Antibiotics for purulent tonsillitis in adults

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The best antibiotic for purulent sore throat for children and adults

Sore throat is an acute infectious disease that develops in the body under the influence of microorganisms such as streptococci and staphylococci.

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This pathology is considered quite contagious and its severity is determined by the severity of damage to the tonsils.

Antibiotics for purulent sore throat are a mandatory method of treatment and can be prescribed in the form of tablets, injections and rinses. Before starting treatment, it is necessary to find out the cause that provoked the disease and conduct a thorough examination of the patient.

Causes and symptoms

Purulent tonsillitis is a disease of the tonsils caused by various types of microbes

Sore throat is a serious disease that can cause serious complications. The causative agents of tonsillitis are pathogenic microorganisms, that is, streptococci, staphylococci, enteroviruses and pneumococci.

Infection in the tonsils can penetrate by airborne droplets and enterally, as well as after surgical interventions in the posterior parts of the nasal cavity and nasopharynx. In addition, pathology may develop when the microflora of the tonsils is activated in those people who suffer from chronic tonsillitis. The cause of sore throat can be pathological processes such as caries, gastroenteritis and purulent sinusitis.

There are some factors whose impact on the body can cause the development of sore throat:

  • sudden changes in temperature
  • lack of sunlight
  • inadequate and irrational nutrition
  • general fatigue
  • hypothermia

There are several types of sore throat, but each of them is characterized by the following symptoms:

  1. rise in body temperature to 39 degrees
  2. general weakness and aches
  3. aching joints
  4. pain when swallowing food
  5. enlarged lymph nodes
  6. staining the uvula, tonsils, palatine arches and soft palate bright red
  7. the appearance of pustules or areas of accumulation of pus

The symptoms of a sore throat resemble a cold, but are much more severe and are accompanied by severe acute pain. In addition, a sore throat lasts much longer than a common cold and there is a high risk of developing various complications. It is necessary to diagnose the disease as early as possible and begin effective treatment.

Possible complications

An advanced disease can cause a peritonsillar abscess

Sore throat is considered a serious disease, which is dangerous due to its complications. Patients often develop a peritonsillar abscess, which is considered a continuation of tonsillitis.

It may seem that the patient has recovered, but after some time he develops a sudden sore throat, which gets worse every day. After 2-3 days, the swallowing process becomes impossible, the temperature rises and sweating increases.

Gradually, the patient's condition worsens so much that when swallowing food, it may enter the nasopharynx and nose due to swelling of the soft palate. With a paratonsillar abscess, the patient’s breathing is impaired and in this case only emergency hospitalization or surgery can help.

Sore throat can cause the development of local complications such as phlegmon of the neck and inflammation of the lymph nodes.

Common complications of this pathology are myocarditis, meningitis, sepsis, pyelonephritis and myocarditis. It is for this reason that it is necessary to undergo tests after a sore throat in order to make sure there are no complications.

Indications for antibiotics

For purulent sore throat, antibiotics are necessarily part of complex therapy

Antibiotics are considered a necessary condition for the treatment of purulent, follicular and other forms of sore throat, since with the help of such potent drugs it is possible to eliminate the negative manifestations of the disease much faster. In addition, they help prevent the development of dangerous complications.

The doctor will definitely prescribe antibacterial drugs to the patient for the following indications:

  1. body temperature is significantly increased
  2. a visible plaque has formed on the tonsils
  3. pain is felt in the neck and in the area of ​​the lymph nodes

An indication for taking antibiotics is the absence of a cough and runny nose with all of the above symptoms.

Antibiotics can be used both general and local. Local treatment of acute tonsillitis alone can further aggravate the patient's condition. In addition, the low dosage of the drug contributes to the rapid adaptation of bacteria, which subsequently significantly complicates their further treatment.

Drugs for adult therapy

All antibiotics differ in their constituent components, properties and dosage regimen.

Today, there are a large number of antibacterial drugs that are used to treat purulent tonsillitis. Each of them differs in the components it contains and the effect it has on the body.

