02.08.2017

Bronchitis is a disease that is subject to all age groups of people. The disease is characterized by inflammation of the mucous membranes, proceeds against the background of difficulty breathing, cough, elevated temperature.

Bronchitis is divided into, and. Depending on the form of the disease, the doctor makes a decision to apply an antibiotic with bronchitis in adults:

• the sharp form of bronchitis is treated without antibacterial drugs, the exception is the situation when there is a risk of bacterial complications. Medications from the penicillin group can be appointed;
• chronic form in the period of exacerbation is treated with cephalosporins, aminopenicillins, macrolides. Treatment with antibiotics is shown to older patients to reduce the risk of pneumonia and complications;
• the obstructive form is treated with antibacterial drugs, if a purulent infection is revealed, which signals a high temperature. In this case, the doctor appoints which antibiotics to take with bronchitis in adults, taking into account the type of pathogen. If the disease proceeds hard, medications are prescribed in injections.

Not always to treat bronchitis need antibiotics - in the first days of disease, doctors refrain from destination. Justification antibacterial therapy There may be conditions:

• if a bacterial infection has been revealed against the background of bronchitis, and the body does not cope with it within 2 weeks;
• if chronic bronchitis is distinguished by a protracted character and often gives relapses, against the background of which the immune forces of the body are strongly reduced;
• if the bronchitis in adults is characterized by weakness, problems with breathing, shortness of breath and high temperatures, which is not knocked down a couple of days;
• if the results of the analyzes are revealed to an increase in ESP, there is no symptoms of intoxication;
• if the patient refers to the older age group of people, and there is a risk of life-threatening states.

The doctor has the right to decide which antibiotics to drink with bronchitis, a specialist discharges medicines after research and diagnostics. Self-meditation is fraught with complications.

The effect of antibiotics of different groups when bronchitis

According to the classic scheme, the treatment of bronchitis antibiotics start with penicillins

Answer which antibiotic is better from bronchitis, it is not possible, it all depends on the individual characteristics of the body of the patient, the nature and forms of the current disease, the sensitivity of the bacteria to another drug. Patients with diagnosis bronchitis antibiotics are prescribed from groups of drugs:

1. Fluoroquinolones (offloxacin, levofloxacin). Medicines acting on an extensive list of pathogens by destroying their DNA. Another analysis may be assigned to the sensitivity of the causative agent to antibiotics. With a long application, the cause of dysbiosis becomes.
2. Aminopenicillins (amoxiclav, agginentin, amoxicillin). Penicillin-based drugs that destroy the cell membrane bacteria. Serious adverse Reactions Do not cause allergic manifestations.
3. Macrolides (Sumamed, Midekamycin, Azitromycin). The active ingredient disrupts the production of protein in the cage of bacteria, which leads to a stopping of the reproduction and death of pathogenic microorganisms. More often such drugs are prescribed with a long-term course of the disease or when other groups of drugs cause allergies. If required effective antibiotic With bronchitis, you should choose from this group.
4. Cephalosporins (ceftriaxone, ceftazidim, cefazoline, supraks). Drugs slow down the production of protein in the cage of bacteria, as a result, a stopping of the reproduction and death of the causative agent of the disease is achieved. This group of drugs may cause allergies, so they are prescribed with caution.

According to the classic scheme, the treatment of bronchitis antibiotics start with penicillins, and if bacteria do not perceive the antibiotic, or an allergy occurs in the patient, then the doctor selects the drug from another group. The course of therapy lasts from 7 to 10 days. Strong tablets From the bronchitis - from the group of macrolides, grabs 3 days to cure.

Features of the treatment of bronchitis in pregnant women

Assign antibiotics with bronchitis in pregnant women is undesirable, especially in the first 3 months

The body of a pregnant woman is changing, experiencing an impact of internal and external factors, immunity decreases. Bronchitis in pregnant women is often detected. A disease begins as an ordinary cold, but after a couple of days, it makes itself felt a dry cough, and another couple - a spatter of bronchi.

The debit of sputum is difficult due to the poor mobility and the raised position of the diaphragm. Assign antibiotics with bronchitis in pregnant women is undesirable, especially in the first 3 months. If without this it is impossible, then the doctor will prescribe a medicine from the penicillin group - Flexin, amoxicillin.

In the second trimester, you can be treated with cephalosporins, but Fluoroquinolones and tetracyclines are contraindicated. A good effect has a bioparox antibiotic, which is used for inhalations. Considering that the medicine does not have a systematic impact, will not be harmful to mom and child.

Best antibiotics from bronchitis

Self the best antibiotics At acceptable prices: this is amoxicillin, Biseptol and Ofloxacin

Antibiotics with bronchitis in adults at reasonable prices:

• Amoxicillin
• Biseptol.
• Offloxacin.

Other drugs possessing a wide range of impact on pathogenic microorganisms are more expensive. Based on the results of the analyzes and condition of the patient, the doctor will select the optimal medicine. Below are a number of descriptions of drugs, their action and side effects.

Amoxicillin

Antibiotic from the penicillin group. It is assigned from bronchitis and inflammation of the lungs, in the therapy of the ENT organs, the gastrointestinal tract and organs of the urinary system, other pathologies. This medicine is produced from bronchitis in adults in tablets and capsules, granules. The drug starts an action after 30 minutes from the moment of reception, the effect lasts about 6 hours.

Biseptol.

it inexpensive means From a series of sulfanimamides. It is appointed in the complex of treatment with diseases of the respiratory system - bronchitis, abscesses in lightness, pneumonia.

The medicine has many contraindications, causes adverse reactions. Biseptol in medicine is used long ago, bacteria do not have sensitivity to the active substance. Before the course of therapy, it is necessary to hand over the sensitivity of bacteria to Biseptol.

Offloxacin

The drug from the fluorochinol group is assigned in injections. The active ingredient destroys the DNA of bacteria, leads to their destruction. The drug is prescribed from most bacteria and in cases where the bacteria do not react to other antibiotics from bronchitis. Offlsacin is used from bronchitis, pneumonia and diseases from different spheres of medicine. It is impossible to take pregnant and nursing under the age of 18, as well as those who have sensitivity to the components of the drug. The doctor selects the dosage individually, there is a risk side Effects From the urogenital, cardiovascular and nervous system.

