Antibiotics for streptoderma in children

Antibiotics are the main therapeutic agent for streptoderma in both children and adults. A distinctive feature of the use of antibiotics for streptoderma in children is that they should be given as early as possible when the first signs of the disease appear. This will stop the disease in its early stages, prevent a severe recurrent course, and complications. In children, due to the anatomical and physiological characteristics, the disease is particularly difficult. Therefore, when running forms, it may even require several courses of antibiotics. A combination therapy is recommended, which will include both systemic and local remedies (ointments, creams).

When streptoderma in children, you must adhere to a number of recommendations:

1. It is necessary to accurately establish the bacteriological diagnosis (carried out by means of bacteriological seeding). To do this, you need to know exactly the type and genus of the microorganism that caused the corresponding disease. In streptoderma, the causative agent is streptococcus. For a more accurate selection of antiseptics, it is necessary to determine more precise characteristics of the strain that caused the disease (genotypic, phenotypic characteristics, biovar or characteristics of the strain). Based on the obtained characteristics, you can choose the dosage, method of exposure. This will allow targeted therapy with minimal consequences and complications and maximum therapeutic effect.
2. If it is not possible to conduct a bacteriological study, and to identify a narrow-spectrum antibiotic aimed at the identified pathogen, there is an alternative - broad-spectrum antibiotics. There is no need to delay, it is necessary to begin therapy as soon as possible. Its success and effectiveness depend on it.
3. It is necessary to begin not with the minimum, but with the maximum dosages in order to kill the bacterial infection as soon as possible. Prevent complications and side effects. It also prevents the development of bacterial resistance.
4. Therapy should be carried out throughout the prescribed period, reduce the dosage, or skip taking pills is strictly prohibited. Even if there were signs of improvement, or the symptoms of the disease completely disappeared.
5. If possible, you should use a combination of means, that is, not one, but several means at once, and also to combine systemic and local effects.
6. If you need to take a second course, you should not take long breaks.
7. We need to strive not only to eliminate the infection, but also to eliminate the adverse effects of taking antibiotics, prevent complications, and restore normal microflora.
8. It is necessary to take fortifying agents that will help prevent a decrease in body resistance, increase endurance and immunity.

Consider the main drugs that are most often prescribed in the treatment of streptococcal in children.

• Amoxicillin (possibly commercial name - flemoxin)

Dosage - depending on age. Children under 3 years of age are not recommended. From 3 to 6 years, you can assign a quarter tablet - 125 mg once a day. From 6 to 12 years prescribed for half a tablet (250 mg per day). After 12 years, you can switch to the dosage for adults - 500 mg per day. The course of treatment varies on average within 3-5 days. If necessary, the course may be extended. Sometimes they take a break and, after 3-5 days, prescribe a second course. Or change the tactics of treatment.

Precautions: may cause allergies, intestinal disorders, stomach, indigestion (heartburn, flatulence, constipation, diarrhea). Therefore, it is not recommended to give to children under 3 years old (they have not yet formed intestinal microflora, digestion has not been established). To be wary of children with gastrointestinal diseases, with gastritis and an ulcer in history.

Side effects: digestive disorders, microflora (dysbiosis), dyspepsia, vomiting, diarrhea, constipation, flatulence, abdominal pain, allergic reactions, anaphylactic shock, angioedema.

• Biseptol

Dosage - depending on age. Children under 2 years of age are not recommended. Children from 2 to 6 years old - 240 mg per day, children older than 6 years old - 480 mg per day (divided into 2 doses). The duration of treatment is from 7 to 21 days, depending on the severity of the disease.

Precautionary measures: not to give to children up to 1,5-2 years. Not recommended in cases of individual intolerance to the drug, or its components, with a tendency to allergic reactions of immediate type (anaphylactic shock, angioedema).

Side effects: with individual intolerance, allergic reactions are possible. The most dangerous of them are HRT of NT, manifested by angioedema, anaphylactic shock.

