In the article, we will consider what injections for angina are prescribed.
Tonsillitis, often referred to as tonsillitis, is an inflammatory lesion of the throat that requires a comprehensive therapeutic approach.
The basis of the therapeutic effect is, most often, the use of antibiotic medications. They are taken not only orally, but also in the form of intramuscular injections. Angina injections in adults and children can be very effective.
Tonsillitis: a description of the pathology
Angina is an acute pathology of an infectious origin. With such a disease, mainly the tonsils are affected, but the disease can spread to other laryngeal tissues.
It should be noted that angina can develop under the influence of various microorganisms - bacteria, viruses, and some forms of fungus.
As a rule, tonsillitis develops against the background of damage to streptococci that enter the body through a household or contact route. Contact contamination occurs when a healthy person interacts with an infected person. In household infections, viruses and bacteria enter the human body when it comes into contact with household items that were previously used by an infected person.
The causative agents of tonsillitis, in themselves, are representatives of opportunistic microflora.
This means that if the human immunity is in a normal state, then such microorganisms, getting into the human body, do not harm him.
Under the influence of certain external and internal factors (insufficient activity of the immune system, endocrine pathologies, hypothermia), an activation of such microflora occurs. In this case, acute tonsillitis begins its development.
The feasibility of using injections
One of the indications for the appointment of injections for angina is an acute form of the disease. Most often, injections are administered intramuscularly.
It is worth noting that many experts try to use injectable forms of drugs in extreme cases, since they have many negative effects, many patients are painfully tolerated.
Specialists can prescribe injections for angina with the goal of treating a pathology of any form, if the disease is accompanied by complications. However, the use of such drugs is advisable, as a rule, with a purulent and bacterial form, as well as in the case when the patient has the following symptoms:
- Marked inflammation of the behind-the-ear and cervical lymph nodes, a strong increase in their size.
- The development of angina against a background of purulent sinusitis.
- The development of extensive inflammatory processes on the surface of the larynx, on the tonsils.
- An increase in temperature above 39 degrees and the inefficiency of using antipyretic drugs.
The appointment of injectable drugs is possible only after a comprehensive examination of the patient, since a variety of the pathogen that provoked the development of angina should be previously identified. A similar approach allows you to prescribe the most effective medication.
In the treatment of angina with antibiotics in injections and the absence of positive dynamics, treatment adjustment is possible. Moreover, in some cases, injections have to be replaced with oral medications.
In some situations, regardless of what form tonsillitis has, a specialist can recommend the introduction of vitamins E and C.
Let's see why antibiotics are effective in injections for tonsillitis in adults and children?
Therapy efficacy
It is worth noting that in many cases, injectable forms of penicillin antibiotics — Ampicillin, Erythromycin, and Oleandomycin — are used to treat tonsillitis.
When the pathology transforms into a purulent disease, these drugs exhibit rather low effectiveness. Therefore, instead of them, the use of cephalosporin antibiotic medicines in injections with angina is recommended.
Antibacterial drugs can also be used orally in the form of tablets, however, the effectiveness of injectable drugs is faster.
This is due to the fact that they enter the systemic circulation immediately, and there is no decrease in the concentration of active components, as when using tablets - they are absorbed into the blood through the intestines, and for a rather long time.
Consider what injections for angina are prescribed.
The most common medications
There are many different injectable antibiotic drugs that can be prescribed for the treatment of tonsillitis.
It should be noted that each drug can be prescribed for certain indications. The most common drugs are Benzylpenicillin, Amoxicillin, Ceftriaxone, Ciprofloxacin. However, anyone should prescribe a doctor.
Ceftriaxone injections for angina
A medication is used if there is a need for the treatment of aggravated forms of tonsillitis and urgent use of potent antibacterial drugs is required.
Prior to treatment with Ceftriaxone, a skin test should be performed. It will reveal the patient's predisposition to an allergic response to the drug.
The main contraindications to the use of these injections for angina in adults are intramuscularly: enteritis, colitis, pregnancy in the first trimester, renal failure, liver function.
To inject, Ceftriaxone and the pain medication Lidocaine are used.
The use of "Lidocaine" is necessary, since intramuscular administration of pure "Cefriaxone" can provoke a significant pain syndrome. The drugs are mixed in a proportion of 1 ml of Ceftriaxone and 3.5 ml of Lidocaine.
What other injections for angina are administered intramuscularly?
Amoxicillin
As a rule, Amoxicillin is used in combination with clavulanic acid. With this combination, the antibacterial agent effectively inhibits streptococci, suppressing the symptoms of a severe sore throat.
It is important to note that the drug is contraindicated if the patient has allergic reactions to penicillin and cephalosporin antibiotics, as well as intolerance to carbapenems and monobactates.
The manufacturer produces the medicine in the form of a powder intended for the manufacture of a solution. To prepare it, dilute the medicinal powder with injection water (20 ml per dose). The drug should be administered once a day. The duration of antibiotic therapy is 2 weeks.
"Benzillpenicillin"
The full name of the drug is benzylpenicillin sodium salt.
With these injections they treat sore throat. The medication is able to affect most of the known gram-positive pathogens that can provoke the development of angina.
It is worth noting that individual strains of staphylococci can destroy the active component of the drug, synthesizing penicillinase - an enzyme that can break down penicillins.
An antibiotic is indicated 1-4 times a day at a dose of 250-500 thousand units.
If a secondary infection that causes complications joins a sore throat, the dose of the drug according to the doctor’s recommendation can be increased. On average, therapy lasts 7-10 days. In some cases, it can be extended.
The main contraindications to the use of the drug are probable allergic manifestations.
It is important to note that the use of “Benzylpenicillin” can cause angioedema and anaphylactic shock. In this regard, before starting therapy, the patient should definitely have a skin test.