Flexin-Solutab

The preparation from a number of penicillins, which is based on amoxicillin. It is assigned with complicated acute or chronic bronchitis. Produced in traditional and chewing tablets with a pleasant taste. Appointed adults and children, including infants. Side effects rarely occur, sometimes they are manifested in the form of allergies.

Augmenten

Medicine from group of aminopenicillins, overwhelming reproduction of bacteria. The active substance is clavulanic acid, it does not give bacteria to synthesize beta lactamase protecting them from penicillins. A drug is prescribed from a number of inflammatory infection, provoked by pathogenic microorganisms. For the convenience of receiving and dosing antibiotics during chronic bronchitis, adults can be bought in the form of injections, tablets, drops and powder for the suspension. Side effects are rarely detected, mainly this is the reaction of the digestive tract.

Sumameried

Represents a drug from a row of azithromycin-based macrolides. It is assigned from an extensive list of infectious-inflammatory diseases. You can buy Sumamed in capsules, tablets and powder with strawberry taste (for children). This drug is known for the shortest term of treatment - 3 tablets are enough to get rid of the bronchitis. The medicine is well tolerated, rarely causes adverse reactions. The exception can be case of overdose or improper use when dysbacteriosis is possible, the negative impact on the liver, the failures in the operation of the digestive and nervous system.

Azithromycin

Antibiotic from the group of macrolides. It is assigned from a number of diseases caused by bacteria, including inflammation of lungs and bronchitis. Produced in tablets and capsules. Already after 3 days of treatment, take 1 tablet per day, you can get rid of bronchitis. Contraindications for receiving are: pregnancy, breastfeeding, sensitivity to components. Among the side effects are detected: nausea and diarrhea, there is an allergic reaction.

Cefasoline

Relatively old drug from a row of cephalosporins. It is assigned from many types of microbes causing infectious inflammatory diseases, including pneumonia, lung abscess and bronchitis forms. The medicine is produced in the form of ampoules with powder for the preparation of injections. Cephazoline has a minimum of contraindications and is considered one of the small-toxic drugs of his group. It is impossible to take it pregnant and nursing. Negative reactions from the gastrointestinal tract, urinary system are likely.

Ceftazidim

An effective drug from new cephalosporins. 3 generation antibiotic is prescribed from severe purulent-septic conditions and complicated respiratory infections. Helps from bronchitis in acute and chronic form, from pneumonia. Produced in ampoules with powder for the preparation of injections.

Contraindicated in individual intolerance. Caution is prescribed to patients with renal failure, bleeding and newborn. Among the adverse reactions are the following: allergic manifestations, blood from the nose, a change in blood composition, problems in the work of nervous and digestive systems. Ceftazidim is prescribed in tablets, and injections are discharged in severe cases when risk to life is possible.

Features of the course of antibiotics

When treating antibacterial agents of any diseases, including bronchitis, you need to know about the rules for receiving such drugs. Only their competent compliance will allow to get the effect that the manufacturer promises. The rules are as follows:

1. The course of antibiotics cannot be interrupted, cutting or increasing the duration of the treatment time appointed by the doctor. Already on 3 days, the patient feels an improvement in the state, and on 5 may feel healthy. But if the doctor discharged the medicine for 7-10 days, then it takes all the days, otherwise the remains of bacteria will produce resistance to the drug and the disease will return, but it will be treated with powerful means. This is a cost option for finance and time. A simple way out is to comply with the recommendations of the doctor.
2. Reception of antibiotics should be tied by time, given the recommended in the instructions for use in the hourly interval. Calculate so that the gaps are equal, and if the tablet is taken 1 time per day, then do it at the same time. Such a strategy will allow concentration in the body in the body active substanceAnd the fight against bacteria will be carried out continuously.
3. It is necessary to control the health of health against the background of the antibiotic taking, detect improvements / deterioration, adverse reactions. If after two days there are no improvements at all - the drug does not act on the type of bacteria, and it is necessary to replace it with another.
4. Be sure to comply with hygiene measures, adjust the diet and establish a drinking mode. It is necessary that the body can actively deal with bacteria, and harmful substances Divided from the body in a timely manner.
5. Against the background of antibacterial drugs, the doctor must prescribe antihistamines and antifungal agents. This is the mandatory support of antibiotics, as they kill not only pathogenic microorganisms, but also the useful intestinal microflora, sex tract. So after the treatment of bronchitis immediately does not start the treatment of dysbacteriosis and thrush, you need to take concrete measures in advance.

We draw conclusions

Summing up, you should remind you that only a doctor should treat bronchitis. This is done after clarifying the diagnosis, laboratory diagnostics. Not always the reception of antibiotics is justified - not only the doctor, but also the patient should remember this.

Antibacterial drugs It is advisable to drink if bronchitis is caused by bacteria or there is a risk of bacterial complication of the disease. In other situations, treatment includes symptomatic drugs, eliminating an inflammatory process, preventing complications that facilitate the patient's condition.

Bronchitis is a rather common disease that a person is subject at any age. During the disease, inflammation of the mucous membrane of the bronchi occurs, accompanied by cougium, difficult breathing and, as a rule, increase the temperature.

The causes of bronchitis, as well as symptoms of the disease, can be different. Thus, the disease can be provoked by influenza, ARVI, cold, adenoviral, mycoplasma, chlamydial or banal infection. The development of the process is directly related to the weakening of the body's protective forces, a decrease in the resistance to the immune system by the action of malicious viruses, bacteria, mushrooms. The impetus to the beginning of the disease can also be an impact on the organism of allergens, various chemical compounds, as well as supercooling, stress or contact with a sick person.

By the course of the disease, there is sharp and chronic bronchitis, the development of bronchitis can be primary (emerging with unchanged bronchops), or secondary (appearing against the background of another disease) bronchitis. Depending on the cause of the occurrence, development and flow of the disease and prescribe the necessary treatment.

