Antibiotics for Cold List

Antibiotics for colds and flu: what's better for adults

People with medical education know for certain that antibiotics for colds and flu are ineffective, and they are not cheap and harmful.

And doctors in polyclinics and those who have just finished medical high school know it.

Nevertheless, antibiotics are prescribed for colds, and some patients recommend these medications for the prevention of infections.

With a common cold without antibiotics, it's best to get by. The patient must ensure:

1. bed rest;
2. abundant drinking;
3. balanced nutrition with a high content of vitamins and minerals in food;
4. if necessary, effective antipyretic tablets or injections;
5. gargling;
6. inhalation and rinsing of the nose;
7. rubbing and compresses (only in the absence of temperature).

Perhaps, these procedures can treat cold treatment and limit it. But some patients persistently ask their doctor for a good antibiotic or a cheaper analogue.

It happens even worse, a sick person, in view of the fact that he does not have time to visit a polyclinic, begins self-treatment. The benefits of pharmacies in large cities today are every 200 meters. Such open access to medicines, as in Russia, is not found in any civilized state.

But for the sake of justice it should be noted that many pharmacies began to dispense antibiotics of a wide range of actions only on the prescription of a doctor. However, if you wish, you can always pity the pharmacist, referring to a severe illness or find a drugstore, which is much more important than the health of people.

Therefore, antibiotics for colds can be purchased without a prescription.

When should you take antibiotics for ARI and the flu?

In most cases, the common cold has a viral etiology, and viral infections are not treated with antibiotics. Tablets and injections of a wide spectrum of action are prescribed only in those cases when an attenuated organism has an infection that can not be defeated without antibacterial drugs. Such an infection can develop:

• in the nasal cavity;
• in the mouth;
• in bronchi and trachea;
• in the lungs.

In this situation, antibiotics for flu and cold are needed.

Laboratory methods of research, according to which you can judge the need to take antibacterial drugs, are not always appointed. Often polyclinics save sputum and urine on crops, explaining their policy by the fact that it is too expensive.

Exceptions are swabs taken from the nose and throat with sore throat on Lefler's wand (causative agent of diphtheria), selective crops urine in diseases of the urinary tract and selective seeding of the detachable tonsils, which are taken for chronic tonsillitis.

Patients undergoing treatment in the hospital are much more likely to obtain laboratory confirmation of microbial infection. Changes in the clinical blood test are indirect signs of bacterial inflammation. Having received the results of the analysis, the doctor can proceed from the following indicators:

1. ESR;
2. number of leukocytes;
3. an increase in segmented and stab-shaped leukocytes (a shift of the leukocyte formula to the left).

And yet antibiotics for colds doctors appoint very often. Here is an example of this, which is taken from the results of testing one child's medical institution. 420 outpatient cards of small patients from 1 to 3 years were analyzed. In 80% of cases, doctors diagnosed children with ARI, ARVI; acute bronchitis - 16%; otitis - 3%; pneumonia and other infections - 1%.

With pneumonia and bronchitis antibacterial therapy was prescribed in 100% of cases, but in 80% it was prescribed for both acute respiratory infections and inflammation of the upper respiratory tract.

And this despite the fact that the vast majority of doctors understand perfectly well that it is unacceptable to use antibiotics without infectious complications.

Why do doctors still prescribe antibiotics against influenza and colds? This happens for a number of reasons:

• reinsurance due to the early age of children;
• administrative settings;
• preventive measures to reduce complications;
• lack of desire to visit assets.

How can complications be determined without tests?

A doctor can determine by eye that an infection has become a cold:

1. the color of the discharge from the nose, ears, eyes, bronchi and pharynx from transparent changes to dull yellow or poisonous-green;
2. when a bacterial infection is attached, a second rise in temperature is usually observed, this is typical for pneumonia;
3. the urine of the patient becomes cloudy, a sediment can be observed in it;
4. in fecal masses there is pus, mucus or blood.