Therapy with this medicine can be combined with therapy with antimycotic drugs - Levorin, Nystatin. The need for antifungal treatment is due to the fact that prolonged use of "Benzylpenicillin" can provoke the development of candidiasis.
Ciprofloxacin
Ciprofloxacin is an antibacterial drug with a wide range of effects. The medicine is effective against streptococci and staphylococci.
The drug has a number of contraindications. Among them: pregnancy, age under 5 years, acute heart pathology, myocardial infarction, ischemic stroke. Its use is not recommended for the treatment of patients with psycho-emotional disorders, atherosclerotic manifestations, any cardiac arrhythmias (bradycardia, arrhythmia).
It is recommended to administer Ciprofloxacin once a day, at a dose of 200 mg.
It should be noted that the medicine can provoke a rather large number of negative effects, including: urination disorders, dyspeptic manifestations, decreased appetite, malfunctions in the heart, exacerbation of arthritis, nervous disorders - lack of proper sleep, nightmares, fainting, chronic migraines, and disorders of the senses.
In addition, there is a general contraindication for all injections with purulent tonsillitis - intolerance to the active or any auxiliary component that is part of the recommended medication.
Therefore, the dosage and type of antibacterial drug is selected for each patient individually and taking into account the patient's predisposition to the occurrence of allergic responses.
Injections for angina in children
In order to treat small patients, less aggressive and active antibiotic drugs are used, since the antibiotics used in the treatment of adults can provoke allergic reactions in the fragile body of the child.
So, what are the most commonly prescribed injections for sore throats? One of the common medications for tonsillitis is an injection solution intended for intramuscular injection of “Pantsef”. The main active substance in the composition of the medication is cefixime, which belongs to the third generation of cephalosporins.
"Pantsef" has bactericidal properties. It not only suppresses pathogenic microflora, but also prevents its re-distribution and reproduction.
The following microorganisms that can cause angina are sensitive to this medication: hemophilic bacillus, carcassella, salmonella, streptococcus, klebsiella, shigella.
The drug is not effective if the pathology is caused by enterococci or staphylococci. In addition, it is contraindicated if it is likely that the child will develop an allergic response to the effects of its components, as well as functional impairment of kidney activity, under the age of 12 years.
In such situations, children are prescribed the same medicine, but in the form of tablets or suspensions.
It is also worth considering that the intramuscular administration of “Pantsef” can cause the development of the following negative symptoms:
- Decreased blood concentration of leukocytes, neutrophils, platelets.
- Interstitial nephritis.
- Disruption of the stomach. The main manifestation of such disorders is diarrhea.
- Hemolytic anemia.
When prescribing the specified medication, the required dosage is calculated based on the age of the child and his body weight. Patients from 12 years old, weighing more than 50 kg, are shown to inject 200 mg of the drug intramuscularly twice a day.
If the child’s weight is less, then, taking into account the severity of the pathology, the dosage is calculated as follows: for each kilogram of weight, 3-9 mg of “Pantsef” should be used.
Another popular drug used to treat childhood tonsillitis is Ceftriaxone. Children over 12 years old, weighing more than 50 kg, should be administered twice a day 1 gram of the drug.
If the child weighs less, and his age is less than 12 years, then the dosage is determined at the rate of 40-100 mg of the drug per 1 kg of weight. Injections should also be performed twice a day, halving the total daily dose.
It is worth noting that therapy, depending on the severity of the pathology, can last 7-10 days.
Ceftriaxone is contraindicated for use in the following cases:
- Ulcerative colitis of a non-specific nature.
- Severe forms of impaired renal, hepatic activity.
- Diarrhea, intestinal inflammation that occurs when using antibacterial drugs.
- Intolerance to beta-lactamates.
- Cholelithiasis.
- Hepatitis.
- Prematurity.
It is generally accepted that the use of injectable antibiotic drugs for the treatment of tonsillitis is a reliable way to eliminate pathology, especially in the treatment of small patients, when the body itself still fights the infection poorly.
However, these medicines belong to potent drugs, so their independent use is strictly prohibited. Only a doctor is able to determine the effectiveness of a particular drug in a particular case, and only after a mandatory diagnosis.
Cefotaxime. Treatment features
Injections of “Cefotaxime” for angina are also popular. The drug is effective in almost all cases of purulent tonsillitis. It destroys both streptococci and staphylococci, even resistant to penicillins. Therefore, being started in a timely manner, treatment is always effective. Children weighing up to 50 kg are prescribed the drug in a total dose of 50-180 mg per kg of body weight, divided into 5-6 injections. Adults and children weighing more than 50 kg are prescribed 1 g of the drug every 8-12 hours.
Disadvantages of injections with tonsillitis
Experts recommend the use of injectable drugs for the treatment of angina only in extreme situations. This is due to the fact that this method of therapy has certain disadvantages. Among them:
- During the introduction of the drug there is a violation of the integrity of the skin. Any, even minor damage to the skin, can become the entrance gate for pathogens, which can lead to the development of the inflammatory process.
- In cases where the medical professional does not adhere to the rules of antiseptics, even an injection needle can trigger an infection. In this case, an abscess may occur at the injection site.
- Despite the fact that the method of intramuscular administration of drugs is quite simple, you still have to do them by contacting a specially trained medical professional. While the use of oral preparations, special preparation is not required.
- Most of the antibacterial drugs in the form of an injectable solution are quite painful. Experts recommend introducing such medications together with Lidocaion or Novocain. However, even such drug administration can cause severe pain to the patient within a few minutes.
In addition, it is worth remembering that many patients have a fear of injections - even in adults. In this regard, such manipulations are considered to be great stress not only for small patients, but also for adults.
We examined what injections are done with angina.