• Ciprofloxacin

Dosage - from 3 to 5 years - 125 mg each (a quarter of a tablet), from 6 to 12 - 250 mg each (half a tablet), over 12 years old - 500 mg per day (the whole tablet), from 7 to 10 days.

Precautions: not recommended for children with kidney, liver, digestion.

Side effects: digestive disorders, dysbacteriosis, abnormal liver function, digestion. As a rule, disappear after the complete abolition of the drug. But about the advisability of cancellation need to consult a doctor.

• Erythromycin

Dosage - from 250 mg to 750 grams per day. The dosage depends on the age, body weight, severity of the disease, severity of symptoms.

Precautionary measures: not to persons till 2 years.

Side effects: dysbiosis, indigestion, stool disorders, loss of appetite. Sometimes there are headaches, heart palpitations. As a rule, these symptoms quickly disappear without taking any specific means.

• Amoxiclav Cictab

Dosage - for children from 3 to 6 years old - in a quarter tablet (125 mg) per day, from 6 to 12 years - in half a tablet (250 mg) per day, after 12 years - in a tablet (500 mg) once a day, 5-7 days.

Precautions: the drug contains a substance (clavulanic acid), which protects the stomach from the adverse effects of the antibiotic itself. Also clavulanic acid enhances the activity of the drug, increases its bioavailability, safety. Recommended for persons with diseases of the digestive tract (after consulting with a gastroenterologist). Also considered one of the safest remedies for children.

Side effects: allergic reactions, dysbacteriosis.

• Streptomycin

It exhibits a high activity against microorganisms of the Streptococcus group, which are the main causative agents of streptoderma, both in children and adults. It can have numerous adverse reactions in the form of allergies, so it should be carefully prescribed to children with a tendency to allergic reactions. Sometimes there are complications associated with the defeat of 8 pairs of cranial nerves, impaired auditory function. Up to complete loss of hearing (talking about ototoxicity). Complete deafness may develop with prolonged use. Therefore, the need to consult with a doctor and strictly follow his recommendations should be considered as the main precautionary measure.

• Tetracycline

A typical antibiotic of the tetracycline group, a complex tool aimed at the normalization of microflora, the prevention of fungal and protozoan flora (protozoa, amoebas, trichomonads). In severe streptoderma, together with pennicillin.

Single dosage depends on age. Children up to 5 years old - 125 mg each, at the age of 5 to 12 years old - 250 mg each, after 12 years old - 500 mg each. If necessary, a single dosage can be doubled. But this can be done only by doctor's prescription, and under the control of the state of the body and portability.

It is usually fairly well tolerated by the body, but side effects are not excluded, which manifest themselves in the form of diarrhea, nausea, and vomiting. To prevent side effects drink with antifungal agents (pimafucin, nystatin, fluconazole).

• Levomycetin

It acts on various types of bacteria, including all types of streptococci. The dosage is determined by the doctor, since it depends on the child’s body weight, as well as on BMI - body mass index, and other parameters.

• Flumexin soluble

It is an antibiotic of the penicillin group. Analogue - amoxicillin. Children up to 2 years old are prescribed 20 mg per day, children from 2 to 5 years old - 125 mg per reception, children from 5 to 12 years old - 250 mg each, and over 12 years old - 500 mg can be taken. The interval between doses should be 8 hours.

• Sumamed

Sumamed is an antibiotic that is used to eliminate bacterial infections in children. Sumamed is used in the form of a suspension or tablets. Most often used in the form of tablets, because in the form of suspension in recent years, almost not sold in pharmacies. Refers to the group of azalides. A single dose is 500 mg for a child over 12 years old. For children under 12 years old - 250 mg. Children under 2 years old do not use. The course is designed for three days. Thus, the dose rate for children over 12 years old is 1.5 grams, for children under 12 years old - 750 mg. Side effects are rare.

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