Antibiotics for sinusitis appointed to destroy microorganisms that cause inflammation of the paranasal sinuses pneumatic. These drugs prevent the development of complications and reduce the duration of illness. Antibiotic treatment may be local and systemic.

Local antibiotics for sinusitis

For the treatment of sinusitis Sinusitis - the treatment may only be carried out under the supervision of a physician   there are forms of antibiotics which are administered as a spray into the nose. Such drugs can penetrate into the sinuses and act directly on the bacteria. But if these pneumatic cavities are filled with mucus and pus, drugs prove ineffective. Therefore, topical antibiotics do not always apply their own, in some cases they are assigned, together with systemic drugs.

Nasal Spray contains izofra framycetin - an antibiotic of the aminoglycoside. The drug is bactericidal (kills) many of the bacteria that cause inflammation of the upper respiratory tract.

The active substance spray is not absorbed into the blood, so the allergic reaction - only rarely experience side effects izofry. If a week after the start of treatment of sinusitis symptoms Symptoms of sinusitis: What should I look for   stored, you must stop using this tool.

Spray Polydex - combined preparation, and it includes the following components:

• Neomycin and polymyxin B - antibiotics of different groups. They work on all possible pathogens nasal cavity and paranasal sinuses;
• Dexamethasone - a glucocorticoid, which has anti-inflammatory effect;
• Phenylephrine - a substance that narrows blood vessels of the nasal mucosa and reduce its swelling.

Pregnant and lactating women should not use this medication. Polydex also contraindicated in suspected closure glaucoma Angle-closure glaucoma - possibly severe course of the disease , Hypersensitivity thereto and renal diseases that are accompanied by urinary protein excretion. Spray can be used in children older than two and a half years. Side effects are very rare and occur in the form of allergic skin reactions.

Bioparox - spray for inhalation that contains fusafungine. This antibiotic of fungal origin - the only representative of the group.

Besides antimicrobial action of the drug has anti-inflammatory effect: it reduces the formation of free radicals, tumor necrosis factor (a protein that participates in the development of inflammation). When using an aerosol fusafungine penetrates the blood plasma in very small concentrations, but, despite this, bioparoks safe.

Side effects are rare. The drug is contraindicated in children under two and a half years, and people who have an idiosyncrasy of this tool.

Systemic antibiotic therapy

Systemic medications are appointed interior in the form of tablets, administered intramuscularly or intravenously. These antibiotics are used only in moderate and severe forms of sinusitis. Only a doctor can determine whether a patient antibacterial agents, for he assesses the state of human rights and especially the disease.

Microbiological examination of the contents of the maxillary sinuses helps to identify the bacteria that cause inflammation, and to determine their susceptibility to drugs. But this process will take a few days, so until the results of a person is prescribed antibiotics, which affect the most common causative agents of sinusitis.

Amoxicillin - one of these drugs. It belongs to the group of semisynthetic penicillins. But some bacteria produce penicillinase - an enzyme that breaks down the antibiotic.

If within three days after the start of amoxicillin patient's condition does not change, then prescribe medication that contains amoxicillin and clavulanic acid. The latter prevents the destruction of penicillin. These assets include amoksiklav Amoxiclav - an effective tool against infections , Augmentin, femoklav soljutab. Amoxicillin may be used instead of the cephalosporin antibiotics, such as cefuroxime.

If a person is due to the individual characteristics can not tolerate penicillins and cephalosporins can not be assigned (development of cross-allergy medications), then use the macrolides. These funds have a bacteriostatic effect, ie stop bacterial growth. In high doses, they begin to act bactericidal (causing the death of microorganisms). Also, the drug reduces the severity of inflammatory reactions and regulate immune processes.

Erythromycin, clarithromycin and azithromycin (sumamed) - the most common drugs of macrolides. Most often they are administered as tablets or powder for suspension which is taken orally.

Macrolides in the stomach by the action of hydrochloric acid and then partially destroyed well absorbed in the intestine. When you receive the blood they bind to proteins and is distributed in all organs and tissues. These antibiotics penetrate into macrophages - cells that capture and digest bacteria. Thus drugs penetrate directly in the inflammation.

Fluoroquinolones - another group of antimicrobial agents that are assigned to patients if penicillin does not help. These tools include levofloxacin, moxifloxacin and sparfloxacin. Their use leads to the death of the bacteria that cause inflammation of the sinuses.

Fluoroquinolones are only conditionally to antibiotics, although the mechanism of action and indications are close to him. This is due to the fact that there is no natural counterpart fluoroquinolones and antibiotics are products of natural origin or structurally related substances.

