Antibiotics for ARVI
Many people think that there is no sense in prescribing antibiotics for ARVI, since these are antibacterial drugs, and they do not work for viruses. So why are they still appointed? Let's figure it out.
ARVI is a common infectious disease that is transmitted by airborne droplets, or by contact through unwashed hands, objects, things. The name of an acute respiratory viral infection speaks for itself: the infection is caused by pneumotrophic viruses that mostly damage the respiratory system.
Treatment of acute respiratory viral infections with antibiotics
If the catarrhal disease is caused by a viral infection, it is more logical at the first symptoms to take antiviral medicines, carry out detoxification and symptomatic treatment according to indications. Antibiotic therapy is usually added about a week after the discovery of a cold, if the ongoing treatment of a viral lesion is recognized as ineffective, the patient's condition worsens, or remains unchanged.
In addition, often there are situations when against the background of a decrease in immunity, provoked by an acute respiratory infection, an additional bacterial pathology develops. This is where the use of antibiotics becomes possible and even necessary. Antibiotics are preparations of complex and multifaceted action, their administration is carried out with observance of certain precautions: exact observance of dosage and time of reception, with determination of sensitivity of bacterial flora, with simultaneous application of some antifungal and immunomodulating preparations. Therefore, the best decision when choosing an antibiotic is a preliminary consultation with a doctor- therapist or infectious disease specialist who will advise you on the most effective drug in your case.
Do antibiotics help in ARVI?
If, within a few days after the onset of ARVI development, you notice the appearance of painful lymph nodes and sore throat, gland on the glands, shooting in the ear, prolonged an impassable purulent runny nose, wheezing in the lungs, large temperatures (more than three days), then the use of antibiotics in such cases is justified enough.
In order for antibiotics to have the expected effect, first of all they must be properly selected: the spectrum of action, localization, dosage and duration of administration is determined.
To achieve positive dynamics, to cure the disease and not to harm the body, it is necessary to adhere strictly to the general rules for taking antibiotics:
- the prescription of an antibiotic should be due to the presence or possibility of getting a bacterial infection;
- when taking an antibiotic, its necessary constant concentration in the blood should be determined: if the doctor prescribed an antibiotic 5 times a day, then his should be taken exactly 5 times, and you should not self-lower the dosage and change the regimen of treatment, thereby you unbalance your and bacterial microflora;
- Do not stop taking antibiotics immediately after the first signs of relief, the course of admission should be brought to an end: do not The final course only weakens the strength of the bacteria, and for complete recovery it is necessary that they completely die. Without destroying them completely, you run the risk of getting sick again soon, or getting a chronic form of the disease;
- during the reception of antibiotics, it is necessary to take measures for the prevention of dysbiosis, since these drugs can be destructive not only to the pathogenic microflora, but also on a healthy intestinal: against the background of antibiotic therapy, it is recommended to take antifungal agents, as well as drugs that support the beneficial microflora in the body;
- for the prevention of toxic effects of antibiotics, it is necessary to take a sufficient amount of liquid, including fermented milk products;
- Eat plenty of vitamins, drink juices, whenever possible, visit the sun and fresh air.
When are prescribed antibiotics for ARVI?
There are cases of prescribing antibiotics in acute viral pathologies, and they are far from single. Of course, taking antibacterial drugs without need is not necessary, nevertheless, there are quite a lot of reasonable reasons for their appointment:
- the presence of chronic, often exacerbated inflammation of the middle ear;
- small children with signs of unfavorable development: lack of body weight, lack of calcium and vitamin D, weakening of immunity, anomalies of the functioning of the body;
- presence of symptoms of chronic weakness of the body's defense system (frequent inflammatory processes, colds, unmotivated fever, purulent processes, fungal infections, persistent digestive system disorders, malignant neoplasms, AIDS, congenital anomalies of immunity, autoimmune pathology).
Also, the use of antibiotics is effective and understandable for certain complications:
- joining purulent infection (sinusitis, lesions of lymph nodes, abscesses, phlegmon, bacterial lesion of the throat and respiratory system);
- simultaneous development of bacterial angina (purulent, with the presence of streptococcal or anaerobic infection);
- formation of background ear inflammation;
- joining the inflammatory process in the lungs of any etiology.
Often, antibiotics are prescribed to the weakened patient as a preventive measure in the fight against complications.
What antibiotics to drink in ARVI?
