Antibiotics for furunculosis

Localized purulent inflammation of the hair follicle (hair bulb) and surrounding tissues, accompanied by abscesses and tissue necrosis (necrosis) is called a furuncle. If furuncles appear repeatedly, doctors diagnose furunculosis.

The most "popular" zones of occurrence of these inflammations are the face, neck, axillary and inguinal areas, as well as the chest and back. The main cause of furunculosis, as well as a number of other diseases, are staphylococci. In this case, Gram-positive methicillin-resistant strains of Staphylococcus aureus Staphylococcus aureus (MRSA). From a purulent focus in the center of the boil, the bloodstream can spread through the infection, forming new inflammations, and even become life-threatening, especially if the face or neck is affected by furunculosis (very close to the brain). In this situation, treatment of furunculosis with antibiotics has no alternative.

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Treatment of furunculosis with antibiotics

According to the existing scheme of treatment of furunculosis, when the furuncle ripened, several injections of a solution of novocaine with antibiotics are made into the surrounding zone. This relieves pain, and most importantly - does not allow the purulent process to spread further. Then, attempts are made to accelerate the removal of the purulent furuncle rod - using keratolytic external agents.

Preparations for external use

However, furunculosis very often passes into the stage of abscess, that is purulent inflammation of the tissues with their melting and the formation of a purulent cavity. In this case, the abscess is opened to remove the purulent contents. After this, the doctor necessarily imposes a bandage with ointments containing antibiotics.

So, the composition of the Levomecol ointment includes the antibiotic chloramphenicol and the immunostimulating agent methyluracil. The drug has a bacteriostatic effect on Gram-positive and Gram-negative aerobic and anaerobic bacteria. And the methyluracil present in the ointment contributes to the regeneration of inflammation-affected tissues. This remedy is widely used not only in the treatment of furunculosis, but also purulent wounds, trophic ulcers and burns.

Ointment Mupirocin (analogue - Bactroban) contains a broad-spectrum antibiotic obtained from the bacteria Pseudomonas fluorescens. This drug for external effects on most strains of staphylococci, including MRSA. It is prescribed for bacterial infections of the skin (impetigo, folliculitis, furunculosis), as well as secondary bacterial infections of the skin and subcutaneous tissue. Ointment is applied to the affected skin 2 times a day. If the patient is a carrier of Staphylococcus aureus, then intranasal administration of the drug is prescribed (smear in the nose) - 2-3 per day for a week.

Gel 2% Fusidine-sodium is an effective antibiotic that also slows the growth and development of microorganisms resistant to other antibacterial drugs.

Antibiotics for furunculosis in tablets

Treatment of furunculosis with antibiotics is carried out, first of all, with diffuse or recurrent furuncles, and also with their localization in the region of the head and upper part of the trunk. And since Staphylococcus aureus can develop resistance to certain antibiotics, the doctor must direct the patient to microbiological examination of the contents of the inflammatory focus before the appointment of a specific drug - in order to determine the type of pathogen and, thereby, to reveal its sensitivity to antibiotics (i.e., antimicrobial resistance).

People, faced with this problem, are wondering which antibiotics to drink in case of furunculosis? Many of them are interested in what antibiotic is better for furunculosis? These, as well as all other questions related to the treatment of furunculosis, you will respond to your doctor. He will also prescribe medication - depending on the condition of the patient and the clinical picture of the disease.

In medicamentous treatment of furunculosis, antibiotics are used that act on Staphylococcus aureus MRSA. In the list of commonly used antibiotics in the form of tablets or capsules, up to one and a half dozen names appear.

For example, the antimicrobial drug Lincomycin (synonyms - Neloren, Mizivin, Zillimitsin, Lincocin, Lyocin, etc.) has a bacteriostatic effect on a relatively large number of microorganisms and begins to fight the infection 2-4 hours after oral administration. This drug (in capsules of 250 mg) is used in the treatment of infectious diseases of soft tissues and skin, including infected purulent wounds, abscesses, furunculosis, as well as many infectious diseases of bones, joints, respiratory tract and ENT organs.

For each patient, the dosage of Linkomycin is determined by the physician, and the standard dose for adults is 500 mg three times a day (with equal intervals between doses). Lincomycin should be taken half an hour or hour before or two hours after eating, with plenty of water. The duration of treatment should not exceed two weeks.

The use of this drug can cause such side effects as nausea, vomiting, headache or pain in the hypochondrium, stool disorders, pruritus, rash, urticaria, increased blood pressure. In case of violations of the liver and kidneys, during pregnancy and lactation, as well as to children under 6 years of age, this medication is contraindicated.