Complications that may occur after ARI are determined by the signs below.

• The situation is this: a person had an acute respiratory viral infection or a cold and was already recovering, when suddenly the temperature jumped to 39, increased cough, there was pain in the chest and shortness of breath - all these signs signal that there is a high probability of development pneumonia.
• If you suspect a sore throat and diphtheria, the temperature rises, throat pains intensify, tonsils appear on the tonsils, and lymph nodes increase on the neck.
• With an average otitis fluid is released from the ear, when pressing on the tragus in the ear there is a strong pain.
• Symptoms of sinusitis are manifested in this way: the patient has completely lost his sense of smell; In the forehead area there are severe pains that are worse when the head is tilted; the voice becomes nasal.

What antibiotics to drink for a cold?

Many patients ask the therapist this question. Antibiotics for colds should be selected, based on the following factors:

1. localization of infection;
2. the patient's age (for adults and children, his list of drugs);
3. anamnesis;
4. individual drug tolerance;
5. the state of the immune system.

But in any situation, only a doctor prescribes antibiotics for a cold.

Sometimes broad-spectrum antibiotics are recommended for use against uncomplicated acute respiratory diseases.

Against some diseases of the blood: aplastic anemia, agranulocytosis.

With obvious signs of weakened immunity:

• a subfebrile condition;
• catarrhal and viral diseases more than five times a year;
• chronic inflammatory and fungal infections;
• HIV;
• congenital pathologies of the immune system;
• oncological diseases.

Children up to 6 months:

1. against vaginal rickets;
2. against lack of weight;
3. against various malformations.

Taking antibiotics for colds is recommended for the following indications:

• Bacterial angina requires treatment with macrolides or penicillins.
• Purulent lymphadenitis is treated with a wide spectrum of action.
• Acute bronchitis, exacerbation of its chronic form, and laryngotracheitis bronchoectatic disease will require the appointment of macrolides. But it's better to do a chest X-ray, which will exclude pneumonia.
• With an acute average otitis, the doctor after the otoscopy makes a choice between cephalosporins and macrolides.

Azithromycin is an antibiotic for colds and flu

Azithromycin (another name Azimed) is an antibacterial preparation with a wide spectrum of action. The active substance of the drug is directed against protein synthesis of sensitive microorganisms. Azithromycin is rapidly absorbed in the gastrointestinal tract. Peak action of the drug occurs two to three hours after admission.

Azithromycin is rapidly distributed in biological fluids and tissues. Before you start taking pills it is better to test for the sensitivity of the microflora that provoked the disease. Adult Azithromycin should be taken once a day for an hour before meals or three hours after it.

1. In case of infections of the respiratory tract, skin and soft tissues, a single dose of 500 mg is given on the first day of admission, and for three days the patient takes Azithromycin 250 mg per day.
2. Against acute urinary tract infections, the patient should once take three tablets of Azithromycin once.
3. Against the initial stage of Lyme disease, one tablet is also administered once.
4. With gastric infections caused by Helicobacter pylori, for three days the patient should take a single dose of three to four tablets.

The form of the drug - tablets (capsules) of 6 pieces per package (blister).

Other antimicrobial agents

If the patient does not have an allergic reaction to penicillin, antibiotics for influenza can be prescribed from a semi-synthetic penicillin series (Amoxicillin, Solutab, Flemoxin). In the presence of severe resistant infections, doctors prefer "protected penicillins that is, those that consist of Amoxicillin and Clavulanic acid, here is their list:

• Solutab.
• Flemoclav.
• Augmentin.
• Ecoclave.
• Amoxiclav.

With angina this treatment is best.