Antibiotics, which are usually prescribed for ARVI, are representatives of the following groups:
- penicillin series - oxacillin, ampicillin sodium salt, ampiox - antibacterial drugs with a wide bacteriostatic and bactericidal action, are quickly absorbed, effectively act on pneumococcal, meningococcal, streptococcal infections;
- cephalosporin series - cephaloridine, cephalexin, cefazolin, cefatrexil - low-toxic antibiotics, act on gram-positive and gram-negative bacteria, even penicillin-resistant strains are inhibited;
- tetracycline series - tetracycline hydrochloride, morphocycline, doxycycline - inhibit the synthesis of proteins in a microbial cell, active antibacterial drugs;
- aminoglycosides - gentamicin, amikacin - popular antibiotics for severe infections;
- macrolide antibiotics - erythromycin, azithromycin - inhibit the multiplication of bacteria;
- other groups of antibiotics - lincomycin, rifampicin.
The choice of antibiotic is determined by the spectrum of its action, the degree of influence on the bacterial cell. Before taking medications, carefully read the instructions, or even better, consult a doctor.
Antibiotics for adults with ARVI
Antibiotics, as a rule, are not prescribed from the first days of the disease. Viral etiology of ARVI provides for the use of primarily antiviral drugs (rimantadine, zanamivir).
Antibiotic therapy in adults is used when the following signs are found:
- long (more than three days) high body temperature;
- symptoms of general intoxication of the body (headache, dizziness, nausea, cyanosis);
- wheezing, difficulty breathing, inability to cough up the contents of the bronchi, heaviness behind the sternum;
- increased erythrocyte sedimentation rate (ESR);
- increased number of leukocytes in the blood;
- the appearance of visible foci of microbial damage (phlegmon, abscess, furuncle, purulent sinusitis);
- absence of positive dynamics of the disease (despite treatment, pathological symptoms progress);
- old age and a weakened immune system of the body.
Prescribe antibiotics for ARVI in adults also with a mixed and complicated form of the disease.
Antibiotics for children with ARVI
Many parents when the child has ARVI hurry to give him any antibiotic, sometimes without any reason. With antibiotic therapy, you should not rush, especially when it comes to children.
Here are some principles that prescribe antibiotics for ARVI in children:
- antibiotics are used only in the presence of a high probability or with the proven bacterial etiology of the pathological condition;
- when determining the antibiotic for treatment, the most likely causative agents of an infectious disease are considered, and the possibility of carrying out antibiotic therapy in a child for any other disease lately;
- the choice of a therapeutic effect on the child prescribes the administration of drugs with a low level of toxicity;
- many antibacterial drugs have their age-limiting limitations;
- dosing of antibiotics for children is usually done taking into account the total body weight of the child.
Uncomplicated forms of acute respiratory viral infection usually do not require the use of antibiotics. They are prescribed with concomitant inflammation of the maxillary sinuses of the nose, tonsillitis, otitis, signs of pneumonia.
Antibiotics for ARVI and influenza
The flu is, in fact, the same viral infection, characterized, in contrast to ARVI, by a sharper onset and the possibility of developing more serious complications.
We return to the question, do antibiotics for ARVI and influenza equally need?
The causative agent of the flu is also a virus, so the unmotivated prescription of antibiotic therapy for influenza is not welcome. First, this additional toxic effect on the liver and gastrointestinal tract, and secondly, the possible formation of resistance of the bacterial flora to the antibiotic.
Therapy with antibiotics must be combined with the symptomatic and antiviral only in cases of prolonged incessant fever, with chronic diseases of the respiratory tract, kidneys, cardiovascular system, diabetes mellitus, decreased immune defense. Antibiotics can be prescribed to prevent the existing danger of developing a secondary bacterial infection.
You should start taking antibiotics only according to the doctor's prescription, you should not take them alone and unreasonably.
List of antibiotics for ARVI
One of the most effective antibacterial drugs for SARS are the following:
- The cephalosporin series includes cefexin, chainins, apsetil - semi-synthetic drugs with a wide range of effects. Three generations of these drugs are known. Bacteriostatic action allows the use of these antibiotics for any infectious diseases of the respiratory system. Adults can take medication in a daily dose of 400 mg, divided into two doses. The course of treatment is 1-2 weeks;
- fluoroquinolone series is represented by moxifloxacin and levofloxacin, characterized by rapid absorption and good bactericidal action. Adults appoint 0.5 g per day. Not recommended for use in children's practice;
- macrolide series is represented by erythromycin, azithromycin, used for sinusitis, angina, otitis media, pneumonia. Admission of these drugs during pregnancy is acceptable. Take 5-6 times a day for 0.25 g;
- penicillin series consists of antibiotics-derivatives of penicillin: ampicillin, amoxicillin, oxacillin. Can be used in pediatrics, since they have a low degree of toxicity. The daily dose is from two to three grams, taken for 4 times.