When needed bronchitis treatment with antibiotics

Despite the fact that the bronchitis in adults meets very often, the unambiguous treatment scheme does not exist. The most difficult is the need to appoint and choosing antibacterial therapy. Since bronchitis, in most cases, has a viral nature of origin, treatment of antibiotics will not make sense, and in some cases will lead to the opposite effect - the development of dysbacteriosis, allergic manifestations, inhibition of immunity and the development of resistance to the drug. Therefore, to answer the question whether antibiotics are needed at bronchitis in each particular case can only be able to answer.

Especially unacceptable independent assignment of antibiotics for self-treatment.

Nevertheless, about 10% of cases of bronchitis still needs antibacterial treatment. Consider more about the situation when there is a need to connect antibiotics to the treatment.

• Patient age from 60 years and older It is an indication for the purpose of antibacterial drugs. This is due to the fact that the immunity of an elderly person is not able to quickly cope with infection and overcome the disease, with the result that banal bronchitis can end with complications, including pneumonia.
• Loading the diseaseWhen the symptoms of the disease are preserved longer than 3-4 weeks, it suggests that the body cannot independently cope with bronchitis and the doctor will include the antibiotic treatment regimen.
• Chronic obstructive bronchitis (bronchitis smokers) in the period of exacerbation manifests itself severe condition Patient - increased temperature and sweating, weakness and strong cough attacks with a branch of purulent sputum, which sometimes contains blood impurities. Reception of the course of antibiotics against bronchitis helps to cope with exacerbation.
• Allergic reaction It is based on the development of bronchial asthma, and with each episode of bronchitis, stupid attacks of suffocation. Patients suffering from infectious-dependent bronchial asthmaAlso forced from the very beginning of the disease to take antibiotics to prevent the occurrence of allergies to the presence of pathogenic microbes.
• Quite often antibiotics are prescribed with chemical bronchitis, developing under the influence of aggressive substances inhaled by a person, for example, vapor acids, alkalis. With any damage to the mucous bronchi, the risk of attachment is high bacterial infectionTherefore, such patients need to conduct an antibacterial therapy.
• If the course of the acute form of the disease is complicated by the appearance purulent sputum During cough attacks (enters purulent bronchitis), the testimony of clinical analyzes detect inflammatory processes, leukocytosis, an increase in the level of ESP - all this is the reason for appointing the doctor with antibiotics appropriate treatment.
• Chlamydia and mycoplasmist bronchitisarising against the background of weakening immunity and characterized by a protracted flow, quite difficult to treat, therefore the purpose of antibiotics is the necessary measure.

How to act antibiotics: features of mechanisms

Antibiotics in pharmacology are called medicinal substances capable of destroying bacteria, mushrooms and tumors, or stop their reproduction and growth. The mechanism of action, as well as the chemical structure of various antibacterial drugs, is significantly different, and therefore, only certain types of antibiotics are used to treat separately brought disease. So for treatment different species Bronchitis in adults apply antibiotics of several groups. What antibiotics prescribe doctors with bronchitis?

• Aminopenicillins. The effects of drugs of this group destroys the walls of bacteria, which causes the death of microorganisms. Since there are no components in the human body, in structure similar to the cellular membranes of bacteria, the drugs of this group are affected solely on pathogenic microbes, without having a harmful effect on a person. However, it is worth noting that the antibiotics of the penicillin row more often than other drugs can provoke allergic reactions.
• Macrolids. Antibiotics of this series violate the process of producing a protein in bacteria cells, the result of which becomes the loss of microorganisms of the ability to reproduce. Macrolid antibiotics are prescribed with a protracted nature of the disease without fear of harboring the human body. Usually prescribed in the individual intolerance to the preparations of the penicillin row.
• Fluoroquinolones. They act destroyably on DNA bacteria, causing their death. Fluoroquinolone antibiotics have a fairly wide range of action, but their long-term reception leads to the development of dysbiosis.
• Cephalosporins. The bactericidal effect of antibiotics - cephalosporins is carried out by braking the synthesis of a substance that is the basis of the cell membrane of the bacteria. Its exposure to drugs of this group are carried out on breeding and growing microorganisms, which leads to the termination of their quantitative growth. Cefalosporins antibiotics, albeit to a lesser extent than penicillins, are also able to provoke allergic manifestations.

What antibiotics are better to take with bronchitis

What antibiotic is appointed for the treatment of a particular type of bronchitis, only a doctor can say. The most effective antibiotic with bronchitis is the drug to which the causative agent of the disease will be most sensitive. We present the specific names of antibiotics used at bronchitis.

• For treatment acute bronchitis Antibacterial therapy from the first days of the disease does not apply. Antibiotics acute bronchitis prescribed only in the case of increased risk of occurrence possible complications. Amoxicillin is usually prescribed (the cost of the drug from 18 to 66 rubles.), Spiramycin, erythromycin.
• Chronical bronchitis treat with such drugs penicillin group: Amoxicillin, amoxiclav (cost about 360 rubles.), Augmentin (average price 320 rub.), Artlets (292 - 506 rub.), Flemoclav (378 - 876 rub.). Good efficiency in chronic bronchitis showed antibiotics of groups of macrolides - rovamicin, azithromycin (106 - 269 rubles).
• In older people The use of antibiotics plays a decisive role in the treatment of bronchitis. First of all, the following antibacterial agents are used: Flexin, Rovamycin, Chemomycin (275 - 300 rubles), azithromycin. In second place are the antibiotics of the cephalosporinic group: cefazoline (price of about 30 rubles), supraks, cefepim (average price of 380 - 400 rubles), Ceftriaxone (cost 26 - 30 rubles). These drugs are used with light and moderate severity of the disease and are used mainly in the form of tablets. The heavy stages of bronchitis are treated with injections, and sometimes it is advisable to use combination treatment, combining injections and reception of tablets.
• If antimicrobial means are assigned without prior analyzing sputumThe preference is given to the preparations of a wide range of action.
• With obstructive form of bronchitis Antibiotics are prescribed after the detection of a bacterial infection. Usually, the preparations of aminopenicillin row are used for treatment, as well as fluoroquinolones and macrolides - Augmentin, amoxiclav, Clarithromycin (from different manufacturers price 167 - 550 rubles) and erythromycin, moxifloxacin (from 900 rubles), ciprofloxacin (in the range of 10 - 40 rubles .), Levofloxacin (from 73 rubles), Sumamed (price from 267 to 730 rubles).