Names of preparations cephalosporin series:

1. Cefixime.
2. Ixim Lupine.
3. Panzef.
4. Supraks.
5. Zinatsef.
6. Cefuroxime axetil.
7. Zinnat.
8. Aksetin.
9. Super.

In mycoplasmal, chlamydial pneumonia or infectious diseases of ENT organs, the following medicines are prescribed:

• Azithromycin.
• Macropean.
• Azitrox.
• Z-factor.
• Hemomycin.
• Zitrolide.
• Zetamax.
• Sumamed.

Do I need to prescribe antibiotics? Influenza and ARVI them to treat is useless, therefore the given problem entirely lies on the shoulders of the doctor. Only a doctor who keeps a medical history and the results of a patient's analyzes can give a full account of the expediency of prescribing a particular antibacterial drug.

In addition, it is possible to use antiviral drugs that are inexpensive but effective in treatment, which suggests an integrated approach to influenza therapy.

The problem is that most pharmaceutical companies in the pursuit of profit now and then throw out into the wide sales network more and more new antibacterial agents. But most of these drugs for the time being could be in stock.

Antibiotics, influenza, cold - what conclusions can be drawn?

So, from all that has been said above, we can conclude that antibiotics should be prescribed only for bacterial infection. Influenza and the common cold are 90% viral, so with these diseases, taking medications antibacterial group not only will not bring benefits, but can provoke a number of side effects, eg:

1. decreased immune response;
2. oppression of kidney and liver function;
3. imbalance of intestinal microflora;
4. allergic reactions.

The administration of these drugs for the prevention of viral-bacterial infections is unacceptable. To take aggressive medications, which are antibiotics, is possible only in extreme cases, when there are all the indications.

The main criteria for the effectiveness of treatment with antibacterial drugs include the following changes:

• relief of the general condition of the patient;
• decreased body temperature;
• disappearance of symptoms of the disease.

If this does not happen, then the medicine needs to be replaced by another one. To determine the effectiveness of the drug from the beginning of treatment should take three days. Uncontrolled use of antibacterial medicines leads to a disruption of the resistance of microorganisms.

In other words, the human body begins to get used to antibiotics and each time demand more aggressive medications. In this case, the patient will have to prescribe not one drug, but two or even three.

All you need to know about antibiotics is in the video in this article.

stopgripp.ru

What antibiotics to take with influenza and ARVI: list of names

Antibiotics for flu and cold doctor will appoint immediately after the appearance of the first signs of angina or pneumonia. This is important both for adult patients and for children. Drugs from the group of macrolides or penicillins may be recommended.

When ARVI often develop pathological processes in the paranasal sinuses - sinusitis. This disease is a serious signal about the need for antibiotic therapy. When a yellow nose is troubled by yellow mucus discharge and pain syndrome near the bridge of the nose, consult an otolaryngologist and take an X-ray.

In some cases, antibiotic therapy may be necessary for prophylactic purposes, for example, after a surgical procedure. Usually, it is enough to drink a wide-spectrum drug for 5 days. Thus, doctors try to minimize the development of complications against a background of reduced immunity.

If it is a child, the treatment has its own nuances and antibiotics for ARVI are chosen differently. Dr. Yevgeny Komarovsky tells about this in more detail in his TV programs.

What antibiotics are needed?

Starting from the form of the disease, the general health of the patient, his age, and treatment will be selected. Penicillins are prescribed only to those patients who suffer from a tendency to allergic reactions. Angina is treated with the means:

1. Ecoclave;
2. Augmentin;
3. Amoxiclav.

These drugs are so-called protected penicillins. They are characterized by a mild effect on the body.

With respiratory infections, the standard drugs are macrolides. Antibiotics for ARVI in adults with bronchitis: Macropen, Zetamax. Diseases of the ear, throat and nose will help cure funds Hemomycin, Sumamed, Azitrox.

When a patient observes resistance to penicillin drugs, he needs to take tablets from a number of fluoroquinolones. These are medications Norfloxacin, Levofloxacin.