Penicillins

Most often, in the treatment of sore throat, antibiotics of the penicillin group are prescribed, which are considered quite safe and affordable:

  • Augmentin. Such a potent drug is usually prescribed for the treatment of infectious processes that occur in the lower respiratory tract. The duration of therapy should not exceed 14 days, and the dosage is selected by the doctor. The medicine is available in the form of tablets and powder for the preparation of a suspension.
  • Flemoklav Solutab. This antibiotic is indicated for the elimination of purulent sore throat and respiratory pathologies. The duration of treatment is determined by the degree of the inflammatory process, but it should not last more than two weeks.
  • Amoxicillin. This antibiotic is distinguished by its low cost and is widely used for the treatment of not only tonsillitis, but also other infectious pathologies of the respiratory system. The dosage of the medication is selected individually by the doctor, taking into account the stage of the pathology and the individual characteristics of the patient’s body.
  • Flemoxin Solutab. This antibiotic contains amoxicillin trihydrate, and the drug is available in a more convenient form. The dragee can be dissolved in water, chewed, or simply swallowed.

If taking antibiotics of the penicillin group does not bring the desired effect, then cephalosporins or macrolides may be prescribed.

Cephalosporins

Antibacterial drugs of the cephalosporin group are often prescribed for the treatment of purulent inflammation of the throat. Their main advantage is the fact that the risk of side effects is minimal and bacteria are less resistant to such antibiotics.

For the treatment of purulent tonsillitis, Rocephin, Cefson and Suprax, which are considered one of the most effective and efficient, can be prescribed. Suprax is produced in the form of granules and capsules, and treatment with its help is carried out for 7 days.

You can learn more about the treatment of sore throat from the video:

Macrolides

Antibiotics of the macrolide group are highly effective in eliminating purulent tonsillitis, but their significant disadvantage is the frequent upset of the gastrointestinal tract after taking them. Experts prescribe such potent drugs only if the patient has an allergic reaction to other groups of antibiotics.

To eliminate a sore throat, the following medications may be prescribed:

  • Sumamed is available in the form of dragees, capsules or lyophilisate powder for the preparation of a solution. It is effective against bacteria because it interferes with protein production. For purulent sore throat, the course of treatment with this antibiotic lasts 3 days.
  • Klacid. The basis of this macrolide antibiotic is clarithromycin and the medication is available in the form of powder, dragee and lyophilisate. The dosage is selected by the attending physician, and in case of complicated pathology, it can be doubled.

Antibiotics are considered an effective remedy in the fight against purulent sore throat in adults, but they should be selected exclusively by a doctor.

Drugs for the treatment of children

It is better to give antibiotics to children in the form of syrup or suspension.

Treatment of angina in children is carried out using antibacterial drugs of various groups, both general and local. The dosage of the medication is selected taking into account the patient’s age and the severity of his condition.

To eliminate purulent sore throat, local antibiotics may be prescribed:

  • Bioparox. Available in the form of a spray intended for treating the throat. Can be used to treat children from 2.5 years old, treating inflammation areas several times a day.
  • Hexoral. The medication has a pronounced antiseptic effect and is available in aerosol form. Hexoral can be used from the age of 3, performing 1-2 injections per day.
  • Lugol. This drug is an iodine-based spray that is effective in eliminating chronic pathologies. When treating a sore throat in children, it is necessary to irrigate the sore throat several times a day until the unpleasant symptoms disappear.
  • Lysobacter. This antibiotic has a local effect on the site of inflammation and is available in the form of lozenges. It is allowed to be used to treat children from 3 years of age, and the dosage can be 3-4 tablets per day.

For young children, antibacterial drugs are usually prescribed in the form of a suspension, which is prepared from powder immediately before use. The following medications have a good effect in the treatment of purulent tonsillitis:

At older ages, antibiotics may be prescribed in the form of tablets that must be chewed or dissolved in water. The most effective antibiotic for purulent sore throat in children is considered to be Josamycin and Flemoxin Solutab.

Treatment of sore throat during pregnancy

Only a doctor can prescribe a safe antibacterial drug for pregnant women!

A sore throat during pregnancy can cause significant harm to the child’s health, so throat infections must be properly treated. It is not allowed to take antibiotics in the first trimester of pregnancy, since during this period all the vital organs and systems of the fetus are formed.