Antibiotics - one of the main drugs used to treat sinusitis. Only a doctor can decide whether the patient to these drugs. The expert not only choose the most appropriate antibiotic, and will observe the condition of the patient and monitor the success of the treatment.

The proximity of the sinus to the vital organs and the possibility of serious complications is not possible to treat the disease on their own, without the involvement of a physician. Some people rely on folk remedies, which again leads to complications and the transition of acute inflammation in chronic.

Basic principles of treatment of sinusitis

First of all, the treatment of sinusitis must be complex. The main components of such treatment is to suppress the vital activity of the infectious agent (this may be bacteria, fungi, viruses), the removal of the inflammatory process and the restoration of normal outflow of the contents of the maxillary sinus.

What matters is also symptomatic treatment - reduction of heat, edema, analgesic therapy.

Treatment of acute sinusitis

Treatment of acute sinusitis Acute sinusitis - occurs as the inflammatory process   start with the prescription of bed rest and diet - easily digestible food and plenty of fluids for the excretion of pathogens and their toxins and decomposition products of tissue.

It is mandatory appointment immediately drugs affecting pathogen. By disease symptoms can be assumed if the infection is bacterial, viral or fungal. The most common sinusitis is caused by bacterial infection, even if it develops as a complication of influenza. Therefore prescribe broad-spectrum antibiotics Broad-spectrum antibiotics - not only treat but also cripple Without waiting for the results of the preliminary analysis undertaken to identify pathogens and their sensitivity to various drugs. After receiving the results of analyzes in case of need corrected antibacterial treatment.

To inflammatory process could quickly end, maxillary sinus drainage is necessary, that is, its free communication with the outside through the nasal cavity. But when all the inflammatory process swollen tissue in the maxillary sinus and the nasal cavity, resulting in the closure of the outlet opening of the maxillary sinus. In order to ensure complete drainage of inflamed sinuses, nose buried vasoconstrictor drops (eg Naphthyzinum, nazivin). This leads to swelling and soothe inflammatory normal outflow of fluid from the maxillary sinus. But such drops should not be used more than five days - this can lead to paresis smooth muscle of blood vessels and persistent, long-term expansion beyond repair. But if assigned active anti-inflammatory treatment, five days swelling subsides on its own.

Drainage can also be performed using phytopreparation sinuforte that contains the lyophilizate extract juice and fresh tubers of cyclamen Europe. When injected, these drops in the nose (the bottle is equipped with a special spray) stimulates the secretion of glands located in the nasal cavity while thinning secretions and removal of edema. Apply sinuforte can be once a day for two weeks.

If initial treatment is not effective, the patient has high fever and no purulent discharge from the nose, the sinus puncture is performed, the pus is removed, washed and sinus injected antibiotics.

Simultaneously, the high temperature and pain are assigned antipyretic and analgesic agents, which remove both the inflammatory process. Such drugs include non-steroidal anti-inflammatory drugs (NSAIDs) eg Nurofen, ibuprofen, diclofenac and so on.

After reducing inflammation and lowering the temperature resistant appoint warm and physiotherapy. But it can be done only under the supervision of a physician, as in some cases, thermal treatments can cause swelling of the tissue, leading to disruption of drainage and exacerbation of disease.

Treatment of chronic sinusitis

Treatment of chronic sinusitis must also be comprehensive and systematic. Antibiotic treatment is given only during the exacerbation and the results of tests for sensitivity to antibiotics or antifungal drugs.

Features has drainage. In chronic sinusitis Chronic sinusitis - the effect on health   sosudosuzhivayuschiesredstva the purpose of drainage is prescribed rarely and only at the very beginning of an exacerbation. Sinuforte administered more often, but this preparation also can not always solve the problem of drainage, since it disorders are often associated with or overgrowth (hypertrophy) in tissues of the nasal cavity, or with some anatomical disorders, such as a deviated septum Deviated septum - is not just a cosmetic defect . With the ineffectiveness of conservative treatment in order to restore drainage performed operative rehabilitation treatment. When sprouting nasal polyps and their surgically removed.

To the pus does not remain in the maxillary sinus, held it punctures with sinus lavage with saline and the introduction of antibiotics. In the cavity of the maxillary sinus in some way introduced as permanent drainage tube through which a variety of topically administered drugs - this method can significantly reduce the duration of treatment and the number assigned to the patient antibiotics common action.

Can I apply to this patient physiotherapy treatments and which solves a doctor.