Antibiotic treatment during pregnancy

Bronchitis in women during pregnancy - the phenomenon is not rare, which is explained by the general decrease in immunity during this period. The beginning of the disease is similar to the manifestation of an ordinary cold, but a dry cough is added to weakness and temperatures, and after 2-3 days from the bronchi begins to highlight the wet. The removal of sputum in pregnant women is most often difficult due to the raised position and reduced diaphragm mobility. Stagnation of sputum in bronchi is extremely harmful to the future mother and leads to an increase in the duration of the disease.

The treatment of bronchitis in pregnant women is complicated by the fact that the appointment of antibiotics, like others medicinal preparations Extremely undesirable, especially in the first trimester. If no antibacterial therapy is not to do, the doctor may recommend one of the antibiotics of the penicillin group allowed during pregnancy - Amoxicillin, Penicillin, FlexinSince their impact on the body is most harmless and will not have a negative impact on the child. In the second trimester of pregnancy it is possible to use antibiotics cephalosporin group. Categorically tetracycline and fluoroquinolone preparations are not recommended..

For the treatment of acute bronchitis, you can use bioparox - antibiotic local actionused for inhalations. Such an application of the drug completely eliminates the possibility of penetrating it through the placenta, which is very important for the future mother and her baby.

Features of acceptance of antibacterial drugs

Regardless of the treatment of any doctor, the doctor has discharged an antibiotic, there are certain rules of admission These drugs.

• The course of acceptance of antibiotics should be continuous and continued exactly as much as the doctor appointed. If notable improvements, and even the complete disappearance of symptoms occurred on the 5th day, and the course of treatment is designed for 7 days, it is impossible to stop receiving antibacterial drugs, otherwise the microorganisms - the causative agents of the disease will be formed resistance to this antibiotic.
• Taking antibiotics you need strictly by the hour, observing the daily amount of the preparation of the drug and withstanding the same intervals between them. it necessary measure To maintain the constant concentration of the antibiotic in the blood.
• Watch the effect of receipt of the drug. If after 2 days the improvement does not occur, it means that the antibiotic does not act on this type of bacteria and the medicine must be replaced.

How to cure bronchitis without antibiotics

Antibiotics in the treatment of bronchitis are usually prescribed when the bacterial infection is detected. For other cases, the doctor prescribes appropriate treatment, conditionally consisting of general and symptomatic. For general treatment Efforts are aimed at eliminating the problem of inflammation of the bronchi and preventing the complications of bronchitis. Symptomatic treatment contributes to the improvement of the patient's condition and eliminates the symptoms of the disease.

General treatment implies the appointment of drugs that contribute to the expansion of the bronchi (Salbutamol, Berodual), reducing the viscosity of sputum and bringing it from the respiratory tract (Lazolyvan, Ambroben). The choice of mucolyts today is very wide, they are produced in the form of tablets, syrups, solutions for inhalations.

With the pronounced manifestations of the body's weakness, increased temperature Appointed anti-inflammatory and antipyretic drugs - Antigrippin, Rinzasipa and etc.

People's methods of treating disease

How else can you treat bronchitis without antibiotics? Such a common disease has long been successfully treated with the help of traditional medicine. There are many recipes that are effectively struggling with the disease.

• The first assistants in the treatment of bronchitis are widely known for their bactericidal properties onion and garlic. To prepare a tincture of a bow with a honey, it is necessary to grate 1 bulb, add honey (in the 1: 3 ratio). Take the remedy you need three times a day on 1 tablespoon after meals. It is also effectively fighting against onions, baked with sugar.
• To quickly improve the status helps well abundant hot drinking - teas with the addition of honey, raspberries, viburnum containing vitamin C. anti-inflammatory and reducing properties are mint brazers, linden, pine kidney. An expectorant effect has a decoction of plantain, mother-and-stepmother, licorice root and violets.
• Against recovery contribute inhalation With the addition of Eucalyptus essential oils, fir, pine. This procedure, affecting directly on the hearth disease, helps to calm the cough and moisten the dry mucous membrane.
• Also in folk medicine for the treatment of bronchitis honey, horseradish, badger fat.

Bronchitis is a disease characterized by the emergence of the inflammatory process in bronchi. In many cases, the pathological process is provoked by bacteria or viruses. The disease can flow in acute or chronic form.

The use of antibiotics with bronchitis is the moment about which there is a lot of arguing. Some argue that antibacterial drugs are necessary. Others adhere to the point of view that the treatment of bronchitis antibiotics is meaningless.

Of course, these drugs are able to prevent complications, but are they always needed? In what cases are antibacterial drugs prescribe? What antibiotics to drink with bronchitis? We will talk about it in this article.

Do you need antibiotics for the treatment of bronchitis?

The causes of bronchitis, as well as symptoms of the disease, can be different. Thus, the disease can be triggered by influenza, cold, adenoviral, mycoplasma, chlamydial or banal infection. The development of the process is directly related to the weakening of the body's protective forces, a decrease in the resistance to the immune system by the action of malicious viruses, bacteria, mushrooms.

The treatment of bronchitis antibiotics in adults is advisable only in certain cases:

1. The virus infection was joined by bacterial, and the body is not able to cope with it for three weeks and more;
2. Chronic disease, often recurrent or atypical.
3. Chlamydial and mycoplasmable bronchitis arising against the background of imminent imminent and characterized by a protracted flow.
4. Patient age from 60 years and older.

Thus, the diagnosis of "bronchitis" in no case does not automatically mean that antibiotics need to take an adult. Without a thorough examination and establishing the causes of the disease, no drugs can be appointed, especially by yourself. Depending on the type of bronchitis, a competent specialist will choose the optimal variant of drug therapy.

