Effective antibiotics for bronchitis: a list and reviews about them

What antibiotics for bronchitis to take? This is a common question. We will understand it in more detail.

Bronchitis is an inflammatory disease of the bronchi that can be caused by various causes, for example, viral infections, atypical pathogens, or chemical attack. We will talk about which antibiotics for bronchitis are used today, as well as which of them are the most effective.

Bronchitis treatment: when should antibiotics be used?

Often, bronchitis is a complication of a viral disease, so immediately treating it with antibiotics is not only pointless, but it can also be dangerous. It must be said that antimicrobial drugs are powerless against viruses and inhibit immunity, preventing the body from fighting the threat on its own. The most reasonable tactic for the development of viral bronchitis is bed rest, along with heavy drinking, warming procedures, taking immunostimulants and symptomatic treatment with expectorant drugs. With bronchitis, taking antibiotics is advisable only in the following two cases:

• When a bacterial pathogen is attached to a viral pathogen, and the body cannot cope with it for three weeks or longer.
• The disease is chronic, often recurring or atypical.

Therefore, the diagnosis of bronchitis does not automatically mean that a person should give up everything and begin to be treated with antibiotics. Without examination and establishing the cause of the disease, no medications can be prescribed, especially on their own. Depending on the type of bronchitis, the doctor himself will choose the best option for medication.

We will talk about antibiotics for bronchitis a bit later.

Tactics of treatment in adults

Depending on the type of bronchitis, therapy is selected as follows:

• The development of acute viral bronchitis requires bed rest along with heavy drinking, immunostimulating and symptomatic treatment, and rejection of antibiotics.
• The uncomplicated form, when the disease occurs less than four times a year, already requires the use of antibiotics from the aminopenicillin category. Macrolides are also suitable if there is intolerance to penicillins.
• A complicated chronic form of bronchitis requires the use of aminopenicillins, cephalosporins or macrolides.
• With the development of chronic bronchitis with concomitant pathologies, the patient requires fluoroquinolones.
• In the presence of mycoplasmal bronchitis, macrolides are drunk.
• With the development of chlamydial bronchitis, tetracyclines are used along with fluoroquinolones and macrolides.
  

So, what are the most effective antibiotics for bronchitis?

What is prescribed

So, modern doctors prescribe antimicrobials from the category of aminopenicillins, macrolides, fluoroquinolones and cephalosporins to their patients suffering from bronchitis. Currently, treatment of bronchitis with simple penicillins and sulfanilamides is not carried out due to their high toxicity and lack of effectiveness, due to the mutation of pathogenic pathogens.

What antibiotics to take with bronchitis, the doctor will tell.

The use of aminopenicillins

Preparations from this category destroy the cell membranes of bacteria and thereby cause their death. Aminopenicillins are considered the most active in the fight against pneumococci, streptococci, staphylococci and most other bacteria that cause bronchitis. This type of antibiotic belongs to first-line medicines and is recognized as a very effective and safest treatment option. This trust is due to the fact that aminopenicillins, as a rule, destroy only the pathogen, without crippling healthy body tissues. Penicillins are the best antibiotics for bronchitis in humans, but, nevertheless, they have two of the following disadvantages:

• Observation of frequent side effects in the form of an allergy.
• Low efficiency in relation to mutated pathogens that have an enzyme called beta-lactamase.

There is nothing to be done about the first drawback, and you have to choose antibiotics from a different category. But scientists have already learned to deal with the second deficiency of aminopenicillins. Beta-lactamase, which some bacteria acquired during evolution, can destroy penicillins. Thus, it is not antibiotics that defeat bronchitis, but, on the contrary, the disease destroys medicines. In order to neutralize this inconvenient for treatment enzyme, clavulanic acid is added to amoxicillin. It serves as a specific beta-lactamase inhibitor. An additional component comes into synergy with penicillin and helps fight bacteria. Due to this, the result of this discovery was such antibiotics for bronchitis as aminopenicillins from the last generation:

• Amoxiclav;
• "Flemoxin Solutab";
• "Augumentin";
• "Ecoclave";
• Arlet

The cost of these medicines ranges from fifty to five hundred rubles, which depends on the brand. It should be noted that affordable powders are always powders with tablets of domestic production. In this case, the package should read: "Amoxicillin plus clavulanic acid."

What other antibiotics for bronchitis in adults are effective?