In the treatment of furunculosis with antibiotics, doctors recommend the use of cephalexin (synonyms - Ospexin, Keflex, Flexin). It refers to semisynthetic beta-lactam antibiotics of the cephalosporin series. The preparation is available in the form of capsules (250 mg), tablets (250 mg) and powder for the preparation of a suspension. Cephalexin acts bactericidal against staphylococci, streptococci, pneumococci, Escherichia coli, salmonella, etc. The maximum concentration in the blood plasma is reached 60-90 minutes after ingestion.

This antibiotic has such indications: phlegmon, pyoderma, abscess, furunculosis, otitis, pharyngitis, tonsillitis, bronchitis, pneumonia, lung abscess, cystitis, pyelonephritis.

The average daily dose of cephalexin is 1-4 g (maximum - 6 g), it should be taken every 6 hours. The course of therapy - 1-2 weeks. Side effects of this drug are expressed in the form of weakness, tremor, dizziness, dyspepsia, diarrhea, and leipopenia. The use of cephalexin during pregnancy is possible only under the supervision of a doctor.

Combined drug Amoxiclav has two active ingredients: an antibiotic of the penicillin group amoxicillin and an inhibitor of beta-lactamase microorganisms - clavulanic acid. It prevents the destruction of amoxicillin and makes it possible to affect Staphylococcus aureus. Therefore, this drug is prescribed for furunculosis, as well as for the retropharyngeal abscess, otitis, pneumonia and infectious lesions of the skin, soft tissues, bones and joints. The average daily dose of Amoxiclave is 375 mg (1 tablet) every 8 hours, the tablet needs to be dissolved in 100 ml of water or chewed before swallowing.

Side effects of this drug are usually expressed by nausea, diarrhea, vomiting, urticaria, headache, dizziness, anemia, insomnia, seizures. Contraindications to its use are individual hypersensitivity, hepatitis or cholestatic jaundice, provoked by taking antibiotics of a group of penicillins. During pregnancy and lactation, Amoxiclav may be prescribed according to strict doctor's indications. Special instructions: taking this antibiotic requires the use of a large amount of water or other liquid.

Antibiotics for furunculosis in tablets - Fusidine-sodium (synonyms - sodium fuzidate, Fucidin, Fuzidin, Ramicin). It is a highly active and low-toxic drug aimed at the infection of staphylococcal etiology, including resistant to the action of other antibiotics. Fuzidine (in tablets of 0.125 g and 0.25 g) is prescribed for furunculosis, phlegmon, biliary tract infections, for burns and infected wounds.

The drug is recommended to take with liquid food or milk - 0.5-1 g three times during the day. The duration of treatment is 7-10 days. Among the possible side effects of this remedy are abdominal pain, nausea, vomiting, diarrhea, and occasionally a rash on the skin.

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Antibiotics for furunculosis in children

With furunculosis, children are prescribed the same antibiotics as for adults. So all the indications, contraindications, as well as side effects of antibiotics for furunculosis in children are noted above.

The drug Cephalexin is prescribed to children in the form of powder for the preparation of a suspension, and its dosage is determined by the doctor depending on the child's age: up to 12 months - 2.5 ml of suspension (3-4 times a day); from 1 year to 3 years - 5 ml (3 times a day); 3-6 years - 7.5 ml; 6-14 years -10 ml (three times during the day). Depending on the severity of the inflammatory process (in the absence of complications), a daily dose should be given in two divided doses (after 12 hours). Cephalexin is recommended to take 2-5 days - until a clear clinical improvement.

The drug Fusidine-sodium (in the form of suspension) for children under 1 year is prescribed at 60-80 mg / kg (during the day), from 1 year to 4 years - 40-60 mg / kg, from 4 to 14 years - 20-40 mg / kg per day. Duration of treatment - up to 10 days.

The dose of antibiotic Amoxiclav for the treatment of children is also calculated taking into account the body weight. This drug is administered to children in the form of a suspension. Dosage of the suspension (in bottles of 156.25 mg / 5 ml and 312.5 mg / 5 ml, with a dosage spoon of 5 ml) is as follows: for children up to three months, the drug is prescribed at 25 mg / kg per day (in 2 divided doses, 12 hours). After three months of age, the daily dose is 20 mg per kilogram (in 3 divided doses, every 8 hours). Children also receive a special indication when treating Amoxiclav: should increase fluid intake.

Antibiotics for furunculosis are treated according to the principle "here and now". But skin infections tend to recur. And therefore it is important to consider the general condition of the immune system. In addition, people with obesity are at risk of developing furunculosis, as well as those who have blood problems or diabetes mellitus.

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