The diagram of the treatment of bronchitis and pneumonia

For adults, doctors discharge different antibiotics and use well-friendly health procedures. So, antibiotics with bronchitis and treatment diagram depend on:

• age;
• presence of a tendency to allergies;
• the nature of the disease (acute, chronic);
• species of the causative agent of the disease;
• parameters of used drugs (speed and spectrum of action, toxicity).

Antibiotics are powerful affecting the human body, and their mindless use can harm and not help.

What antibiotic with bronchitis is better?

This is the one that the pathogen of the disease is most sensitive. How to determine, and what antibiotics to drink with bronchitis? Most right choice Drugs will be after the result of a buccational sowing of sputum on sensitivity to antibacterial agents.

1. Group of aminopenicillins. Name:, Amoxicillin,. The effects of drugs of this group destroys the walls of bacteria, which causes the death of microorganisms.
2. Group of macrolides. Title: ,. Antibiotics of this series violate the process of producing a protein in bacteria cells, the result of which becomes the loss of microorganisms of the ability to reproduce.
3. Group of cephalosporins. Title: ,. The bactericidal effect of antibiotics - cephalosporins is carried out by braking the synthesis of a substance that is the basis of the cell membrane of the bacteria.
4. Group of Fluoroquinolone. Title: Opleloxacin, Moxifloxacin. They act destroyably on DNA bacteria, causing their death.
5. The average price of these drugs fluctuates in the range of 350 - 500 rubles.

However, most often the doctor appoints a wide spectrum antibiotic to the standard, without waiting for the results of the tests, or without conducting them at all.

Antibiotics with acute bronchitis

The use of antibiotics is justified only in the case of bacterial etiology of bronchitis. With its viral origin (in most cases, it is characteristic of an acute form) it is not only inappropriate, but can even harm, as antibiotics oppressly act on immune systemThereby mixing the body to deal with the disease. In addition, they become the cause of dysbiosis.

First of all, it is aimed at relieving the symptoms. The first line preparations are muscolics and expectorants that help effectively withdraw the sputum. With a cough, accompanied by shortness of breath and difficulty breathing, bronchophyters are prescribed, for example, salbutamol.

The latest recommendations of leading world specialists in pulmonology, doctors from the National Institute of Health of Great Britain, placing points over I. They say that the treatment of acute bronchitis antibiotics is not recommended, except in cases of risk of serious complications. Usually this probability exists in adult patients with related diseases.

Features of admission

Regardless of the treatment of any disease, the doctor wrote an antibiotic, there are certain rules for the reception of these drugs.

1. The course of acceptance of antibiotics should be continuous and continued exactly as much as the doctor appointed.
2. The concentration of the drug in the blood should be permanent. They achieve this by using medication through the same periods of time.
3. Watch the effect of receipt of the drug. If after 2 days the improvement does not occur, it means that the antibiotic does not act on this type of bacteria and the medicine must be replaced.

Antibiotics are very strong drugs, so the treatment of bronchitis with the help of these funds should be under the supervision of a specialist. It is impossible to prescribe any drugs yourself, especially for children. Incorrectly selected dosage as well as the lack of indications may lead to a deterioration in the health status and the occurrence of side effects.

Do I need to prescribe antibiotics with bronchitis in adults? This is a controversial question, because bronchitis itself is not infectious disease And caused by non-bacteria, but viruses. With the defeat of the bronchi viral nature, the use of antibiotics is not effective, moreover, the purpose of antibacterial drugs may complicate the situation: weaken immunity, provoke the intestinal dysbacteriosis, allergic reactions and thereby prevent recovery.

The effectiveness of therapy will largely depend on the form of bronchitis. If he has a viral nature, it is quite possible to do without antibiotics and include them in the treatment regimen only when attaching a bacterial infection. At the same time, it is necessary to carry out a bacterial study of sputum to establish the type of pathogen and pick up a really effective medicine to which the pathogenic microorganisms are susceptible. Let's find out what antibiotics to take with bronchitis in adults, and in what cases it is recommended to assign them.

Antibiotics with bronchitis in adults - indications for use

The expediency of using antibacterial agents largely depends on the form of bronchitis, which may be acute, chronic or obstructive. With bronchitis, inflammation of the bronchi mucosa is developing, accompanied by a strong, exhausting cough.

With acute bronchitis, antibiotics are usually not used. Their appointment is justified only at a high risk of bacterial complications. In this case, the preparations of penicillin row are usually preferred.

For the treatment of chronic bronchitis during the exacerbation, preparations from the group of macrolides, aminopenicillins or cephalosporins are used. Such treatment is especially necessary for older patients to prevent serious complications that threaten the development of pneumonia.

Obstructive bronchitis is treated with antibiotics when the purulent infection is attached, accompanied by a temperature lift. To this end, antibacterial agents are prescribed, taking into account the type of pathogen. The most effective antibiotics with bronchitis and pneumonia in adults will have those medicines to the actors of which the pathogens of the disease are most sensitive. In the severe course of the disease, injections (injections) of antibiotics are used.

An immutable rule that doctors followed the therapy of bronchitis - not to prescribe antibiotics from the first days of the disease. The use of drugs of this group is justified in the following cases:

• Bronchitis is complicated by the addition of bacterial infection and the body cannot cope with it on its own for 2 weeks.
• Chronic disease is characterized by a protracted, often recurrent character, acquires an atypical form and is accompanied by a significant weakening of immunity.
• The course of the disease is accompanied by difficulty breathing, the appearance of shortness of breath and high temperature, which does not fall down for more than 2 days, with general weakness.
• The symptoms of the body intoxication are manifested and strengthened, notes high level Soe in blood.
• Treatment with antibiotics is prescribed to patients of elderly and senile age, which have immunity weakened and large risk of developing complications life-threatening.

Important! Antibiotics at bronchitis should appoint a doctor after clarifying the diagnosis and a number of necessary research. Self-medication in this case is unacceptable!