Such funds are strictly forbidden to children. Their skeleton is not completely formed and therefore the probability of unpredictable negative reactions of the body (details of antibiotics for patients of this age are told by the doctor Komarovsky). In addition, fluoroquinolones are the drugs of the reserve group, which are necessary for the patient in adulthood. If you take them ahead of time, they will get used to them.

With influenza and viral infection, when there is a temperature, the doctor should choose a means that will competently combat the disease and at the same time not trigger the onset of adverse reactions.

The problem of the last time is that with each season the pathogens become more resistant to antibiotics.

How correctly to accept?

The use of antibiotics in ARVI is indicated only when it is impossible to recover without them. If the form of a cold is easy, it is enough to take antiviral drugs. Additional therapy is necessary if:

• A bacterial infection joined the signs of the disease;
• high total body temperature lasts more than 3 days;
• there was a purulent discharge;
• the general condition of the patient worsened.

It is very desirable that the patient bring in his special notebook all his feelings and information about taking antibiotics. This is necessary, because pathogenic microorganisms often develop immunity to such drugs.

When there are complications of flu or cold, the doctor must take an interest in the patient, what he took antibiotics in ARI. It should be noted that the same agent is not able to work with the same efficacy in the treatment of different patients.

To select the most suitable antibiotic, an antibacterial sowing is required. This will help to determine the degree of sensitivity of microorganisms to certain agents. However, there is not always time for such a laboratory test. Its duration is from 2 to 7 days. During this period, the patient's condition may significantly worsen.

If there are indications for taking an antibiotic, it should be drunk strictly according to the scheme suggested by the doctor. Even with a single pass of the medicine, the symptoms of the disease and high fever will manifest themselves with renewed vigor.

Between taking the medicine must pass a certain amount of time. If the doctor recommended taking the drug twice a day, the interval will be 12 hours.

Duration of treatment

Regardless of which group of antibiotics the drug belongs to, it should be taken at least 5 days. If already the next day after the start of therapy the patient will note an improvement in well-being is forbidden:

1. discontinue treatment;
2. reduce the dosage of tablets.

Otherwise, the treatment will not be of use, and if the funds of the same group are reappointed, its effectiveness will be in doubt.

There is a separate type of drugs with prolonged action. They are necessary in particularly difficult cases. The scheme of their admission is divided into stages. The patient should drink a pill 3 days, and then take a break for the same period. Take such antibacterial drugs should be in 3 calls.

Probiotics

Even the most expensive and effective antibiotic in ARVI kills not only pathogenic microorganisms, but also useful ones. This is especially dangerous for young patients, as confirmed by Dr. Komarovsky.

During treatment, the normal intestinal microflora is always disturbed. For this reason, in addition, you should take special drugs that can restore the body. Excellent proven themselves: Lineks, Bifiform, Gastrofarm, Narine. They are taken between the reception of antibiotics.

It is very useful during the treatment period to drink more sour-milk products and generally observe a special diet. It is necessary to include in me the maximum quantity of vegetables and fruits. Renounce acute and fatty.

If the disease lasts for a long time, the liver of a person begins to function poorly. Therefore, it is the light plant products that relieve the load from the organ. White wheat bread is a good substitute for black bread, and sweets and confectionery are dried fruits.

List of drugs for adults

With flu and a complicated cold, the doctor selects suitable antibiotics for the patient, which are divided into groups:

• cephalosporins. These are semi-synthetic antibacterial agents of a wide spectrum. There are several of their generations, but the most popular are Tseporin, Asperer, Cefalexin. They are prescribed for various problems of the respiratory system;
• fluoroquinolones. Antibiotics of a wide spectrum of action. Characterized by rapid absorption in soft tissues. The best are considered to be Moxifloxacin, Levofloxacin. They can not be used to treat pregnant women, nursing women, children, people with epilepsy. There are cases of serious allergies to the drugs of this group. The standard dosage is 500 mg three times a day;
• macrolides. They have a powerful bacteriological effect. Can be used to treat complications of acute respiratory viral infection (angina, bronchitis, pneumonia, otitis, purulent sinusitis), with influenza. This group includes Erythromycin, Azithromycin. The effect of treatment with macrolides is noticeable only after 2-3 days after the start of the course. The mentioned means are allowed for pregnant women and during lactation. The daily dose can not be more, g (it is divided into 6 receptions);
• penicillins. Such antibiotics work well for staphylococci and streptococci. The most popular are Amoxicillin, Amoxiclav. The group is the least toxic. There is an opportunity to apply for the treatment of children. The temperature drops noticeably after a few days, the general course of therapy lasts no less than 5 days. In particularly difficult cases, penicillins require the use of 10 to 14 days.

Each of the considered means has its contra-indications. Do not arbitrarily change the dosage of antibiotics or stop treatment altogether.

Antibiotics for a child (Dr. Komarovsky)

Many doctors and Eugene Komarovsky, emphasize that a normal viral infection does not require treatment with antibiotics! They are only needed when bacteria are attached to the flu.

Antibiotics, which kill bacteria well, will not affect viruses in any way. When a child is treated with such medications for viral diseases, Komarovsky insists, in addition to side effects, the patient will have a serious problem - resistance to antibiotics.

The list of drugs allowed for children is given below.

If a child aged 3 months has a fever, the doctor will appoint Augmentin. The preparation can be purchased in the form of a powder, and having topped the prescribed volume of boiled water at room temperature, it is converted into a suspension. There are no adverse reactions from the medication, but in very rare cases, an allergy in the form of skin rashes can develop.

When complications arise, antibiotics for ARVI are necessary, as Komarovsky says. Such diseases usually become: cystitis, sinusitis, otitis media, tonsillitis. The child is prescribed another medicine, his name is Zinatsef. The preparation is made in the form of a solution for injections. The dose is determined depending on the weight of the baby and his age.

Another good medicine for the flu is Sumamed Forte. The drug is characterized by a wide range of actions, helps to recover in a short time. Do not use the product for children if they are younger than the age of 6 months.

You can buy Sumamed Forte in powder, which is diluted with water. Drink a remedy once a day, you can say. that this is a specific prevention of influenza.

About what antibiotics are needed to treat ARVI in the video in this article.

stopgripp.ru

What antibiotic to drink from flu and cold?

Answers:

Just LANA

Antibiotics are designed to fight bacteria and therefore their use should be limited to the treatment and prevention of various bacterial infections. Infection of the infection is different and therefore the treatment of each case of the disease must come from a real picture of the disease. The culprits of most cases of colds, for example, are viruses, against which antibiotics are absolutely powerless, but as the disease progresses to a viral infection is attached bacterial and therefore in this case antibiotics can be used (in the event that the high temperature is kept more than 3 days). Amoxicillin, Erythromycin and many others. other antibiotics can help with the attachment of a bacterial infection. You Arbidol need to start drinking, use more liquid.

My friend

From the flu, no appointment, because it is not effective!
For cold, drink water and paracetamol!

Bully

Arbidol, remantadine, their doctor immediately prescribes, although it does not seem to be an antibiotic. In the pharmacy should advise.

Nastya

arbidol-excellent helps, axolin ointment - nose smear

Loutchik **********

Hungry for 2 days drink only water and everything will pass

Cat

Try Amoxicillin for 0.5 4 times a day. The first dose is 1.0 - shock.
If there is a homeopathic pharmacy there ask, there are directly miracle means, if there are no such pharmacies, then in usual buy Aflubin and according to the instructions actively, every 4 hours, drink drops.
And in the nose of IRS19.
quickly recover.

Yulia Timoshenko

If you can not do without antibiotics, then I would choose sumamed. New, modern, all collateral are kept to a minimum, and the course only three days. Action prolonged. Even my homeopathic doctor, although categorically against antibiotics, says that if you still have to take it, it's better that you do not have sumamed.