Medicines are selected and prescribed only by the attending physician, taking into account the duration of pregnancy and the severity of the disease. Most often, antibiotics of the penicillin group are used to eliminate the disease, which do not have a harmful effect on the fetus and do not interfere with its normal development. Medicines can be taken either as injections or as tablets.

Antibiotics of the cephalosporin group are able to penetrate the placenta, but do not have a pronounced effect on the fetus.

The use of such drugs is resorted to only if the inflammatory microorganisms are resistant to penicillin. To treat purulent tonsillitis, antibiotics such as Ceftriaxone, Cefazolin, Erythromycin and Vilprafen can be prescribed.

Rules for taking antibiotics

Proper use of antibiotics is the key to a quick recovery!

In order for antibacterial therapy to be effective, the following rules must be observed:

  1. before starting treatment, it is necessary to take a microflora test to accurately determine the pathogen
  2. antibiotics must be taken in a strictly prescribed dosage and the specified number of times during the day
  3. the course of antibacterial treatment usually lasts at least 10 days, with the exception of long-acting medications
  4. the medicine should be taken one hour before meals or two hours after
  5. Take antibiotics only with water
  6. Along with antibacterial drugs, it is recommended to take probiotics to normalize the intestinal microflora

Sore throat is considered a dangerous disease that can occur in several forms and result in the development of complications. Proper antibacterial treatment can not only eliminate the unpleasant symptoms of the disease, but also speed up the patient’s recovery.

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What antibiotics should I take to treat a sore throat?

Many people do not want to take antibacterial drugs because they believe that they do much more harm than good. In the case of sore throat, this approach is absolutely wrong.

Sore throat is a bacterial or viral disease that occurs due to inflammation of the tonsils. Antibiotics for sore throat in adults are almost always prescribed, regardless of the form and severity of the disease.

Since this disease causes complications in the form of impaired kidney function, rheumatism and otitis media, it is very important to consult a specialist in time to prescribe a course of treatment.

What antibiotics should an adult take for sore throat so that treatment is safe and effective? In this material we will try to choose the best antibiotic that will quickly cope with a sore throat.

How to take it correctly?

Taking antibiotics must be carried out according to certain rules, otherwise, if taken uncontrolled, the sensitivity of bacteria to the drug will decrease, and in the future, when it is really necessary, the antibiotic will no longer help.

It is necessary to take the antibiotic before meals (1 hour before), or 2 hours after meals, so that nothing interferes with its absorption. The antimicrobial agent must be taken with water.

Each drug has its own instructions, which indicate how many times a day and how much of the medicine can be taken. In addition, your doctor will describe your dosage regimen in more detail.

Purulent sore throat

Purulent tonsillitis is characterized by redness and swelling of the tonsils, swelling of the neck, severe sore throat, and enlarged lymph nodes. The very name of the disease determines the presence of purulent plugs on the tonsils.

To treat purulent sore throat, the doctor always prescribes an antibiotic, and which one depends on the individual characteristics and the causative agent of the disease.

When are antibiotics needed?

There are certain criteria for prescribing antibacterial therapy:
  1. There is a visible purulent plaque on the tonsils.
  2. With the combination of the above symptoms, the patient does not have a cough or runny nose.
  3. There is a significant prolonged increase in temperature (above 38°C).
  4. There is pain in the submandibular region of the neck, enlarged lymph nodes are palpated.

If all these symptoms are present, the doctor will definitely prescribe an antibiotic to the adult, even without waiting for the results of tests and examinations aimed at identifying the causative agents of the disease. It is important here not to confuse a cold and a sore throat, because antibiotics are ineffective for a viral infection.

Remember, if you are uncontrolledly treated with antibacterial agents, you can not only develop allergies and dysbiosis, but also raise a generation of microbes that will remain living in the tonsils, but will be insensitive to this type of antibiotic. Leave the choice to a specialist.

What are they?