Names of effective drugs

At bronchitis, the following groups of drugs are most often prescribed:

1. Aminopenicillins. These are derivatives of Penicillin, the action of which is aimed at the destruction of cell membranes of pathogens of microorganisms. They do not apply special damage to human body, but often cause allergic reactions. The most popular antibiotics of this series are Augmentin, amoxiclav, amoxicillin.
2. Fluoroquinolones. Preparations with a wide range of action, destroying bacteria due to the destruction of the microbial cell DNA. They can be prescribed before bacterial sowing will identify the causative agent of infection. But it should be borne in mind that with long-term or improper use of fluoroquinolones provoke the development of dysbacteriosis. Representatives of this group - Levofloxacin, Ofloxacin.
3. Macrolids. Medicines of this group blocked protein synthesis in bacteria cells, which prevents their breeding and leads to death. Macrolids are used with a protracted bronchitis, as well as in the case when an allergic reaction occurs on other antibiotics. It is believed that these are the best antibiotics in chronic bronchitis in adults. Preparations from the group of macrolides include azithromycin, Midekamycin, Sumamed.
4. Cephalosporins. The effect of drugs is aimed at slowing the synthesis of the protein, which constitutes the basis of the microbial cell. As a result, the growth and reproduction of bacteria slows down, and they will soon die. Cefalosporinic row antibiotics often become the cause of allergic reactions, so it should be prescribed with caution. Representatives of this group of drugs - cefazolin, supraks, ceftriaxone. Another strong and effective antibiotic with bronchitis in adults - ceftazidim.

At the beginning of antibacterial therapy, preference is usually given to the preparations of penicillin rows. If the patient has allergic reactions, or bacteria show resistance to the drug, select antibiotics from another group. The course of treatment with antibacterial drugs with bronchitis on average takes 7-10 days. Medicines from the group of macrolides possess the most strong effect, only three tablets usually grabs for cure from bronchitis.

The best antibiotics with bronchitis in adults - list and price

The most inexpensive antibiotics with bronchitis in adults, these are drugs like

1. Amoxicillin,
2. Biseptol or azimtromycin.

Other means with a wide range of action are an order of magnitude more expensive, but in this case you can find analogues with identical therapeutic effect. If necessary, the doctor will advise the optimal option. drug From an extensive list of antibiotics.

Biseptol.

An inexpensive antibacterial drug from a group of sulfonamide, which is assigned as part comprehensive treatment respiratory tract infections (acute and chronic bronchitis, pneumonia, lung abscess).

Bispetol has a lot of contraindications and side effects, It is used in medicine for a long time and most bacteria has developed resistance to the active ingredients of the medication. Therefore, before appointing tablets, it is recommended to check the susceptibility of microflora to the action of bispetol. The cost of the antibiotic is from 35 rubles.

Flexin-Solutab

The antibiotic of a wide range of a penicillin series, which is often prescribed during complications of acute or chronic bronchitis. The basis of the drug is amoxicillin substance. The drug is released in the form of ordinary or chewing tablets with a pleasant apricot flavor.

The medication is distinguished by a minimum of contraindications and can be applied to the treatment of women and young children (including infants). The dose of the medicine doctor chooses individually. Side effects occur infrequently, but may affect different organism systems (nervous, digestive, urinary, blood formation system). In some cases, the reception of the drug provokes allergic reactions. Salute price - from 300 rubles.

Amoxicillin

Semi-synthetic antibiotic penicillin row. Has a wide range of antibacterial action and is used in the treatment of respiratory tract (bronchitis, pneumonia), Loro organs, Georgia infections, urogenital system and other pathologies. The drug is produced in the form of capsules, tablets covered with film shell and granules.

The action of the medication begins after half an hour after the reception and persists for 6 to 8 hours, a certain dose of the drug must be taken up to 3 times a day. The drug may cause adverse reactions from various organism systems, so the reception and dosage scheme is selected by the doctor individually. The cost of amoxicillin is from 45 to 70 rubles.

Augmenten

Another representative of the Aminopenicillin Group, which suppresses the growth and reproduction of bacteria and is used to treat most inflammatory infections caused by pathogenic microorganisms (including bronchitis and pneumonia). The basis of the drug is clavulanic acid, blocking the production of beta-lactamase, which bacteria are produced in order to protect against penicillins.

Therefore, other medicines of the penicillin group. The modern agent is produced in different dosage forms: tablets, injections, drops, powder for making a suspension. What form of the medication will be preferable, solves the attending physician. The adverse reactions with the use of Augmentin are rarely developed, but in some cases the drug can cause allergic reactions and disorders from the digestive tract (dysbacteriosis, toxic effect on the liver).

In case of severe disease, the use of aggression in the form of intravenous injections, which make every 8 hours are preferable. Price of the drug - from 280 rubles.

The drug from the fluoroquinolone group is produced in the form of tablets and a solution for infusion. The active substance of the drug destabilizes the DNA chain in the bacteria cells, which provokes their death. The medication is active against most atypical mycobacteria and those microorganisms that have developed resistance to other antibacterial agents.

Offlsacin is widely used in different fields of medicine, including administered in the treatment of bronchitis and pneumonia. Medication is contraindicated in pregnancy and breastfeeding, increased sensitivity to its components, moreover, it is not prescribed until the age of 18.

The dosage is selected by the doctor individually, taking into account the severity of symptoms and the type of causative agent of infection. Offlsacin is able to cause a number of adverse reactions on the side of the nervous, digestive, cardiovascular, urinary system, so assign it with caution. The price of the drug is from 40 rubles.

Sumameried.

A powerful antibiotic from the group of macrolides, used in the treatment of a wide range of diseases of the infectious inflammatory nature caused by microorganisms sensitive to it. , capsules and powder for making a strawberry taste. This drug is often called an "antibiotic with bronchitis in adults - 3 tablets", because the course of the medication is only three days, during which you need to take 1 tablet (500mg) of Sumamed.