Tatiana yuzvyuk

The best antibiotic is a plant, for example Po Arco, without side effects and cluttering up the body with all sorts of rubbish.

Alyona Lareva

Antibiotics from viruses do not help, only from their complications. If you recently fell ill-Ingavirin according to the scheme in the instructions

entry

Antibiotics for viruses do not work.
It is necessary to drink antiviral drugs, doctors probably will laugh but fiz solution intravenously drip on 500 ml every day of day 4 not bad helps.
Well and so with antibiotics Ciproflox, Augmentin quite good ...

Big girls do not cry

no antibiotics for flu and cold are not prescribed. these diseases cause viruses, against which antibiotics are powerless.
Biseptol is generally a quiet horror. he has not been appointed for 100 years.

Alice Sweetheart

I join the answer above, antibiotics against viruses are useless, they will not lower the temperature, nor will the symptoms be removed. I drink Amiksin in such cases, quickly puts on his feet, there are no side effects.

Whether to drink antibiotics at cold at children or adults?

Everyone who received a diploma from any medical institute is firmly aware and remember that antibiotics for colds, ARVI and flu do not help. This is remembered by doctors in polyclinics, practicing doctors in hospitals. However, antibiotics are prescribed and not infrequently simply prophylactically. Because when you go to a doctor at the hospital, the patient needs treatment.

And in cases with colds, acute respiratory viral infection, in addition to all known rules - abundant drinking, bed rest, vitaminized, limited (diet) meals, medicines and folk methods for gargling, nasal washing, inhalations, rubbing with warming ointments - nothing else is needed, that's all the treatment for colds and is limited. But no, a person expects medicines from the doctor, often just begging for an antibiotic.

Worse, the patient can independently start taking any antibiotic according to his experience or someone's advice. Appealing to a doctor today takes a long time, and medicines are very easy to acquire. No civilized country has such open access to medicines, as in Russia. Fortunately, today most antibiotics dispense prescription antibiotics, but there is always a chance get the drug without a prescription (having mercilessly dispensed a pharmacist or by choosing a pharmacy that values ​​its turnover).

As for the treatment of a cold in a child, here the situation is most often overshadowed by the fact that the pediatrician is simply reinsured, prescribes an effective, good, "child" antibiotic for colds for prevention, in order to avoid possible complications. If the child begins to drink abundantly, moisturize, ventilate the room, at high temperature give antipyretics for children, apply all known means for colds and folk methods - the body must cope with the majority of respiratory viral infections.

And why, then, did the pediatrician prescribe antibiotics?

Because complications are possible. Yes, the risk of complications in preschool children is very high. Today, not every mother can boast of strong immunity and the general good health of her child. And the doctor in this case is guilty, did not notice, did not check, did not appoint. Fear of accusations of incompetence, inattention, danger of prosecution pushes pediatricians to prescribe an antibiotic for children with colds as prevention.

It should be remembered that a cold in 90% of cases is of viral origin, and viruses do not cure antibiotics.

Only in cases when the body failed to cope with the virus and complications arose, bacterial infection, localized in the oral cavity, nose, bronchi or lungs - only in this case are shown antibiotics.

Can I understand by analysis that antibiotics are needed?

Laboratory tests that confirm the bacterial nature of the infection are not always performed:

• Since sputum cultures, urine for today is quite expensive for polyclinics and they are trying to save on them.
• Exceptions are smears from the pharynx and nose with angina to the stick of Lefler (causative agent of diphtheria) and selective crops of detachable tonsils with chronic tonsillitis or urine in pathologies of urinary tract ways.
• More chances to get bacteriological confirmation of microbial infection in hospital patients.
• Indirect signs of bacterial inflammation will be changes in the clinical blood test. Here the physician can orient on the rise of ESR, the increase in the number of leukocytes and the shift of the leukocyte formula to the left (increase of stab and segmented leukocytes).