The use of macrolides

Drugs in this category can inhibit protein synthesis in parasite cells, preventing them from further multiplying. This approach to the treatment of bronchitis in adults is optimal in the case of a chronic, protracted, often relapsing form. Macrolides are good in that, unlike penicillins, they can penetrate into the anaerobic microorganism. This means that antibiotics from the macrolide category can cure the atypical form of bronchitis, which is caused by chlamydia with mycoplasma.

Macrolides are characterized by a long half-life, they accumulate sufficiently in the tissues, without requiring frequent intake. These antibiotics are easily tolerated by patients, without causing side effects, even with long-term treatment of bronchitis. In the event that the patient has an individual intolerance to penicillins, then macrolides are the best choice. The most commonly used macrolides for bronchitis are drugs:

• "Erythromycin";
• "Azithromycin";
• Chemomycin;
• "Medecamycin."

Everyone knows these names of antibiotics for bronchitis in adults.

"Erythromycin" is a macrolide belonging to the first generation. It was he who laid the foundation for the development of drugs in this category. A more advanced antibiotic is Azithromycin, which is also known under such trade names as Azitral, Azitrus, and Sumamed. It is interesting to note that the cost of a package with three capsules of the Russian Azithromycin is only one hundred twenty rubles, while the imported advertised Sumamed will cost six hundred rubles.

Antibiotics for bronchitis in adults cannot be prescribed on their own. This is fraught with adverse consequences.

The use of fluoroquinolones

Treatment of bronchitis with medicines of this group is allowed only in adults and only in cases of intolerance to antibiotics from the first and second row. Fluoroquinolones are characterized by a wide spectrum of action, effectively destroying bacterial cells. Unfortunately, they can often cause allergies with side effects. Thus, prolonged treatment with fluoroquinolones cannot occur without supportive therapy, which should be aimed at preserving the microflora of organs, otherwise dysbiosis or mycosis may develop. Thus, for the treatment of bronchitis in adult patients, fluoroquinolones are used:

• Ofloxacin;
• "Pefloxacin";
• "Ciprofloxacin";
• Levofloxacin;
• "Moxifloxacin."

The cost of Ofloxacin is only thirty rubles. The most popular drug is Ciprofloxacin, which costs one hundred and twenty rubles. "Levofloxacin" with "Moxifloxacin" are quite expensive antibiotics and will cost patients a thousand two hundred rubles.

What antibiotics are suitable for an adult with bronchitis?

Cephalosporins in the treatment of bronchitis

Drugs from this category in the treatment of bronchitis are considered antibiotics of the reserve. They will be useful if the patient is allergic to the above groups of drugs, or when complex antibacterial treatment is required for prolonged bronchitis. Cephalosporins act exclusively on proliferating bacteria, they paralyze cell membranes and interfere with division. These antibiotics can cause an allergic reaction with dysbiosis similar to ordinary penicillins, and therefore they also require supportive treatment against the background of prolonged use. Thus, the treatment of bronchitis is carried out through the use of cephalosporins:

• "Cefazolin";
• "Cephalexin";
• "Cefixime";
• Ceftriaxone.

The cost of ampoules is fifty rubles apiece. Medications in capsules, for example, Supraks, along with Iksim and Pantsef, cost up to one and a half thousand rubles.

Consider the list of the most effective antibiotics for bronchitis.

What is the most effective antibiotic for bronchitis?

With a similar question, patients often turn to doctors and pharmacy pharmacists. It should be said that the antibiotic to which one or another causative agent of the disease will be sensitive is best suited for bronchitis. In order to determine the parasite that caused the disease, an analysis of bronchial mucus is required. For some reason, sputum analysis against a background of bronchitis is very rare, as:

• Sowing usually ripens from five to seven days. Therefore, if a patient who is in serious condition is deprived of antibiotic treatment at this time, then this will most likely end badly.
• Bacterial laboratories, along with qualified personnel in the conditions of free medicine, are becoming less and less today, and therefore this analysis is unlikely to be performed on the patient.
• Aminopenicillins are active against almost all pathogens of bronchitis, so they will help regardless of the bacteria that caused the disease.

We examined the treatment of bronchitis with antibiotics in adults.

Are antibiotics needed for childhood bronchitis?

When a child falls ill, parents give any money for medicine to help him. Seeing the suffering of their own child, mothers often require the pediatrician to prescribe antibiotics, and if he refuses, they can independently go for pills. Of course, this approach is fundamentally wrong. Treatment of bronchitis in children with antibiotics is often inappropriate:

• In 99% of cases in children, bronchitis is viral in nature and is not complicated by bacterial infections. Young immunity independently cope with the disease in two weeks. The exception is preterm infants and those who are often ill before the age of three.
• Even in the case of a bacterial infection, it is better to maintain the child’s immunity, rather than trying to poison him with antibiotics, instantly reducing his protective power.
• When a child is treated with antibiotics, the risk of allergies increases, and the pathogenic microflora of the body gets acquainted with the drugs, adapting to them. In the future, this may deprive the body of the opportunity to receive treatment when it actually turns out to be vital.