The course of antibiotic therapy is 1-2 weeks, but not less than five and not more than 14 days.
If one antibiotic is ineffective, it should be replaced in the near future with another, with a stronger degree of activity towards bacteria.
When developing an allergic reaction to an antibiotic, you should visit a doctor to replace the drug with a remedy from another group.
The best antibiotic for ARVI
Unfortunately, one can not say for sure what should be the best antibiotic in ARVI. Selection of an antibiotic is carried out individually, taking into account the degree of infectious damage, the age and condition of the patient, the sensitivity of the bacterial flora and allergological anamnesis of the patient. If there was one best antibiotic, there would be no sense in all other antibacterial agents.
However, antibiotics are divided into ordinary (penicillin, tetracycline, levomycetin, erythromycin) and more strong (ceftriaxone, junidox, sumamed, rulid, etc.) according to the degree of exposure to the microbial cell.
When treating infectious diseases of mixed etiology, one should choose not only strong antibacterial agents, but antibiotics that show activity against the broadest spectrum of possible pathogens. Sometimes, to achieve the maximum latitude of exposure, it is possible to designate combinations of drugs with different antibacterial spectrum.
It's no secret that new generation drugs have a much higher degree of activity and have fewer side effects than antibiotics, for example, thirty years ago. Such drugs are clarithromycin (klabaks, along with the effect on bacteria promotes immunity improvement), and also sumamed (azithromycin, which has the property of a stable effect on bacterial strains).
Drugs can be taken either orally, as an injection or as a spray.
Many people with the slightest signs of any disease themselves prescribe antibiotics. This is wrong, since the unreasonable and unskilled use of antibiotics provokes a rapid growth and mutation of bacterial cells, which significantly reduces the effect of antibacterial agents.
Antibiotics for ARVI should not be taken uncontrollably yet because these drugs are effective not only for specific bacteria, but also for the whole organism.
ilive.com.ua
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 a cold, acute respiratory viral infection, in addition to all the known rules - abundant drinking, bed rest, vitaminized, limited (diet) food, medicamentous means and folk methods for rinsing the throat, washing the nose, inhaling, rubbing with warming ointments - nothing else is needed, this all treatment of the common cold 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 to get a drug without a prescription (having mercilessly dispensed a pharmacist or choosing a pharmacy that values its turnover most of all).
As for the treatment of a cold in a child, the situation is often overshadowed by the fact that the pediatrician is simply reinsured, appoints 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, give fever at a high temperature 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 did not cope with the virus and there were complications, a bacterial infection joined, localized in the oral cavity, nose, bronchi or lungs - only in this case antibiotics are indicated.
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 swabs from the pharynx and nose with angina to the stick of Lefler (causative agent of diphtheria) and selective sowing of detachable tonsils with chronic tonsillitis or urine in pathologies of the urinary tract.
- 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 an acute respiratory infection or a cold, after the improvement on day 5-6, the temperature rises again to 38-39C, feeling, cough worse, there is shortness of breath or pain in the chest with breathing and coughing - the risk of pneumonia is high.
- 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 intensified when leaning forward or lying down, the sense of smell completely disappeared - 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 virus diseases, chronic fungal and inflammatory diseases, HIV, any cancer or congenital immunity disorders
- 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 bronchoectatic disease will require macrolides (Macropen), in a number of cases, a chest X-ray 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 X-ray control.
- 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, Zetamaks, Zitrolid, Hemomycin, Z-factor, Azitrox), Macropen - a drug of choice in bronchitis.
- Fluoroquinolones - are prescribed in cases of intolerance to other antibiotics, as well as the resistance of bacteria to penicillin preparations of the series - Levofloxacin (Tavanic, Floracid, Hailefleks, Glevo, Flexi), Moxifloxacin (Avelox, Plevilox, Mossimac). The fluoroquinolones are completely banned for use in children, since the skeleton is not yet formed, and also because they are drugs "reserve", which can be useful to a person when he grows up, in the treatment of infections with drug resistance.