This is enough to destroy pathogens, eliminating the main symptoms of bronchitis and complete recovery. The base of the tablet is an active azithromycin substance, which is well tolerated by most patients, and under the observance of said dosage rarely provokes adverse reactions.

However, like most antibiotics, the drug during improper use can provoke dysbacteriosis and cause various disorders from the nervous side and digestive systemand also to have a toxic effect on the liver. Therefore, the dosage of the medication should pick up the doctor taking into account possible contraindications, the age of the patient and clinical picture Diseases. The cost of Sumamed average is 500 rubles.

Representative of macrolides with a wide range of antibacterial action. The drug shows an activity relative to a wide range of pathogens and used, including when the treatment of respiratory tract infections (bronchitis, pneumonia), even if they are caused by atypical pathogens. The medicine is produced in the form of tablets and capsules.

To facilitate the state with bronchitis, it is enough to take only 1 tablet per day for 3 days. Azithromycin is not prescribed in the intolerance of its components, during pregnancy and lactation, serious diseases Liver and kidney. Reception of the drug can provoke allergic reactions and dyspeptic phenomena (nausea, vomiting, diarrhea). The price of medicine at the pharmacy is from 45 rubles.

Cefasoline

The semi-synthetic antibiotic of the first generation from the cephalosporins group has a wide range of antimicrobial action. It is used for various inflammatory - infectious processes, including when defeating the respiratory tract (acute and chronic bronchitis, lung abscess, pneumonia). The drug is produced in the form of powder (in ampoules), from which a solution for V / B and V / m injections are prepared.

This is one of the least toxic cephalosporin antibiotics with a minimum number of contraindications (hypersensitivity, pregnancy and lactation). However, its use can provoke a number of side effects from the urinary system, the gastrointestinal organs, cause impaired blood formation, dysbacteriosis or allergic reactions. To prescribe a drug and control its application should have a attending physician. Code Cefazolin - from 460 rubles.

One of the most effective third-generation cephalosporins. An antibiotic with a wide spectrum of antibacterial action is used in severe purulent - septic conditions and complications of respiratory infections. Its use allows you to cope with sharp and chronic bronchitisinfected with bronchootasis, pneumonia.

The drug is produced in the form of a powder, from which a solution for V / B and V / m of Ukolov is prepared. Contraindication to the use of a strong antibiotic is an increased sensitivity to its components. With extreme caution and under the control of the doctor, the medicine is prescribed during a period of newborn, with violations of kidney functions and in the presence of bleeding in history.

The use of the drug can cause nasal bleeding, allergic reactions, changes in blood indicators, disorders from the nervous and digestive system. The dose of the drug is selected individually taking into account the age and severity of the state.

Most often prescribed antibiotics with bronchitis in adults in tablets, injection forms Preparations are used in severe cases, in the development of severe complications, life-threatening. In general, the use of antibacterial drugs should not be long. The strongest means are taken over 3 days, the remaining medicines are not more than 10 days in a row.

The need to use antibiotics with bronchitis often causes disputes from doctors and patients. In the hospitals of Russia they begin to use them immediately upon admission, without waiting for the results of Bakposev. In some cases, this approach prevents complications of the disease, In others, it inflicts additional health damage. How justified the use of antibiotics when bronchitis and when it is impossible to do without them?

To understand whether to use the drug, you need to know which action it has. Antibiotics - the abbreviated name of the group of antibacterial drugs. These substances destroy the microbes that cause the disease, and therefore are very effective for the treatment of many states.

However, it should be remembered that antibiotics are destructively acting on all microbes, but only on bacteria, both pathogenic and useful. Antibacterial drugs are ineffective in relation to viruses, which makes their use in uncomplicated viral diseases meaningless.

There are several mechanisms of action of antibiotics, but they all lead to the fact that the vital activity of the bacterium is disturbed and the cell dies. The destruction of the pathogen is the basis of the etiotropic therapy of diseases.

Indications for antibiotic therapy

Antibiotics are prescribed only with bacterial infectionswhich may appear as an independent disease or be a complication of another state. Unified treatment regimen and general testimony for all antibiotics does not exist. For each drug in the instructions, diseases and range of microorganisms are written in respect of which it is active.

In the case of bronchitis, treatment with antibiotics takes place in the presence of a bacterial flora or a high probability of its appearance. Indications to the appointment of this group of drugs are states when:

1. The patient is old man, whose immunity is weakened. In such situation the antibiotic will help avoid complications and attaching a bacterial infection.whose probability is very high.
2. There was an exacerbation chronic form Bronchitis.
3. The acute form of inflammation of the bronchial tree was delayed and recovery does not occur more than 3 weeks.
4. Bronchitis arose due to the damage to the mucous membrane, for example, burn the respiratory tract.
5. The pathogens are chlamydia or mycoplasma, as they are difficult to treat to another treatment.

For the appointment of antibiotics there are clear indications that all doctors know. If the patient does not observe such states, the antibiotic is not prescribed.

How to choose the drug

The main rule in the choice of antibiotic - It should be active in relation to the desired pathogen. Each disease has a list of permissible preparations. It is impossible to buy the first antibiotic and start treatment.

An important point in the choice is the nature of the distribution of the drug in the tissues of the body. If the pathogen is localized in the lungs, and the greatest concentration of the drug is found in the urinary tract, it is better to choose another tool.

It is impossible to make a decision on treatment with an antibiotic, since too many factors need to be considered. Only a doctor may choose the optimal agent that will bring maximum benefit and minimum risk.

1. The first few days bronchitis is treated without using antibiotics. The exceptions are patients with a high probability of bacterial complications. Preferences give a group of drugs related to penicillins.
2. The chronic inflammatory process with a high probability is accompanied by the presence of a bacterial flora, so the doctor may prescribe a medicine from a group of macrolides or cephalosporins.
3. In relation to chlamydial infection, macrolides, fluoroquinolones, tetracyclines will be effective. With mycoplasma-macrolide.
4. The obstructive form, especially the presence of purulent sputum, may be an indication for the purpose of macrolides, fluoroquinolones or drugs, to which sowing sputum revealed the sensitivity of the pathogen.

