Ampicillin - is a broad spectrum antibiotic of the group of semisynthetic penicillins, which is used for several decades in our country. After absorption into the blood ampicillin distributed to tissues and has antibacterial action. Sensitivity to show him many microorganisms, so it is today, and is widely used in clinical practice.
Mechanism of action
Ampicillin is a semisynthetic penicillin, acid-resistant, which is available in tablets, a suspension for oral and dry matter for solution for injection. Various pharmaceutical companies, the drug is also available under the title: ampizid, ampik, ampireks, amplital, apo-APECS, dekapen, Zetsu, kampitsillin, mestsillin, penodil, pentartsin, pentreksil, rostsillin, standatsillin, upsampi, Hjelm-ampicillin epikotsillin.
The mechanism of action of ampicillin is associated with inhibition of metabolic processes in the cell membranes of bacteria. Ampicillin is a wide spectrum of action, but as other semisynthetic penicillins, it is destroyed by the enzyme penicillinase (beta-lactamases) which emit some kind of infectious agents, such as some staphylococci. This certainly reduce the effectiveness of the drug. In addition, due to the prolonged use of antibiotic sensitivity to infectious agents has been steadily declining.
Ampicillin exhibits antibacterial activity against streptococci, enterococci, staphylococci (except those that produce beta-lactamase), gonococci, Escherichia coli, Salmonella, Shigella, Proteus, some strains of Haemophilus influenzae and other infectious agents.
Indications and contraindications
Ampicillin is used for the following infectious and inflammatory diseases caused by susceptible to infectious agents:
- diseases of the upper respiratory tract and respiratory tract - tonsillitis, chronic tonsillitis, sinusitis, sinusitis, pharyngitis, otitis, bronchitis, pneumonia;
- diseases of the kidneys and urinary tract infections - acute and chronic pyelonephritis and cystitis;
- diseases of the bile ducts and gall bladder - acute and chronic cholangitis and cholecystitis;
- intestinal infections, including salmonellosis
Salmonellosis - features of the disease
and bacterial dysentery;
- diseases of male and female sexual organs - acute and chronic endometritis, adnexitis, prostatitis; as well as genital infections of bacterial origin, such as gonorrhea;
- septic diseases of the skin and subcutaneous tissue - boils, abscesses, phlegmon, festering wounds and ulcers;
- severe infections of the abdominal cavity (peritonitis) and blood poisoning (sepsis);
- meningitis of bacterial origin;
- rheumatism;
- erysipelas;
- scarlet fever.
Do not use this if you are hypersensitive ampicillin components of the drug by the body of the patient, severe liver disease in violation of its functions and during breast
Breastfeeding - a personal choice
feeding. With caution should be used during pregnancy and kidney function (in this case ampicillin administered in a daily dose less, choose an individual physician).
Side effects
Ampicillin is in most cases well tolerated. However, possible side effects. First of all - it is an allergic reaction common to all drugs penicillin. Allergic reactions can be either minor (small itchy rash), and very strong in the form of anaphylactic shock, angioedema, or Stevens-Johnson syndrome, that affects large areas of the skin and mucous membranes. Therefore, at the slightest suspicion of the use of ampicillin allergy should be discontinued.
Ampicillin may have adverse effects on the liver, which is often reflected in changes in laboratory parameters. It may develop jaundice associated with the stagnation of bile in the biliary tract. From the side of gastrointestinal side effects can manifest as nausea, vomiting, diarrhea, stomatitis
Stomatitis - to breath fresh
, Inflammation of the tongue, intestinal dysbiosis
Intestinal dysbiosis - how dangerous it is?
and inflammatory bowel disease.
In the blood during treatment with ampicillin can decrease the number of white blood cells, including white blood cells disappear completely grainy, which is fraught with a sharp decline in immunity. In addition, it is reducing the number of erythrocytes and platelets, which leads to a reduction of blood clotting.
Ampicillin - is an antibiotic which is used for many years in treating various infectious and inflammatory processes.
Galina Romanenko