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, the pharmacampany absolutely does not take into account the seriousness of the increasing resistance of pathogens 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 the body.
- 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 consult a doctor, and the therapist or pediatrician in time to detect a possible deterioration state of health of the child or adult and only in this case to take "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 more aggressive drugs are required, often simultaneous use of 2 or more antibacterial agents.
zdravotvet.ru
What antibiotics did you attribute to ARVI for a child?
Answers:
*** SKARLETT ***
no
did not hurt yet... we are already 24
VeT
Prescription of antibiotics for! ORVI!! not shown, because ARVI is Acute Respiratory Viral Infection, and antibiotics do not work for viruses.
Arbidol should be taken as follows:
1) You take a pack
2) You throw it out with the contents in a garbage can.
We call the pediatrician for help, let him exclude any bad bacterial dirty tricks. If this is really an ARVI then we change Arbidol to Tamiflu.
Venus
Amoxiclav in the syrup.
salamandra15
In viral diseases, antibiotics are not prescribed. remantadine try, "agri" child (this is a homeopathic drug, by the way I always give it to my children for cold and viral zab-x)
Anna Kuchumova
The best antiviral ANAFERON!
Lisa
in general, Orvi is treated without antibiotics,
In T
When ARVI in a child - give more drink fluids (mom is still food), you can eat and wait.
Depending on how the temperature transfers, paracetamol can be given after 38.5-39. Cool air,
The appointment of specific medications is better discussed with the pediatrician. Although, if it is a virus, then only viferon can advise,
The main thing - if there are no cramps at the temperature (twitching in the hands, legs), then wait patiently for the doctor. If something urgent - call an ambulance.
Good Cobra
With ARVI, antibiotics are not taken. If there was a complication after ARVI, then yes, but depending on what complication-bronchitis, sinusitis, nifrit, etc., Anaferonom, too, should not get carried away. We were treated with birth only by folk remedies, of course, if the fever drank paracytomole, and then tried to knock it down with vinegar with alcohol, and analgin when necessary. From this immunity only strengthened, that we did not use chemistry. Now my son is 16 years old, the flu is ill once a year and then 2 days, the 3rd is already healthy.
Sobetskaya Svetlana Anatolievna
Hello! Julia, consult a doctor. All individually. After a flu there can be complications. Only to the doctor. Do not joke about your health. A speedy recovery! !
Names of antibiotics for colds and flu
In the treatment of respiratory diseases, direct-acting drugs are used that affect the cause of the disease. They depress the pathogens. Such therapy is called etiologic. In the fight against the flu and cold the main thing is right - to choose the right medication. Some people, trying to get better sooner, begin to drink strong antibiotics from a cold at the first symptoms of ARVI. Is it correct?
When it is necessary to drink antibiotics for colds and flu
In most cases, respiratory diseases are caused by viruses to which antibacterial drugs do not work. Therefore, their reception from the first day of the disease is not justified. Therapy of respiratory diseases with antibiotics is justified, if on the 5th-6th day of the course of the flu or cold, the person's state of health is consistently poor. As a rule, these are symptoms of bacterial infection, which provokes the development of purulent sore throat, acute bronchitis, pneumonia.
Signs of complications of the flu and colds:
- after the onset of acute respiratory viral infection, the body temperature rises sharply after 5-6 days;
- general health worsens, fever, coughing, shortness of breath;
- pain in the throat, chest area, ears;
- enlarged lymph nodes.
When treating colds and flu with antibiotics, do not interrupt treatment while improving well-being. People who commit such a mistake then suffer twice as much. In this case, the improvement of a person's condition does not mean that the disease has passed. The batch of bacteria under the influence of antibiotics died, but another part of them adapts to the drug and begins to attack the weakened organism with new strength. This leads to a new round of disease with subsequent complications.
What antibiotics are better for taking cold?
For the treatment of respiratory diseases, bactericidal preparations are used to destroy pathogenic microorganisms. Antibiotics in the fight against colds and influenza are given the role of heavy artillery when there is a risk of acute complications. For treatment of respiratory diseases, three main groups of antibacterial drugs are used:
- penicillinic - ampiox, augmentin, amoxaplav;
- cephalosporins - cefotaxime, cefpyr, cefazolin;
- macrolides - roxithromycin, azithromycin, clarithromycin.
