Contents of the article
- 1 Characteristics of systemic antibacterial drugs
- 1.1 Antibiotics of the penicillin line
- 1.2 Macrolides
- 1.3 Cephalosporins
- 1.4 More information on antibiotics "Amoxiclav", "Augmentin" and "Flemoxin solute"
- 2 Auxiliary therapy for angina
- 3 Features of antibiotic administration:7 Important Points
According to statistics, 80% of cases of angina are streptococcal infection. Less often the disease occurs against the background of the rapid growth of staphylococcus on the mucous nasopharynx and oral cavity. There is also a mixed type of infection: simultaneous lesion of streptococcus and staphylococcus. What antibacterial drugs are most effective in these types of bacterial infection?
Characteristics of systemic antibacterial drugs
All drug forms of preparations that can be taken orally: tablets, suspensions, drops, solutions for injections are all systemic antib
Antibiotics of penicillin series
Antibacterial drugs in principle it is difficult to call "harmless."But penicillin, discovered back in 1941, is considered one of the safest and most effective antibiotics in a number of diseases. It is penicillin that copes well with a special type of streptococcus, which causes the most frequent complication after infection - rheumatism. Usually, with angina, children are prescribed "Augmentin", "Flemoxin solutab", "Ecobol", "Amoxicillin", "Hiconsil", "Amosin" and other drugs. Antibiotics of the penicillin series are prescribed in the early stages of the disease. In recent years, children are allergic to penicillin. In this case, the doctor prescribes antibiotics of other groups.
The second most effective after a group of penicillin. Drugs with such commercial names may be prescribed: Macropen, Zinacef, Azitral, Zitrolide, Azitrus, Hemomycin, Azithromycin, Zi Factor, Aksetin Klacid,"Clarithromycin" and others. Of this group, the most commonly used is "Sumamed" with angina in children. It is a broad-spectrum antibiotic. Especially effective in infections of the upper respiratory tract. The drug is convenient because it is applied once a day, with a shorter course. Dosage form: capsules and tablets. Children under one year are appointed "Sumamed" in suspension.
Assign in case of resistance( resistance) of bacteria to a series of penicillins and macrolides. Antibiotics of this group are the least likely to cause allergic reactions. Their advantages: rapid absorption into the blood and the maximum concentration of the substance in the upper respiratory tract, which is important in the treatment of angina. However, if there are diseases of the kidneys, liver, hematopoiesis, the drug is contraindicated. Usually they are used: "Iksim", "Keflex", "Cefazolin", "Cephalexin", "Ospexin", "Pansef", "Flexin" and other drugs."Suprax" in angina in children is prescribed only in the event that no other drug helps. To begin treatment of a sore throat "Supraksom" it is undesirable. This antibiotic is considered to be the most powerful, effective, reserve medicine. More often it is used for inpatient treatment of severe forms of sore throat. The drug is not prescribed for children up to six months.
Antibiotics for tonsillitis in children are prescribed if the inflammation of the tonsils is caused by bacteria. After acute tonsillitis can be a symptom of many diseases, the causative agents of which can be viruses and fungi. If tonsillitis occurs against the background of acute respiratory viral infection or influenza, antibacterial drugs are not used.
More about antibiotics "Amoxiclav", "Augmentin" and "Flemoxin solute"
These drugs are widely used in pediatrics in the treatment of bacterial infections.
"Augmentin" and "Amoxiclav" in angina in children are prescribed if a high resistance of bacteria to a penicillin-amoxicillin derivative is found. Clavulanic acid, which is part of these drugs, makes them more protected and more effective. Commercial analogues: "Ecoclave", "Medoklav", "Flemoklav" and others. Medicinal forms of preparations: tablets and powder for suspension. The diluted powder can be stored in the refrigerator for a week. Tablets are given to children after 12-14 years. Intravenous administration of the drug is indicated in severe forms of bacterial sore throat. The most common side effects of these drugs are intestinal disorders, dysbacteriosis, allergies.
In this case, the doctor can prescribe "Flemoxin solute" in case of angina in children, which has a number of advantages:
- shorter course;
- taking medication is not dependent on food intake;
- is well suited for complex treatment with antihistamines;
- effect on the intestinal microflora is less aggressive.
However, there are a number of contraindications: infectious mononucleosis, various infections of the digestive tract, as well as liver and kidney disease.
Auxiliary therapy for angina
What drugs are used for local treatment of the throat in children?
- Antiseptic solutions and sprays. Used for rinsing and irrigation of the throat, have an additional analgesic and enveloping action. These drugs can be prescribed: "Chlorophyllipt", "Tantum Verde", "Cameton", "Geksoral", "Ingalipt", "Stopangin"."Miramistin" in children with angina is one of the most effective antiseptics.
- Absorbent tablets. This includes: Strepsils, Lizobakt, Faringosept, Falimint and others.
- Local antibiotics. Most often with angina, children are assigned "Bioparox" and "Fusafungin".These are antibiotics with a wide spectrum of action and a pronounced anti-inflammatory effect."Bioparox" is used in the form of inhalation in the nose or mouth.
What is important to know?
- Contraindications. Drugs for sore throats for children in the form of sprays and tablets are contraindicated up to 3 years. Kids do not know how to hold their breath when they inject drugs and dissolve tablets. The doctor can recommend spraying the medicine on the cheek, while the babies are treated with an antiseptic dummy.
- Self-treatment of a child with local antibiotics is no less dangerous. Excessive and frequent use of solutions, sprays and ointments strongly "sits" a healthy microflora of the nasopharynx and oral cavity, which contributes to the growth of pathological bacteria. Therefore, doctors do not recommend the use of more than two drugs from the throat for children.
- Precautions. Burning antiseptics( iodine solutions) should be applied strictly to the doctor's prescription. For babies up to a year they are contraindicated.
Features of antibiotic administration: 7 important points
According to WHO statistics, one quarter of all drugs prescribed by doctors are antibiotics. This is due to the high effectiveness of antibacterial agents in the treatment of a variety of infections. What are the features of taking these medicines?
- Course of treatment. Depends on the preparation and the severity of bacterial sore throat. Can be from 5 to 10 days.
- Dose. It is determined by age, body weight of the child, the severity of the disease, the type of pathogen, the presence of chronic liver diseases, kidneys, hematopoiesis, etc.
- Performance evaluation. Two days after the first reception of antibiotic usually comes relief. If the temperature does not subside, pain and plaque in the throat remain, the doctor can cancel the drug and prescribe another, or revise the dosage.
- Conditions and time of admission. Antibiotic should enter the body at regular intervals. If it is taken once a day, the time should also be fixed. To defeat bacteria, the blood must retain the necessary concentration of the drug. It is usually recommended to drink antibiotics one hour before meals or after. There are antibiotics that can be taken regardless of food intake or during meals. The main thing is to save the time interval.
- Concomitant therapy. During and after taking antibiotics, probiotics are prescribed to restore intestinal microflora: Lineks, Acipol, Bifidumbacterin, Hilak Forte, Bifiform and others.
- Diet during the intake of antibiotics. Drink plenty of fluids. Prohibited acute, fatty foods, canned foods that give a load on the liver.
- Drink with water. In most cases it is not recommended to drink antibiotics with milk, compotes and fruit juices.
The child may experience an allergic reaction, an individual intolerance to the antibiotic. If any side effects occur, immediately consult a doctor.
Treatment of angina with antibiotics in children should be mandatory if the infection is bacterial. Absence of antibiotic therapy in angina and treatment with rinses often end with serious complications: rheumatic fever, pyelonephritis, encephalitis, myocarditis, meningitis, sepsis and others.