - 125 mg per day. After improvement, the dose is reduced by 25 mg every 2-3 days.
Calcium gluconate
When bronchitis is often used calcium gluconate intravenously, as an auxiliary. It has the following functions:
- improves the transmission of nerve impulses,
- normalizes the work of the heart muscle,
- participates in contractions of smooth muscles,
- helps maintain blood clotting,
- reduces vascular permeability.
Calcium gluconate also has side effects:
- nausea,
- necrosis in the area of injection,
- hypercalcemia;
- digestive disorders.
When calcium gluconate is administered, several conditions must be observed. Contraindicated "hot" prick, the temperature of the ampoule should be at room temperature. Calcium gluconate is administered intramuscularly or intravenously. All you need to know about bronchitis is in the video in this article.
stopgripp.ru
Appointment of injections for adults with bronchitis
Injections in bronchitis adults are appointed very rarely and in especially severe cases or when there is no possibility to take the medicine through the mouth.To date, almost all drugs exist in tablet form. Therefore, the expediency of this method of treatment can be determined only by a doctor.
Preparations for the treatment of acute bronchitis
The disease occurs suddenly. Within a few hours or 1-2 days, the patient develops a dry or wet cough with phlegm, the mucous membranes of the bronchi become inflamed. With inflammation of small bronchi, the patient may have shortness of breath.
The disease is caused by viruses and bacteria, dusty and gassy atmosphere of enterprises, severe hypothermia or, conversely, overheating in hot dry air. Viral and bacterial bronchitis, as a rule, is preceded by ARI.
Acute bronchitis without complications is treated mostly out-patient. People who have cardiovascular diseases, lung diseases, elderly people with chronic ailments are subject to hospitalization. Weakened people during treatment are prescribed a bed rest.
Treatment of acute bronchitis includes the use of drugs that lower the heat (if available), on the sternum to the patient put mustard plasters, from medicinal drugs are important, diluting sputum, and anti-inflammatory drugs (amidopyrine, pyramine, indomethacin, prodektin, acetylsalicylic acid). In the presence of purulent sputum in the drug complex, antibiotics are mandatory. Expectorants play a huge role in the treatment of bronchitis. Bronchicum, lazolvan, ambroxol, bromhexine contribute to the excretion of sputum. There are preparations from dry and wet cough.
Preparations for the treatment of chronic bronchitis
If inflammation of the bronchi with accompanying symptoms is observed annually, lasts for a total of three months or more, then the doctors diagnose the patient with chronic bronchitis. This is an infectious and noninfectious bronchial lesion, which is expressed by coughing, secretion of thick mucus (sputum), and shortness of breath. Chronic bronchitis is a disease of adults, which is rare in childhood.
Chronic bronchitis is divided into primary and secondary. The primary form of bronchitis is not associated with a previous lung injury. The secondary form is manifested as a complication of an already existing lung injury (including pneumonia), larynx, trachea or bronchi.
Treatment of chronic bronchitis in adults is complex, it involves the use of a large number of medicines and procedures. This disease disrupts the activity of the epithelium layer of the bronchi, a decrease in its plasticity and an increase in the viscosity of the moist secret. As a result, the overall secretion of mucus is increased, the drainage capacity of the bronchi decreases.
The cause of the disease can be bacterial and viral infection of the mucous membrane, irritation with dust, mechanical particles and reactive substances in the air, tobacco smoke.
When observing patients, doctors often note uneven, focal lesions of the bronchi and lungs. Treatment improves the condition of patients, but the disease is gradually worsening and is steadily progressing from year to year. The periods of remission, initially long, are becoming shorter. If the patient is not under constant medical supervision and does not take medication, then in a few years he may develop severe respiratory failure.
The disease therapy includes a large set of measures. This is the reception of medicines, physiotherapy procedures, sanitation of the lungs, treatment of the patient for a healthy lifestyle and therapeutic physical training.
Preparations for the treatment of chronic bronchitis
- antibacterial drugs;
- anti-inflammatory drugs;
- bronchodilators;
- expectorants;
- fortifying preparations, vitamins and food additives.
Antibacterial and antiviral drugs are prescribed in the period of exacerbation, with purulent phenomena in the bronchi, with an increase in temperature. If a test for bacterial sensitivity to an antibiotic (antibioticogram) was not made before the start of treatment, the patient is prescribed penicillin intramuscularly. This antibiotic acts very effectively against the hemophilic influenza bacillus and pneumococci. If the antibiotic image was made, then one of the following drugs is prescribed: azithromycin, sumazid, zitrolide, sumamed, hemomycin, azithrox, ampicillin, oxacillin, levomycetin, oletetrin, tetracycline, other antibiotics (1.5-2 g per day). Also appoint rondomycin (0.8-1.6 g per day). Antibiotics can be combined with sulfonamides of prolonged action.
Drugs the patient takes in the form of tablets or injections, the purpose of which is preferable, since injections give the best result. Injections in bronchitis to adult patients are done both in the hospital and in the treatment room. The duration of antibiotic treatment depends on the severity of the patient's condition and the degree of neglect of the disease. On average, recovery occurs in 8-12 days.