How to understand by feeling that there were complications?

By eye, the attachment of bacteria can be determined by:

• Changing the color of the separated nose, pharynx, ear, eyes, bronchi - from transparent it becomes cloudy, yellow or green.
• Against the background of bacterial infection, as a rule, there is a repeated rise in temperature (for example, with pneumonia, which complicated ARVI).
• With bacterial inflammation in the urinary system, urine will most likely become turbid and a visible sediment will appear in it.
• When lesions of the intestinal microbes in the feces appear mucus, pus or blood.

Understand that there are complications of acute respiratory viral infection is possible on the following grounds:

• If after the onset of acute respiratory infections or cold after the improvement on day 5-6, the temperature rises again to 38-39C, deterioration of well-being, cough increases, dyspnea or chest pain occurs during breathing and coughing - high risk pneumonia.
• Increases in sore throat at high temperature or there are raids on tonsils, cervical lymph nodes increase - it is necessary to exclude angina or diphtheria.
• There is pain in the ear, which increases with pressure on the tragus, or from the ear flowed - the average otitis is likely.
• Against the backdrop of a cold there was a pronounced nasal voice, headaches in the forehead or face that intensify when leaning forward or lying down, completely lost the sense of smell - there are signs of inflammation of the paranasal sinuses.

Many ask the question what antibiotics to drink with a cold, what antibiotic is better for a cold? If complications arise, the choice of antibiotic depends on:

• localization of complications
• age of the child or adult
• anamnesis of the patient
• drug tolerance
• and of course, resistance to antibiotics in the country where the disease occurred.

The appointment should be made only by the attending physician.

When antibiotics are not indicated for colds or uncomplicated ARVI

• Muco-purulent rhinitis (rhinitis), lasting less than 10-14 days
• Nasopharyngitis
• Viral conjunctivitis
• Viral tonsillitis
• Tracheitis, bronchitis (in some cases at high temperature and acute bronchitis antibacterial drugs are necessary)
• Attachment of herpetic infection (herpes on the lips)
• Laryngitis in children (treatment)

When it is possible to use antibiotics for uncomplicated cases

• At the expressed signs of the lowered immunity - constant subfebrile temperature, more than 5 r / year catarrhal and viral diseases, chronic fungal and inflammatory diseases, HIV, any oncological diseases or congenital disorders immunity
• In a child under 6 months of age - rickets in infants (symptoms, treatment), various malformations, with a lack of weight
• Against the background of some blood diseases (agranulocytosis, aplastic anemia).

Indications for prescribing antibiotics are

• Bacterial angina (with simultaneous exclusion of diphtheria by taking swabs from the throat and nose) requires treatment with penicillins or macrolides.
• Purulent lymphadenitis requires broad-spectrum antibiotics, consultation of a surgeon, sometimes a hematologist.
• Laryngotracheitis or acute bronchitis or exacerbation of chronic bronchitis or bronchiectasis will require macrolides (Macropen), in a number of cases, an x-ray of the chest to exclude pneumonia.
• Acute otitis media - the choice between macrolides and cephalosporins is performed by an ENT doctor after otoscopy.
• Pneumonia (see p. the first signs of pneumonia, treatment of pneumonia in a child) - treatment with semisynthetic penicillins after radiologic confirmation of the diagnosis with mandatory control of the effectiveness of the drug and ray-controlled.
• Inflammation of the paranasal sinuses (sinusitis, sinusitis, etmoiditis) - the diagnosis is established by X-ray and characteristic clinical signs. Treatment is conducted by an otolaryngologist (see p. signs of sinusitis in adults).

Here is an example of a study conducted on the basis of data from a single pediatric clinic, when analyzing medical history data and outpatient cards 420 children 1-3 years old. In 89% of cases, children were registered with ORVI and ARI, 16% with acute bronchitis, 3% with otitis and only 1% with pneumonia and other infections.

