Bronchitis is a common disease. Most people at the first signs of it sit on antibiotics. Is it possible to overcome bronchitis without the use of such aggressive drugs? Treatment with antibiotics in adults is not always justified. So what and how to eliminate inflammation in the bronchi?
Bronchitis: Do you need heavy artillery?
The symptoms of bronchitis are known to almost every adult: cough, shortness of breath, and in some cases, fever. The disease in which the bronchial mucosa is inflamed can be triggered not only by bacteria, but also by viruses. In the latter case, the use of antibiotics does not make sense, since they do not work against such microorganisms. In this case, antibiotic therapy may even give the opposite effect: it will cause dysbiosis, reduce immunity and will help ensure that this drug stops producing a destructive effect on bacteria. Therefore, the decision on whether to use antibiotics in the treatment of bronchitis in adults is taken individually.
Who shows antibiotic treatment for ailment?
Approximately 10% of patients with bronchitis necessarily require the use of antibacterial drugs. They are necessary in such situations:
- for the treatment of the elderly (from the age of 60). This is due to the fact that they do not have sufficiently strong immunity, therefore, complications may arise (including pneumonia);
- if the disease is prolonged. If the patient's condition has not improved in 3-4 weeks, this suggests that the body does not have enough of its own resources to cope with bronchitis. Antibiotics will have to be connected, otherwise the disease will become chronic;
- in chronic obstructive bronchitis (which happens, in particular, in smokers);
- in case of bronchial asthma (infectious-dependent). Then antibiotics go into action already at the first signs of bronchitis, to prevent the development of allergies to pathogens;
- with the appearance of purulent sputum or obvious signs of intoxication;
- if the blood level is too high ESR (more than 20 mm / h);
- if mycoplasmal and chlamydial bronchitis is found (it is very difficult to get rid of it);
- with chemical bronchitis (very likely to connect a bacterial infection).
What medicines are prescribed for acute form?
Acute bronchitis usually develops as a complication of the flu or cold. Antibiotics are used extremely rarely, because in the overwhelming majority of cases viruses are the cause of the disease.
If signs of severe bacterial infection that caused acute bronchitis are found, treatment with antibiotics in adults suggests the use of penicillin group drugs. The most commonly prescribed drugs are:
These drugs destroy the walls of bacteria, causing their death. The course of therapy is usually 5 days (sometimes 7 days). The disadvantage of these drugs is that penicillins can cause severe allergic reactions.
Treatment of chronic bronchitis with antibiotics in adults: groups of drugs
Chronic bronchitis is characterized by a long course with periods of exacerbations and remissions. Moreover, when the disease becomes aggravated, the patient feels very bad: he is tormented by a strong cough, sputum appears (often with blood), shortness of breath, and fever. In such periods, antibiotic treatment is necessary. According to many therapists, if this is not done, the chance that a person will recover is equated to zero.
In chronic bronchitis, the doctor may prescribe such antibiotics:
- penicillins. These are proven drugs with a wide spectrum of action, with a minimum of contraindications. But if bronchitis is running, then they can not cope. The most famous representatives of such drugs are Augmentin, Amoxiclav, Panklav;
- Amoxicillin preparations - Flemoxin-Solutab, Hincocil, Amotid;
- Macrolides - Erythromycin, Clarithromycin. They demonstrate high efficiency against a large number of bacteria. Such drugs act somewhat slower than others, since pathogenic microorganisms do not kill, but stop their growth. But drugs very rarely provoke undesirable effects. But microbes quickly get used to them, so it is advisable to use them again not earlier than after 3 months;
- cephalosporins. This is the latest generation of drugs. If the disease is severe and long, then it is with their help that bronchitis is treated in adults. Drugs (antibiotics Ceftriaxim, Levofloxacin) are administered intramuscularly or intravenously;
- fluoroquinolones. They occupy a leading place in the list of prescriptions for the treatment of chronic bronchitis, because they act locally (only in the bronchi) and rarely cause allergic reactions. The most popular drug is Ciprofloxacin;
- aminoglycosides. Many people have been familiar with the antibiotic from this group for a long time. This is such an "ancient" drug as Gentamicin. It is used for severe bacterial lesions on the background of reduced immunity, and only if other (less toxic) drugs have proved to be powerless.
The main rules of treatment
Antibacterial agents should be treated with increased attention. Even the fact that they should be prescribed by a doctor is not subject to discussion, since only he knows which drug is most sensitive to the bacteria that caused the disease.
Everyone knows that antibiotics can not only cure the patient, but also cause him considerable harm. To prevent this from happening, you should follow these requirements when accepting them:
- Do not interrupt treatment. Even if the patient's condition has significantly improved after two days of antibiotic treatment, you should still complete the course. If you cancel them yourself, the bacteria will begin to multiply rapidly, and the body's resistance will be significantly reduced;
- strictly maintain the intervals between medications. For example, if they need to drink three times a day, then the next pill is prescribed to swallow after 8 hours. This is important because a certain concentration of the active components of the drug in the body must be maintained;
- observe the dosage;
- in case of occurrence of unintended effects (nausea, dizziness, unpleasant taste sensations in the mouth), notify the doctor, without interrupting the medication;
- see if the drug works. If the improvement does not come after 72 hours, then the bacteria are probably immune to this antibiotic, and it needs to urgently look for an alternative;
- To prevent dysbiosis in parallel with antibiotics, drink probiotics.
Doctors know how insidious and serious the disease is bronchitis. Treatment with antibiotics in adults gives good results, so they are often prescribed from the very first days of the disease. In some cases it is really inevitable, in others it is an extra precaution. But the decision about whether or not to be treated with such drugs is always up to the specialist. Therefore, try to contact an experienced and competent doctors.