Antibiotics for adults are available in both tablets and injections. The following groups of drugs are effective for the treatment of sore throat:

  1. Penicillins (for example, Amoxicillin, Ampicillin, Amoxiclav, Augmentin, Oxacillin, Ampiox, Flemoxin, etc.);
  2. Macrolides (for example, Azithromycin, Sumamed, Rulid, etc.);
  3. Tetracyclines (for example, Doxycycline, Tetracycline, Macropen, etc.);
  4. Fluoroquinolones (for example, Sparfloxacin, Levofloxacin, Ciprofloxacin, Pefloxacin, Ofloxacin, etc.);
  5. Cephalosporins (for example, Cifran, Cephalexin, Ceftriaxone, etc.).

The drugs of choice for purulent sore throat are antibiotics from the penicillin group.

The best antibiotic for sore throat

In most cases, tonsillitis is caused by streptococci and staphylococci. Therefore, when treating a sore throat with antibiotics, adults are most often prescribed penicillin drugs, which are most effective against the above microorganisms.

The best antibacterial drugs from this group are:

  1. Amoxicillin is the most commonly prescribed drug. Price 227.00 rub.
  2. Panclave - 325.00 rub.
  3. Flemoxin Solutab - 227.00 rub.
  4. Rapiclav - 345.00 rub.
  5. Augmentin — 275.00 rub.
  6. Amoxiclav - 227.00 rub.

Unfortunately, in some cases, adults or children are allergic to penicillins. Such people are prescribed antibiotics from other pharmacological groups: fluoroquinolones, tetracyclines, cephalosporins, macrolides.

Do not forget that self-treatment of a sore throat with antibiotics is contraindicated, since untreated sore throat can cause not only a longer and more expensive continuation of treatment, but also lead to serious health problems, disorders of the kidneys and heart, and in weakened people and people with immunodeficiency even cause death.

Why is antibacterial treatment needed?

Timely administration of antibiotics for sore throat allows:

  • prevent acute rheumatic fever;
  • prevent purulent-inflammatory complications;
  • reduce the severity of clinical manifestations of angina;
  • prevent bacterial infection from spreading to family members, colleagues, neighbors, and so on;
  • reduce the likelihood of complications, including cardiac ones.

When the causative agent of a sore throat is already resistant to one or another drug, then no noticeable improvement is observed within 72 hours (the temperature does not subside, plaque persists, the general condition does not improve), in this case the antibiotic must be replaced with another.

Besides antibiotics

To make the disease go away faster, you should follow some rules at home.

  1. Bed rest. The patient needs complete rest. This will help reduce irritation and headaches.
  2. Antipyretic. It is necessary to take medications that lower the temperature only when it rises above 38 degrees.
  3. Gargling. This will help relieve irritation and pain. To prepare a decoction, you can take chamomile, sage, and calendula. Medicinal solutions of Furacilin and Chlorhexidine also have a good effect.
  4. Drink plenty of fluids. Drinking plenty of fluids will help remove toxins from the body that contribute to the development of symptoms of the disease.

Antibiotics for sore throats in adults quickly alleviate the symptoms of this unpleasant disease, so do not hesitate, consult a doctor.

Amoxicillin

The antibiotic is effective against a large number of bacteria that cause sore throat. Doctors prescribe amoxicillin as a first-line drug for sore throat because it is quite effective and has few side effects.

Adverse reactions that may occur when taking amixicillin include vomiting, diarrhea, and stomach upset. The most severe reactions to the drug are leukopenia, pseudomembranous colitis, agranulocytosis, and anaphylactic shock. Price 227 rubles (375 mg tablets, 15 pcs.).

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7 comments

PLEASE TELL HOW TO TREAT SOLONGY

No matter how much they say that an antibiotic must be selected based on culture, no one does it... It’s also good if universal remedies like the same monural are prescribed. Otherwise, simple antibiotics are often prescribed, and there is no guarantee that they will hit the mark.

True, but it all depends on the doctor, the clinic and the possibilities for culture, especially since it takes 3-5 days, but it will very accurately determine which antibiotic is suitable,

I will add that in Moscow, at the Medsi clinic, they do sowing - this is not only my example and other people. Be healthy!

What does sore throat and monural have to do with it? Monural is generally a uroseptic and is prescribed in case of cystitis..