Therefore, regarding children, it is better to dispense with immunostimulants, for example, “Imudon” is suitable. Symptomatic therapy in the form of inhalations, rubbing and so on will not be superfluous. It is extremely important to ensure the baby rest with the right diet during the disease. Nevertheless, there is a list of reasons for which a pediatrician can prescribe antibiotics for a child with bronchitis:

• The appearance of a cough that does not stop for three weeks or more.
• The appearance of sputum with a pathological color and smell.
• In the blood test there is a high leukocytosis.
• The presence of wheezing, shortness of breath, intercostal sinking, and chest pain.
• The appearance of a life-threatening fever when the temperature is above thirty-nine degrees.
• The presence of signs of large-scale intoxication.
• When a baby is premature and weak at the age of less than three years.

Many parents do not want the child to be hospitalized for treatment. However, in situations where a small patient is very ill, it is better to trust specialists.

Bronchitis in children: a list of antibiotics

Antimicrobial treatment does not cancel additional therapeutic measures, but only supplements them. In any case, it is required to observe bed rest and take expectorant drugs. Antibiotics for bronchitis in children are prescribed from the groups of aminopenicillins, cephalosporins and macrolides. Only a doctor can say which drug and in what dosage to take the child.

The most effective antibiotics are considered for bronchitis in tablets:

• Amoxiclav;
• "Augmentin."

In case of intolerance to penicillins, cephalosporins can help:

• "Cephalexin";
• "Ceforuxime";
• Cefaclor.

They need to accompany the treatment of childhood bronchitis with the use of live bacterial cultures in the form of “Acipol”, “Bifidumbacterin”, “Linex” and “Bifiform”. In addition, vitamins C and B are required.

Macrolides help with protracted, chronic and atypical bronchitis, suitable for this:

• Macrolide
• "Sumamed";
• "Rulid."

These antibiotics are good in that they can penetrate well into all body fluids (including the bronchial secretion), where they are able to act on pathogens as efficiently as possible. Modern antibiotics intended for children are produced in the form of syrups, in the form of chewable tablets with a fruity taste, which greatly facilitates the treatment of bronchitis in babies.

Below are the names of antibiotics for bronchitis in pregnant women.

Bronchitis and its treatment with antibiotics during pregnancy

In the event that a pregnant woman is diagnosed with bronchitis, measures must be taken to activate immunity and help cope with the disease on her own. But, when bronchitis cannot be stopped with the help of gentle treatment, it is more reasonable to resort to the use of antibiotics in order to prevent intoxication with high leukocytosis.

In the first trimester, antibiotic treatment is undesirable, but when they cannot be dispensed with, Amoxicillin is usually prescribed or Flemoxin may also be suitable. In subsequent trimesters, antibiotics from the cephalosporin series are prescribed. In no case should pregnant women be given bronchitis with tetracyclines and fluoroquinolones.

Are antibiotics in tablets always safe for bronchitis in adults and children?

Reviews on the use of antibiotics in the treatment of bronchitis

People have different attitudes to the use of antibiotics for a disease such as bronchitis. Of course, many do not like their negative impact on the intestinal microflora and on immunity in general. But it is noted that due to their use it is always possible to quickly get rid of the disease. People write that it often happens that antibiotics that worked great a year ago may not work at all in using them in the next course. This is due to the rapid adaptation of pathogenic microorganisms to the active substances of medicines.

People complain that good antibiotics are generally not cheap. On top of that, not all doctors follow the latest in prescribing obsolete drugs to patients.

Some parents complain that modern doctors, because of lack of proper qualifications or because of indifference, immediately prescribe antibiotics for children when bronchitis appears, which, of course, is not right, and scares mothers and fathers.

Many people suffer from bronchitis, and each cold can flow smoothly into a cough, causing inflammation of the bronchi. As people write, in such conditions, they try at first to endure and not poison the body, being treated with herbs and cough tablets. And only when complications come, it becomes difficult to do without antibiotics.

Some note that the use of a drug such as Erythromycin is not addictive in the treatment of bronchitis. Others, on the contrary, report that they constantly have to change the drug, since the previous one during the next complicated bronchitis no longer helps.

, , . , , , .

, .