Obstructive chronic bronchitis occurs if ordinary bronchitis is not treated (or poorly treated) for more than one year. This complication is characterized by shortness of breath and changes in bronchial tissue. In this case, the use of antibiotics has less effect, since in the bronchi mechanical properties of tissues, their structure, as a result of which the amount of mucus increases and bronchospasm arises. Obstructive chronic bronchitis can be further complicated by pulmonary emphysema, hypertension and chronic pulmonary heart.
Running chronic bronchitis is a life-threatening disease. In order to increase the body's resistance, the doctor can prescribe drugs methyluracil, potassium orotate and pentoxyl.
Anti-inflammatory effect is given by such drugs as sodium salicitate and presocil. Stimulant and fortifying effect gives ascorbic acid, galaxorbine and askorutin.
In therapy, the aloe extract (as a resolving agent), the vitreous body, the FIBS preparation (extract containing coumarins and cinnamic acid) proved to be excellent. Injections of bronchitis based on these drugs are done subcutaneously, the course in all cases includes 30 to 35 injections.
A good therapeutic effect on the patient's condition is provided by adaptogens: ginseng, magnolia vine, pantocrine.
As a bronchodilator in the presence of asthma, which is not amenable to treatment with bronchospasmolytic drugs, drugs are used:
- atropine;
- belladonna;
- atrovent;
- ephedrine;
- beta-adrenostimulators;
- eufillin.
Euphyllin also stimulates the respiratory center.
With neglected obstructive bronchitis, corticosteroids may be prescribed, especially if there is an asthmatic syndrome. Hydrocortisone is administered intravenously, starting at 125 mg per day. After the patient's condition improves, the dose of the drug is reduced by 25 mg every two or three days, adding aerosol irrigation to the pharynx.
Expectorants play a huge role in the treatment of diseases associated with the accumulation of thick sputum. The best sputum discharge is obtained by the action of 3% potassium iodide, tincture of the althaea root, thermopsis terpinhydrate, mucaltin. Broncholitin, bronchicum, bromhexine, lazolvan, ambroksol - new modern drugs with mucolytic and expectorant action.
A good therapeutic effect is provided by inhalations with proteolytic enzymes (substances that break down proteins to amino acids and promote the dilution of sputum). This terpelitin, trypsin, chymostripsin, chymopsin, which are dissolved in a small amount (about 5 ml) of saline or in a solution of novocaine (0.25%), followed by inhalation.
With severe purulent bronchitis and severe dyspnea, the patient undergoes bronchoscopy, during which the bronchial tree is flushed, antibiotics and expectorants are administered.
People who have undergone bronchitis should avoid hypothermia and stay in a polluted atmosphere of the premises. A good prevention of the disease will be exercise therapy and special massage of the chest.
Be healthy!
respiratoria.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:
- dysbiosis;
- depression of the immune system;
- allergic reaction;
- 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:
- Flemoklav (the price is from 378 to 876 rubles);
- Amoxicillin (approximately 360 rubles);
- Arlet (293-506 rubles);
- Augmentin (about 320 rubles);
- 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:
- Sumamed (270 - 730 rubles);
- Augmentin (100 - 700 rubles);
- Levofloxacin (from 73 rubles);
- Clarithromycin (170-550 r.);
- Clarithromycin (150 - 250 r.);
- Moxifloxacin (from 900 r.);
- Ciprofloxacin (10 - 40 p.);
- 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.
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Advise good potent injections-antibiotics from bronchitis?
Answers:
FAIRY
they are usually prescribed by a doctor, because bronchitis can be of different etiologies (viral, bacterial). But most often antibiotics of a wide spectrum (when the pathogen is not revealed) are penicillins and cephalosporins.
Of penicillins, Ampicillin -1.0 g was well established. 3-4 times a day (7 days average course)
From cephalosporins, ceftriaxone in the same dosage (1.0 g) 3 times a day, also 7 days.
In addition, it is necessary to apply Hilak-Forte (to avoid dysbiosis, it is a side effect of antibiotics) -30 drops 3 times a day.
But that's not all. if you have been diagnosed with bronchitis, then you must take expectorant drugs (they are from coughing), I advise Broncholitin-it well removes inflammation, dissolves sputum, expands bronchus (relieves dyspnea) and displays phlegm. 1 spoon 3 times a day after meals for 7-10 days.
It is also useful to make steam inhalations-to boil a pot of water and add 1 teaspoon of ointment Doctor = Mom or Flukoldex and breathe over the steam for 10 minutes, Do this 3-4 times a day.
It is very useful to drink a lot of liquid tea with lemon, honey, currants and raspberries. Milk with honey and plums. oil (preferably at night.
And after treatment it is necessary to make re
Tanya
Cefazolin.
Daria Kovtunova
And why exactly the injections?
Tablets with codeine are good for bronchitis, I do not remember the name. But they are only on prescription.
Vika Orshak
Ciprofloxacin, but on any antibiotic allergy is possible, go to the doctor!
Katrusia
do not need strong ones. from bronchitis very good ospamox helps-pills. he does not destroy the stomach and other organs and heals very quickly. it is a mild broad-spectrum antibiotic. consult in the pharmacy about him, you will be confirmed.
Elena Larionova
This should appoint your doctor. And in absentia such things to offer in my opinion is not worth it.
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:
- Drugs are taken strictly according to the instructions (dosage, schedule) at regular intervals.
- It is unacceptable to skip the reception of tablets.
- 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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