And in80% of casesOnly with inflammation of the upper respiratory tract with acute respiratory illness and Orvi antibiotics were prescribed, with pneumonia and bronchitis in 100% of cases. Most doctors theoretically know about the inadmissibility of using antibacterial drugs for a cold or a viral infection, but for a number of reasons:

• administrative settings
• early age of children
• preventive measures to reduce complications
• reluctance to go for assets

they are still prescribed, sometimes in short 5-day courses and with a decrease in dose, which is highly undesirable. Also, the spectrum of pathogens in children was not considered. In 85-90% of cases it is viruses, and among bacterial agents it is 40% pneumococcus, in 15% hemophilic rod, 10% fungi and staphylococcus, less often atypical pathogens - chlamydia and mycoplasma.

With the development of complications against the background of the virus, only according to the doctor's prescription, according to the severity of the disease, the age, the patient's anamnesis, such antibiotics are prescribed:

• Penicillin series - in the absence of allergic reactions to penicillins, semi-synthetic penicillins can be used (Flemoxin solutab, Amoxicillin). In severe resistant infections among penicillin preparations, doctors prefer "Protected penicillins" (amoxicillin + clavulanic acid), Amoxiclav, Ecoclave, Augmentin, Flemoclav Solutab. This is the first-line drugs in angina.
• Cephalosporin series - Cefixim (Suprax, Pansef, Iksim Lupine), Cefuroxime aksetil (Zinacef, Supero, Aksetin, Zinnat), etc.
• Macrolides - are usually prescribed for chlamydial, mycoplasmal pneumonia or infections of the ENT organs - Azithromycin (Sumamed, Zetamax, Zitrolide, Chemomycin, Z-factor, Azitrox), Macropen is the drug of choice for bronchitis.
• Fluoroquinolones - are prescribed in cases of intolerance to other antibiotics, as well as with the resistance of bacteria to drugs penicillin series - Levofloxacin (Tavanic, Floracid, Haileflox, Glevo, Flexi), Moxifloxacin (Avelox, Plevilox, Moximak). The fluoroquinolones are completely banned for use in children, since the skeleton is not yet formed, and also because it is preparations "of a reserve that can be useful to a person when he grows up, in the treatment of infections with a drug stability.

In general, the problem of choosing an antibiotic for today is a task for the doctor, which he must decide in such a way as to maximally help the patient in the present and not harm in the future. The problem is complicated by the fact that in the pursuit of today's profits, farmkampanii absolutely do not take into account the seriousness of the increasing stability causative agents of diseases to antibiotics and throw out in a wide network those antibacterial novelties that could be for the time being in reserve.

If your doctor has prescribed an antibacterial drug, you should read 11 rules. How to drink antibiotics correctly.

Main conclusions:

• Antibiotics are indicated for bacterial infections, and the common cold in 80-90% has a viral origin, therefore their reception is not only senseless, but also harmful.
• Antibiotics have serious side effects, such as inhibition of liver and kidney function, allergic reactions, they reduce immunity, cause imbalance of intestinal microflora and mucous membranes in organism.
• The use of antibiotics as a prophylaxis for complications of viral-bacterial infections is unacceptable. The task of the child's parents in time to see a doctor, and the therapist or pediatrician in time to discover the possible deterioration of well-being of the child or adult and only in this case to accept "heavy artillery" in the form of antibiotics.
• The main criterion for the effectiveness of antibiotic therapy is a decrease in body temperature to 37-38 ° C, relief of the general condition, in the absence of this antibiotic should be replaced by another. The effectiveness of the antibiotic is estimated within 72 hours and only after this the preparation changes.
• Frequent and uncontrolled use of antibiotics leads to the development of resistance of microorganisms, and each time a person will require more aggressive drugs, often the simultaneous use of immediately 2 or more antibacterial means.

zdravotvet.ru

Similar articles