Antibiotics in the treatment of pulmonary inflammation
Pneumonia - Treatment in hospital
(pneumonia) have a direct impact on the cause of the disease. This treatment is called etiotropic, it is fundamental in the treatment of pneumonia. To to choose the right antibiotic
Antibiotics - whether they will help you in the foreseeable future?
then linked drugs that relieve certain symptoms of the disease (symptomatic treatment). Preparations for the symptomatic treatment should be combined with the use of antibiotics.
As selected antibiotics to treat pneumonia
Acute pneumonia - a disease that requires immediate appointment of antibacterial drugs without waiting for test results. Therefore, patients with suspected pneumonia initially take the sputum (by seeding on nutrient media revealed the causative agent and its sensitivity to antibiotics), and then, immediately afterwards, prescribe antibiotics.
What antibiotics are assigned in such a case? First of all, it should be a broad-spectrum antibiotics
Broad-spectrum antibiotics - not only treat but also cripple
. In addition, certain types of infectious agents cause disease with typical symptoms. For example, pneumococcal lobar pneumonia, staphylococcal pneumonia are quite typical symptoms, which your doctor may suggest exactly how the disease is caused by an infectious agent, and which antibiotic is suitable for this most.
After receiving the results of the study patients underwent sputum correction treatment. If the assigned antibiotic exhibits sufficient efficacy, the patient continues to receive it. If the efficiency is low, and laboratory studies show that there is an antibiotic sensitivity to infectious agents which are much higher, the treatment changed.
Which groups of antibiotics used in the treatment of pneumonia
Generally, pathogens, "guilty" in the development of pneumonia, are sensitive to different groups of antibiotics.
In the treatment of pneumonia caused by Streptococcus pneumoniae (the most common pathogens as croupous and focal pneumonia) used penicillin antibiotics: ampicillin, amoxicillin (flemoksin soljutab and others), amoxiclav (Augmentin) and others. If pneumococci exhibit resistance (insensitivity) to penicillin, then prescribe antibiotics cephalosporin (cefotaxime, ceftriaxone) and macrolides (sumamed, vilprafen).
Staphylococcal pneumonia - in this case to choose a drug without laboratory analysis is very difficult, as the pathogenic species of staphylococci are often insensitive to many types of antibiotics. Basically Staphylococcus are sensitive to cephalosporin antibiotics, but sometimes exhibit sensitivity to other drugs.
Pneumonia caused by Haemophilus influenzae - drugs of choice are semisynthetic penicillins, protected from destruction by enzymes, which highlights the Haemophilus influenzae. Such antibiotics include amoksiklav
Amoxiclav - an effective tool against infections
(Augmentin), which include a semisynthetic penicillin and clavulanic acid amoksiklav protecting it from destruction. In addition, Haemophilus influenzae is sensitive to macrolides (Sumamed) and fluoroquinolones (ofloxacin, ciprofloxacin).
Mycoplasma and Chlamydia pneumonia are treated with antibiotics tetracycline (mainly doxycycline), macrolides (sumamed, vilprafen) and fluoroquinolones (ofloxacin, ciprofloxacin). Legionella pneumonia can be treated with macrolides and fluoroquinolones. When pneumonia is caused by E. coli, mainly effective cephalosporin antibiotics.
Terms of appointment
In some cases, administration of the antibiotic was changed to more efficient. Indications for such replacement are:
- lack of therapeutic effect within the first two or three days after the start of the drug;
- development of antibiotic side effects, cause serious disturbances in the body of the patient;
- high toxicity of the antibiotic, which makes it impossible to prolonged use. The course of antibiotic treatment in uncomplicated forms of pneumonia should be continued for at least ten days (in mild cases it is sometimes quite a week). Treatment of Mycoplasma, Legionella and Chlamydia pneumonia, even with good condition of the patient should be continued for at least a month.
The duration of treatment of complicated pneumonia is determined individually and depends on the patient's condition.
In the treatment of pneumonia, antibiotics play a crucial role.
Galina Romanenko