Sore throat is a frequent visitor of mine, as long as I can remember, I have been suffering from this infection all my life. Of course, I also took quite a few medications, but now many have simply stopped helping me. Previously, I might have managed without antibiotics, but now I can’t. Lately I have been buying eco-antibiotic ecoclave on doctor’s prescription. A good drug, it contains lactulose and thanks to it the intestines are completely protected.

I try to take antibiotics last. Lizobakt helps a lot with a sore throat. It also preserves beneficial microflora during treatment. I recommend them to treat a sore throat.

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Questions

Question: How is purulent sore throat treated in adults?

What drugs are used in the treatment of purulent sore throat in adults?

Purulent sore throat in adults is treated with antibiotics, which have a detrimental effect on the microbes that cause the disease. In the vast majority of cases, tonsillitis is caused by hemolytic streptococcus type A, or staphylococci. This means that its treatment must be carried out with antibiotics that effectively destroy streptococci and staphylococci. These antibiotics include protected penicillins, macrolides, cephalosporins, tetracyclines and fluoroquinolones.

In addition to systemic antibiotics or sulfonamides, in the treatment of purulent tonsillitis it is necessary to use local antiseptics, which also have a detrimental effect on the causative microbes. Local remedies allow you to sanitize the oral cavity and destroy pathogenic microbes located on the surface of the tonsils. To treat purulent sore throat, you can choose any of the following topical medications:

  • Dioxidin (3 – 4 ampoules per glass of water);
  • Iodinol (40 drops per glass of water);
  • Microcide (40 drops per glass of water);
  • Propolis (40 drops per glass of water);

    It is recommended that after the symptoms of a purulent sore throat completely disappear, you gargle for another 2 to 3 days.

    • Non-steroidal anti-inflammatory drugs - Aspirin, Paracetamol, Nimesil, etc.;

    These symptomatic drugs should be taken during the first 5 days of treatment for purulent tonsillitis in the dosages specified in the instructions.

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    Treatment of purulent sore throat with local remedies and antibiotics

    If purulent tonsillitis is diagnosed, treatment with antibiotics is the most effective method of therapy. Sore throat is one of the most common infectious diseases. In childhood, almost every child gets a sore throat at least once. Often this pathology occurs in adults. Sore throat is an acute inflammation of the tonsils. The palatine tonsils are most often affected. The disease is extremely contagious. The patient releases the pathogen into the environment. Purulent sore throat is the most severe. What is the etiology, clinical picture and treatment of purulent tonsillitis?

    Features of the disease

    Purulent tonsillitis is an infectious disease characterized by damage to the pharyngeal lymphoid ring. The second name for this pathology is acute tonsillitis. The main symptom of the disease is the appearance of purulent plaque on the tonsils. Pus is an exudate that forms during acute tissue inflammation. The composition of pus includes dead bacteria, proteins, enzymes, cholesterol, tissue detritus, and white blood cells. Sore throat is most often diagnosed in children. Most often the disease occurs in the spring-autumn period.

    Human infection occurs through the air. Sometimes there is a contact-household route of infection. This can occur when eating or drinking from the same container or sharing personal hygiene items. Follicular tonsillitis or any other purulent form of this disease requires early detection and treatment, otherwise it can become chronic and cause damage to vital organs. Against the background of sore throat, the heart is often affected. Rheumatism develops. Possible complications include impaired renal function and inflammation of the meninges. This happens when bacteria spread from the source of inflammation in the nasopharynx.

    Etiological factors

    The reasons for the development of purulent sore throat in children and adults are few. The main etiological factors are:

    • hypothermia;
    • contact with patients;
    • the presence of chronic oral diseases (caries, stomatitis);
    • decreased immunity;
    • presence of viral diseases (ARVI).

    The infectious agent penetrates the tissue due to traumatic injuries to the tonsils, smoking, and alcohol abuse. Favorable factors for the development of the inflammatory process and the activation of pathogenic bacteria are inhalation of dirty air and a sharp change in ambient temperature. Sore throat occurs more often in people living in large populated areas. This is due to the special environmental situation.

