Antibiotics for tracheobronchitis

The choice of an antibiotic for tracheobronchitis depends entirely on whether the causative agent of the disease is sensitive to it. To do this, the patient is taken a smear for bacterial sputum culture to determine the sensitivity to antibacterial drugs.

The main types of medications that depend on the type of inflammation:

Form of tracheobronchitis	Drugs for treatment
Acute (viral etiology)	Expectorants, inhalations
Chronic (uncomplicated)	Aminopenicillins, Tetracyclines
Chronic (complicated)	Macrolides, Amoxiclav, Cephalosporins
Chronic (with concomitant diseases)	Fluoroquinolones

Antibiotics used:

• Aminopenicillins - Amoxicillin, Augmentin, Amoxiclav. First-line drugs, destroy viral cells, but do not harm the body. Their main drawback is frequent allergic reactions in patients.
• Macrolides - Sumamed, Midekamycin, Azithromycin, Asitrus. Preparations of the second row stop the reproduction of viruses and bacteria.
• Fluoroquinolones - Ofloxacin, Avelox, Levofloxacin. Assign in the event that the inflammatory process is allergic.

The use of antibiotic agents in tracheobronchitis in children is possible only with the development of complications. The most effective and safe are Cephalosporins, Macrolides and Aminopenicillins. In addition to antibiotics, children are prescribed probiotics, which are taken between the main medicines and at the end of the course of treatment. It can be Lineks, Bifiform, Acipol, Bifidumbacterin and other means.

Rules for taking antibiotics:

• The course must be continuous.
• It is necessary to observe the frequency of reception, maintaining the same intervals of time between use of the drug. This is necessary to maintain a constant concentration of drugs in the blood.
• Carefully monitor the effect of the drug - if 72 hours after the application there is no improvement, then this indicates that the pathogen is resistant to the antibiotic and it must be replaced.

[1], [2], [3], [4], [5], [6],

Ceftriaxone in tracheobronchitis

Ceftriaxone belongs to the clinical and pharmacological group of third generation cephalosporins. The drug is released in the form of a powder for intravenous and intramuscular injections. The antibiotic has a wide spectrum of action, is resistant to many gram-positive and gram-negative bacteria, β-lactamases.

• Used for diseases of the upper and lower divisions of the respiratory tract, infectious lesions of the abdominal cavity, infected wounds and burns, infections of the skin and soft tissues, urinary tract. Effective with endocarditis, bacterial meningitis, salmonellosis, and so in the prevention of postoperative infection.
• After intramuscular injection is completely absorbed into the systemic bloodstream, penetrating into the liquid media and body tissues. It is excreted by the kidneys. Dosage for adults and children over 12 years is 1-2 g once a day or 0.5 g every 12 hours. The maximum daily dose should not exceed 4 g. Injection solutions are prepared before use. To do this, use lidocaine, sterile water for injection or a solution of sodium chloride.
• In case of an overdose, symptomatic therapy is performed, since hemodialysis is ineffective. Medication is not used for hypersensitivity to its components, as well as to other cephalosporins, carbapenems and penicillins. Use with caution during pregnancy and lactation, in the treatment of newborns and patients with renal and hepatic insufficiency.
• Side effects are often accompanied by headaches, nausea, vomiting, flatulence, a violation of taste. Possible nasal bleeding, anemia, leukopenia, allergic reactions to the skin, superinfection (candidiasis) and local reactions, that is, pain along the vein and when medication is administered.

[7], [8], [9], [10], [11]

Amoxicillin with tracheobronchitis

Amoxicillin is a bactericidal antibiotic from the category of semisynthetic penicillins. The drug has a wide spectrum of action, is active against gram-negative and gram-positive microorganisms. The drug is resistant to microorganisms that produce penicilliniasis. Issued in the form of tablets, solutions and suspensions for oral use, as well as powder for injection.

• The agent is prescribed to eliminate bacterial infection of the upper and lower respiratory tract. It is effective in inflammation of the urethra, kidney and renal pelvis, and also in the small intestine.
• Before applying it is recommended to determine the sensitivity of microflora. Dosage is selected individually and depends on the sensitivity of the pathogen. For adults and children appoint 0.5 g three times a day. If the infection is characterized by severe course, then take 0.25 g three times a day. Children under 10 years are prescribed a suspension.
• Side effects - allergic and dermatological reactions (redness, itching and swelling of the skin, urticaria), rhinitis, conjunctivitis, fever, anaphylactic shock. In rare cases, there are superinfections.
• Medication is contraindicated to use with individual intolerance to penicillins. With extreme caution apply during pregnancy and lactation, in patients with allergic reactions.

[12], [13], [14], [15], [16], [17]

Biseptol for tracheobronchitis

Biseptol has bacteriostatic and bactericidal properties. The drug is active against Gram-positive and Gram-negative microorganisms, including bacteria that are resistant to sulfonamides. It is active against staphylococci, streptococci and pneumococci. After taking the active ingredients quickly and completely absorbed. The maximum concentration in the blood is observed in 1-3 hours after administration and lasts for 5-7 hours. It is excreted in the urine.

• Biseptol is effective in the treatment of infections of the respiratory tract, with bronchoectatic disease, urinary tract damage, abscesses, urinary tract infections and gastrointestinal tract. Helps with septicemia and uncomplicated gonorrhea.
• Before use, it is necessary to determine the sensitivity of the microflora. Children and adults are prescribed 4 tablets or 8 measuring spoons of syrup. The maximum daily dose of 6 tablets or 12 measuring spoons of syrup. Take after eating, squeezed with enough liquid. Duration of therapy is 5-10 days.
• Side effects cause nausea, vomiting, diarrhea, allergic reactions, it is also possible a sharp decrease in the level of leukocytes in the blood. It is contraindicated to use with individual intolerance of sulfonamides, diseases of the hematopoietic system, pregnancy, impaired renal and hepatic function. Do not appoint a newborn and premature baby.

[18], [19], [20]