List of effective antibiotics for adults
For colds of bacterial origin, doctors prescribe antibiotics in extreme cases. Prolonged cough, prolonged angina, severe fever, stably high body temperature - these are alarming signs of the development of an acute disease. In this case, traditional antiviral drugs, immunostimulants, vitamins and medicinal herbs are powerless. For effective therapy, you need to know which antibiotic is better for a cold to an adult:
- amoxicillin;
- arlet;
- fleumoclave;
- rovamycin;
- azithromycin;
- hemomycin;
- suprax;
- cefepime;
- erythromycin;
- levofloxacin.
Names of good drugs for children
To treat bacterial diseases at an early age, antibiotics are used in extreme cases. With pneumonia, acute otitis, purulent angina, resulting from a respiratory illness, it is justified to take such drugs. The form of antibiotics is prescribed depending on the age of the child. Breastfeeding - drugs in pricks, older children - in pills. Babies do not always make injections, it is allowed to open the ampoule and give the child a medicine in the proper dosage. Baby antibiotics for colds:
- ampicillin;
- flemoxin solute;
- moximac;
- avelox;
- augmentin;
- zinnat;
- Macropen;
- gt;
- esparoxy;
- alpha normix.
Often parents mistakenly believe that antibiotic therapy is necessary for the successful treatment of influenza and colds in children. This is a misconception about the effect of antibiotics on the baby's body. In viral infections in children, the prescription of these drugs is unreasonable even at high temperatures, which persists for a long time.
Treatment with antibiotics of children leads to dysbiosis, weakening of the immune system, anemia. To conduct antibacterial therapy for babies is advisable exclusively in critical situations. For example, when there is aerobic streptococcal angina, acute otitis media, pneumonia, inflammation of the paranasal sinuses. The use of antibiotics to treat children with colds and flu without complications is justified when:
- expressed signs of reduced resistance to the body - a constant subfertile body temperature, frequent cold and viral diseases, HIV, oncology, congenital disorders of immunity;
- rachitis, malformations of general development, lack of weight;
- the presence in the history of the child of chronic recurrent otitis media.
Gentle medications for treating colds in pregnant women
When treating complications of respiratory disease in a woman in a position or nursing mother, take into account the effects of the antibiotic on the development of the fetus. For treatment select sparing antibacterial drugs. To find the right medicine, the doctor identifies the causative agent of the disease, its resistance to various drugs. If it is impossible to conduct such a study, prescribe sparing antibiotics for pregnant women:
- ampicillin;
- oxacillin;
- cefazolin;
- erythromycin;
- azithromycin;
- bioparox;
- minocycline;
- oxam;
- ericcicline;
- ristomycin.
To treat influenza and colds in pregnant and lactating mothers, in order to avoid the occurrence of dysbiosis, it is advisable to take drugs in the form of injections. To avoid allergic reactions, the use of antibiotic therapy is combined with antihistamines. From the diet of pregnant and lactating women, chocolate, citrus and coffee are excluded.
List of broad-spectrum antibiotics
In bacterial therapy for the treatment of complications of influenza and cold prescribe drugs aimed at inhibiting groups of pathogens. Such drugs are called broad-spectrum antibiotics. They help to cure the complications of influenza and acute respiratory disease. Cheap tablets are effective, as are expensive ones. These types of drugs are dispensed in pharmacies without a prescription. Before taking the drug, read the instructions and read reviews about antibiotics. A good drug has a small number of side effects. Antibiotics of a wide spectrum of action:
- amosin;
- beccampicillin;
- ospamox;
- eco-ball;
- zinforo;
- kefelim;
- flamixi;
- cefodox;
- klatsid;
- oleterin.
sovets.net
Did you give children up to a year of antibiotics in ARVI?
Answers:
Natalia
Two weeks (!!!) coughs - it's not just an ARVI - it is quite possible to attach a bacterial infection, so there is reason to prescribe antibiotics. Or wait for complications further... .
Asking a question, you are waiting for confirmation of your opinion or want to hear practical advice. But even after describing the entire clinical picture (which you did not do), you will not get a clear answer to your question - for this the child needs to REVIEW personally, see the results of the analyzes, etc. Only after that it will be possible to say - you need an antibiotic in your case, an additional examination or cough is a residual phenomenon.
Galina Bogomolova
No, I generally gave antibiotics to the child several times in life, with severe bronchitis, with otitis. I have a prejudice towards them. Maybe I'm not right. And she did not drink them for a hundred years.