Patients with severe states antibiotic are injected injecting.

Calculation of dosages

Antibiotic dosages calculated, taking into account the age of the patient and the severity of the disease. Permissible standards for each drug knows the doctor, as well as they are written in the instructions. For each acting substance, there is a daily rate and it does not equate to the dosage of other antibiotics.

As a rule, first determine daily dose drug, and then divide it on the required number of techniques. The multiplicity of reception and the duration of the course also defines the doctor. In antibiotic therapy it is very important to observe equal intervals between the administration of doses of the drug to ensure a stable concentration of the active substance in the blood.

Antibiotic groups with bronchitis

All antibiotics are divided into several groups, depending on the activity of substances, their distribution in the tissues and the mechanism of action.

Macrolids.Block protein synthesis in the bacterial cell, which leads to her death. Very widely used in bronchitis, especially protracted. IN high concentrations Found B. respiratory tractWhat explains their effectiveness. Classic representative - azithromycin.

Penicillins. The cellular membranes of bacteria are destroyed, are often drug treatment drugs in respiratory diseases. Have a high security profile, but the disadvantage is frequent allergic reactions that occur on these drugs. Amoxicillin - Augmentin, Amoxycylin, Flemoclav, can be distinguished from penicillin series representatives.

Tetracyclines. Known as antibiotics of a wide range of action, but the resistance of bacteria to them is constantly increasing. The use of drugs of this group in respiratory infections becomes more and less often due to a large number of side effects.

Fluoroquinolones. Destroy DNA bacteria. The advantage of drugs is that they show a very wide range of activity and are prescribed when various diseases. Of the shortcomings, the frequent development of dysbiosis can be noted. Representatives - offloxacin, Levofloxacin.

Cephalosporins. Enough antibiotics, however, they often cause allergies. Have a wide range of action. Representatives - Ceftriaxone, Cephazolin, Cefalexin.

Carbapenes. Strong antibiotics, resistant to the action of bacteria destructive enzymes. Used only as reserve preparations.

Medicinal forms of antibiotics

The method of administering the drug is determined by the severity of the disease and the age of the patient. The doctor may appoint an antibiotic:

1. In tablets. The most convenient form that is used at easy and middle severity Disease flows. Tablets are recommended for patients from 6 years. For more younger age Manufacturers produce liquid medicinal formswhich are also accepted inside (oral).
2. Injection Pricks are made in the hospital. They are shown to patients with heavily Diseases, as well as those who for some reason can not take medicine through the mouth.
3. Inhalation Effective method Fighting infection in respiratory diseases, in particular, bronchitis. Inhalations are prescribed when the pathological process is localized in the respiratory tract and the infection did not spread to other organs. Inhalation gives a quick and good result of treatment and practically do not have side effects.

For a deeper ingress of particles along the respiratory tract, nebulizers and special dosage forms of antibiotics in the form of solutions are used.

Most effective drugs

The following are antibiotics, which are most often appointed by doctors when bronchitis:

Biseptol.. Cheap and efficient antibacterial agent that belongs to the group sulfanimide drugs. Does not refer to modern drugsSo used for a long time, but still often becomes a choice of doctors. Used in infections of ENT organs, respiratory tract, urinary tract. It can have a negative effect on the condition of the liver, kidney and blood formation system.

Flexin-Solutab. Tablet, which can be swallowed or dissolved in water. It has a pleasant taste. The drug is resistant to the action of gastric juice. Well helps with infections of respiratory organs, gastrointestinal and urogenital system. One of the safest drugs.

Augmenten. Has a wide range of action, assigned to bronchitis, pneumonia, inflammatory processes in kidneys, soft tissues. Refers to protected penicillins, which are often appointed by doctors. Amoxiclav's drug has a similar effect.

Offloxacin. Effective in infections abdominal cavity, Lor organs, urinary tract. Not appointed pregnant and children under 15 years old.

Azithromycin. Good and quickly helps with bronchitis and pneumonia. Requires a short course of treatment, both in adults and in children. One of the most popular and inexpensive drugswho is treated respiratory diseases. Contraindication is increased sensitivity to the components of the drug.

Cefasoline. Produced in ampoules. The drug is treated necessarily under the hospital. Refers to the first generation of cephalosporins. Effective for pneumonia, skin infections, bones, peritonitis, endocarp.

Sumameried. Original azithromycin. The price of the drug is above analogs in composition. With bacterial inflammation in the respiratory tract, no less effective than many new drugs last generation. Used in all diseases that are caused by microbes sensitive to azithromycin.

Fusafungin. Active also for mushrooms. It is used in the form of an aerosol in the infections of ENT organs and nasal moves. Released without a recipe.

In addition to antibiotics in the treatment of bronchitis, muscolics are widely used (flohimucil, the ACC with bronchitis), as well as expectorant and bronighting drugs (Ascoril). They help to remove the symptoms and speed up recovery.

People's methods for the treatment of bronchitis

On the initial stages Diseases ethnoscience not inferior on action medication. Well-established warming procedures, inhalation with essential oils, decoctions medical herbs. Natural antibiotics are leek and garlic. It is also worth highlighting bee products that are very effectively struggling with viruses and bacteria, and also reduce the inflammatory process.

Antibiotics for pregnant and children

Antibiotics during pregnancy are prescribed only in extreme cases. In the first trimester, it is possible to use modern medicines from the penicillin group. From the second trimester it is allowed to apply some cephalosporins. Fluoroquinolones and tetracycles are strictly prohibited. The best choice for the treatment of bronchitis will be the use of Fuzafungin or other inhaled forms.

For children, protected aminopenicillins are most safe. They are allowed to use from early age. However, it is very important to correctly calculate the dosage of the antibiotic, based on the weight of the child. During allergies, macrolides or cephalosporins can be assigned to this group.

The number of factors that must be considered when appointing is quite large. Which antibiotic is better suitable for an adult or a child, only a doctor may pick up. How much to drink the drug at pneumonia or light cough should also define a specialist. Do not self-medicate - it may not only be inefficient, but also apply to health.