Thick Strawberry nymphs nymphs
all cases are individual.. FIG know.. .
I also was afraid to stuff the child,
and three days later the ambulance took me to the hospital at night, there was also SARS,
we then 4 months were all, well, we fell in the hospital, niche pleasant ..
Lesya
I gave my own, appointed a doctor, the temperature was 38. so that her hands withered. the child had the strongest allergy after them. now except homeopathy do not give anything.
Diana
And which diagnosis? I gave up to a year and more than once, but only if there is a real need. antibiotics are not so terrible, worse than complications from illnesses
Irina Belova
Antibiotics for OrVI are not prescribed. If the blood test is a bad formula-it can be a bacterial infection-then give antibiotics. They gave up to a year, a suspicion of bronchitis.
LYING
No, especially if there is no temperature.
City Elf
No, my child under 1.5 was not sick at all. But the friend's younger son from the elder in 4 months. picked up, so I had to take an antibiotic, and even once. Antibiotics should not be afraid, sometimes without them in any way, only dosage is important to observe!
THE ULIANCHIK
just with ARVI and ARI there will be no sense from antibiotics... .
To us in a month at a bronchitis the antibiotic in the form of a nyxis has been appointed... one injection per day and so 5 days.. . temperature was not there either... there was only a cough
Sonche
up to a year like no
and with viruses, antibiotics do not help at all
Spider
Of course not))) who is the virus antibiotic treats.
I was ill once, the doctor confirmed ORZ. Wrote out the syrups and drops in the nose (temp. also was not).
The cough really dragged on for a little, coughed for a week, then a week croaked.
Everything went by itself.
And I in the middle of treatment have thrown to give syrups, from them even more sputum is produced.
Nick stolen - looking for options
antibiotic is not given with the diagnosis of acute respiratory viral infection, but with the symptoms of his accompanying.
wheezing in the lungs, sore throat, green snot, which in the ears become numb even before otitis.
Olga Golubenko
There are 2 types of infections: bacterial and viral. Bacterial is treated with antibiotics, and viral (ARVI-acute respiratory-viral infection) is treated with antiviral drugs. Before giving the baby antibiotics you need to find out the nature of the infection. I will tell you that our doctors generally like to prescribe antibiotics all with the need and without. I do not call not to trust the doctor, but she contradicts herself with her diagnosis. Your task is to quickly determine the bact. or vir. infection and begin adequate treatment. If you have to resort to antibiotics, but do not forget to give the bacterial drug to the baby.
Av
we were stabbed in 1.5 months
What are the antibiotics for adults and children?
Any adult knows that a banal cold is not an excuse to immediately start taking antibiotics. Such drugs, of course, have an excellent impact on pathogens, and it becomes easier for a person already the next day, but they can do a lot of harm. If the disease is at an early stage, it can easily be overcome with abundant drinking, antiviral drugs and bed rest. But in some cases, antibiotics can not be avoided.
Analyzes will help to make the correct diagnosis
Before the doctor prescribes antibiotic therapy for ARVI treatment, a number of tests will be performed. This is the only way to make sure that complications have not joined the common cold. If a cough is present, sputum culture will be performed. In addition, general blood and urine tests will be administered. To determine whether antibiotics are needed for ARVI, a smear from the nose and throat will help. If there is a purulent infection, it can be recognized immediately. A serious reason for the appointment of antibiotic therapy is the identification of a stick of Lefler (causative agent of diphtheria).
To more accurately make a diagnosis, a doctor can offer a patient to undergo a test in a hospital. Here you can conduct all the necessary laboratory tests and observe the patient's condition. A clinical blood test will be performed several times. The doctor should pay attention to whether the ESR increases, whether the total number of leukocytes increases.Pay attention to health
The attachment of a bacterial infection can be determined by the general state of the body. As a rule, the body temperature rises sharply. If the cold is complicated by pneumonia, the patient will have shortness of breath and suffer severe coughing attacks. In this case, ARVI is treated with antibiotics without fail.
It is worth paying attention to the color of discharge from the nose and throat. If the mucus acquires a dark or green hue, it is more likely that complications have occurred. With a bacterial infection of the urogenital system, the urine acquires a brown color, a sediment appears in it, which can easily be seen with the naked eye. In the feces you can see blood or pus.
It often happens that after the onset of acute respiratory infections passes several days already, and treatment with antiviral drugs does not yield any results. In addition, additional unpleasant symptoms may appear, such as headaches, nausea, sleep disturbances. This may indicate the development of the inflammatory process in the lungs and bronchi. Additionally, tonsils can appear purulent on the tonsils, pain in the throat increases.In case of complications, the doctor should decide which antibiotic to take in ARVI. The patient's age, history, susceptibility to allergic reactions, localization of complications, etc. are taken into account. Take antibacterial drugs without agreement with the therapist is not recommended.
When is it possible to do without antibiotics?
Even if the laboratory analysis showed the presence of a bacterial infection, antibiotics for ARVI are not always accepted. Do not prescribe medicines for mucopurulent rhinitis, which lasts less than two weeks. Antibiotic therapy begins only when antiviral treatment does not give a positive result. In addition, antibiotics are not prescribed for tracheitis, viral tonsillitis, nasopharyngitis, laryngitis. Antibacterial agents are also not suitable for the treatment of herpesvirus infection, which can occur during the period of acute respiratory viral infection.
There are also cases where the use of antibiotics is necessary for the first symptoms of a cold. When expressed signs of reduced immunity drugs are used simply for prevention. This is due to the fact that a weakened organism with a high likelihood of joining a bacterial infection. Antibiotics for ARVI for children are prescribed in case of a large lack of weight or in the presence of any physical abnormalities.Indications for prescribing antibiotics
Antibiotics for ARVI in adults and children are prescribed primarily when the first symptoms of angina or pneumonia appear. A doctor can be prescribed drugs from a group of penicillins or macrolides. With purulent lymphadenitis, antibiotics of a wide spectrum of action are prescribed. If such complications occur, there is a need for additional consultation of the hematologist and surgeon.
With ARVI, inflammation of the paranasal sinuses can develop. Sinusitis is a serious cause for concern. If a mild discharge of yellow color and pain in the region of the nose appear in the common cold, it makes sense to consult LOR. An accurate diagnosis will help to place an X-ray study. Antibiotics for ARVI for children and adults in the case of sinusitis develops an otolaryngologist.In some cases, antibiotic therapy is prescribed for prophylactic purposes. Patients who have recently undergone surgical intervention perform ARVI treatment with antibiotics. In this case, a broad-spectrum drug can be prescribed. Apply it will have at least five days. Thus, the doctor tries to protect the patient from the development of any complications against the background of a decrease in immunity.
What antibiotics can be prescribed?
Depending on the form of complications, the general condition of the patient and his age, the doctor selects an antibacterial drug. Antibiotics of the penicillin series can be prescribed only to those patients who do not have a tendency to allergic reactions. With angina, such medications as "Ecoclave", "Amoxiclav", "Augmentin" can be prescribed. These are medicines that are commonly called "protected penicillins." They have a milder effect on the human body.
When infections of the respiratory system most often appointed macrolides. "Macropen", "Zetamaks" - antibiotics for adults with ARVI, if bronchitis begins. With diseases of the ENT organs, drugs "Sumamed", "Chemomycin", "Azitrox" can be prescribed.If there is resistance to penicillin group drugs, antibiotics from a number of fluoroquinolones are prescribed. This is "Levofloxacin" or "Moxifloxacin". Fluoroquinolones are prohibited antibiotics for ARVI for children. The skeleton in children is not yet sufficiently formed, so unpredictable side reactions may occur. In addition, fluoroquinolones are referred to reserve drugs that may be needed in an adult. The sooner they start taking, the sooner the addiction will develop.
The doctor must choose the best antibiotic for ARVI, based on the characteristics of the patient's body and the form of complications. The specialist should do everything to help the patient to overcome the disease to the maximum, avoiding any side reactions. The problem is complicated by the fact that every year the pathogens become more resistant to antibacterial drugs of a wide spectrum of action.
How correctly to take antibiotics?
Use antibiotics for ARVI is necessary only when it is impossible to do without them. Coryza and cough in mild form is perfectly treated with antiviral drugs. Additional therapy is performed when complications begin, and a bacterial infection joins the symptoms of a cold. If the heat lasts more than three days, there are purulent discharge, the general condition of the patient worsens, and antibiotics are prescribed.
All information on the intake of antibiotics should preferably be recorded in a special notebook. At pathogenic microorganisms immunity to antibacterial preparations can be developed. Therefore, treatment can not start with potent drugs. In case of complications, the doctor will definitely ask what antibiotics were taken earlier in ARVI. The same drug can not give an equally good result in the treatment of different patients.To select suitable antibiotics for ARVI, it is worthwhile to conduct bacterial culture. Thus it will be possible to determine the sensitivity of microorganisms to a certain group of antibacterial drugs. The problem can be only that the laboratory analysis can last from two to seven days. During this time, the patient's condition may worsen.
Antibiotics for influenza and ARVI should be taken strictly according to the scheme. It is only one day to forget about the medicine, and again unpleasant symptoms of the disease will appear. Between the reception of tablets must pass a certain period of time. If the drug is taken twice a day, then it must be done strictly after 12 hours.
How many days are antibiotics used?
Regardless of what antibiotic in the ARVI will appoint a doctor, take them for at least five days. The very next day after the beginning of antibacterial therapy the patient will feel a significant relief of his condition. But the interruption of treatment is by no means impossible. The duration of taking antibacterial drugs is determined by the therapist.
There are antibiotics of prolonged action, which are prescribed in especially severe cases. The scheme of their reception is divided into several stages. The patient will have to drink pills for three days, then take a break for the same period of time. Reception of antibacterial drugs occurs in three sets.Reception of probiotics
Any antibiotic works not only on pathogenic microorganisms, but also on those that benefit. During the treatment, the natural microflora of the intestine is disturbed. Therefore, in addition, it is worth taking medications that can restore the normal state of the body. Good drugs have such drugs as Bifiform, Lineks, Narine, Gastrofarm. It should not only take probiotics, but also consume more sour-milk products. Preparations are taken during a break between taking antibiotics.
During the treatment period, a special diet should be observed. It is worth eating more vegetables and fruits, giving up fatty and spicy food. Any antibiotic in ARVI in adults and children depress the liver. It is necessary to eat light foods that will not stress the organ. White bread is desirable to replace with black, and dried fruits will be an excellent alternative to sweets.
Antibacterials for adults
Cephalosporins are semisynthetic antibacterials of a wide spectrum of action. There are several generations of these funds. The most popular are the drugs "Asperer", "Tseporin", "Cephalexin". They can be prescribed for various diseases of the respiratory system. "Aspetil" is also suitable for children's use, provided that the patient has a weight over 25 kg.
Fluoroquinolones are broad-spectrum drugs that are rapidly absorbed into soft tissues. The most popular are "Levofloxacin" and "Moxifloxacin". These antibacterial drugs are contraindicated in children, women during pregnancy and lactation, as well as people suffering from epilepsy. There are also cases of serious allergic reactions to fluoroquinolones. The drugs are applied twice a day for 500 mg.
Macrolides are drugs that have a bacteriological effect. They can be prescribed for such complications of acute respiratory infections as bronchitis, tonsillitis, otitis, sinusitis, pneumonia. Macrolides include "Azithromycin" and "Erythromycin". It is difficult to answer the question, with ARVI, what is the best antibiotic. After all, the effect of taking macrolides can be seen only after 2-3 days. These drugs are allowed to be taken during pregnancy and lactation. The daily dosage of the drug can not exceed 1.5 g (divided into 5-6 receptions).
Penicillins are antibiotics that affect streptococci and staphylococci. The most common are such drugs as "Amoxiclav", "Amoxicillin". This group of antibacterial drugs is considered the least toxic. Possible use in children's therapy. The effectiveness of the reception can be seen in a few days. The general course of treatment should last no less than five days. In the most difficult cases, penicillins take 10-14 days.
What antibiotics are most often prescribed for children in ARVI?
With diseases of the upper respiratory tract, babies older than three months are often prescribed "Augmentin". This drug is offered in pharmacies in the form of a powder. It is turned into a suspension and given to the children 3 times a day. In rare cases, there may be an allergic reaction in the form of a rash. A positive result of the treatment can be seen already the day after the start of antibiotic therapy.
With such complications of acute respiratory infections, like otitis media, tonsillitis, cystitis, sinusitis, children can be assigned "Zinatsef". The drug is presented as a solution for injection. The dosage is determined by the age and weight of the child. The drug is diluted with water.
"Sumamed Forte" is another popular drug in pediatric therapy. The antibacterial agent has a wide spectrum of action and allows to overcome the disease in the shortest possible time. The drug Sumamed is contraindicated in children under 6 months of age. The preparation is presented in the form of a powder, which is diluted into a suspension. Dosage is calculated based on the weight of the child (10 mg per 1 kg of body weight). The drug is taken once a day.
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