    The main causative agent of the disease is hemolytic streptococcus. Inflammation of the tonsils is also possible against the background of a staphylococcal infection. These microorganisms can be detected in the oral cavity of a healthy person, but the body’s defenses prevent the development of the inflammatory process. In the event of a sharp decrease in the body's resistance, bacteria are activated, multiply and cause purulent lesions of the tonsils. Toxins released by bacteria cause intoxication syndrome (fever, weakness, headache).

    Clinical manifestations

    Sore throat is quite severe. The severity of symptoms depends on the clinical form of the disease. There are 3 types of the disease: follicular purulent tonsillitis, lacunar and phlegmonous. Common signs of purulent lesions of the tonsils may be:

    • fever (up to 40 degrees and above);
    • sore throat at rest or during swallowing;
    • inflammation of the lymph nodes;
    • the presence of purulent plaque;
    • enlarged tonsils;
    • myalgia;
    • headache;
    • arthralgia;
    • decreased appetite;
    • malaise.

    The purulent form of sore throat develops suddenly. The first symptoms appear 1-2 days after infection. Often patients are bothered by chills. The headache is diffuse and has no precise localization. The high temperature can last for several days. It should be brought down with antipyretic drugs only when it exceeds 38.5 degrees. On the first day, a sore throat occurs when swallowing saliva or food. In the future, it is observed at rest, making it difficult to eat and sleep. Severe pain makes speech difficult.

    Local manifestations of the disease are different for each form of angina. With lacunar purulent tonsillitis, an increase in the volume of the tonsils and the appearance of a yellowish or white coating are observed. The latter may be fibrinous in nature. The follicular form is easier. When examining the pharynx, hyperemia, the presence of purulent plaque, difficult to separate from the surface, and small dots on the surface of the tonsils are revealed. In patients, regional lymph nodes are often enlarged. In young children, vomiting, diarrhea-type bowel movements, symptoms of meningitis, and impaired consciousness may occur.

    Phlegmonous sore throat is less common. In this situation, an abscess forms. Most often it forms on one side. Over time, the abscess opens. The disease occurs with high fever (40 degrees and above), intense pain. Bad breath may indicate the opening of an abscess.

    Antibacterial therapy

    It is necessary to treat a person with tonsillitis after a medical examination and diagnosis. Diagnosis includes taking a medical history, examining the pharynx, and taking a smear from the tonsils to determine the causative agent of the infection.

    Treatment of purulent sore throat involves bed rest, taking antibacterial drugs, and gargling with antiseptic solutions.

    The most effective antibiotics for follicular tonsillitis or any other form of purulent inflammation are:

    • penicillins (“Amoxicillin”, “Amoxiclav”);
    • cephalosporins (Cefixime);
    • macrolides (“Azithromycin”).

    Antibiotics for purulent sore throat should be taken orally or administered intramuscularly. The last option is the most optimal, since the substance quickly enters the bloodstream. The most effective drugs for purulent sore throat are penicillins. In case of intolerance, the doctor may prescribe macrolides or cephalosporins. In the case of a recurrent form of purulent tonsillitis, lincosamides are indicated. This group includes Clindamycin and Lincomycin. Not all antibiotics can be used to treat children.

    Local antibiotics and other remedies

    If a person suffers from a purulent sore throat, treatment with antibiotics can be carried out locally. The most commonly used are antibacterial sprays or lozenges. The following medications have an excellent effect: Hexoral, Fusafungin. Recovery will occur faster if you combine local antibiotic treatment with general antibiotics. The effectiveness of therapy is assessed after 2-3 days. Along with antibiotics, antiseptic solutions are used to eliminate inflammation. They can be medicinal or herbal based.

    The following antiseptic aerosols are used: Hexoral, Orasept, Hexasprey. If the sore throat is purulent, treatment with antibiotics should be combined with gargling. Rinsing can eliminate some of the symptoms of the disease (sore throat, sore throat). Today, the following products are used for rinsing: sea water, iodine solution, calendula tincture, furatsilin-based solution, propolis tincture. Miramistin, a solution of boric acid, as well as various herbal infusions and decoctions give a good effect. To eliminate pain, lozenges (Falimint, Faringosept) are used. An alternative method of treatment is inhalation with soda or antiseptic solutions. Bioparox is often used.

    In severe cases (in the presence of complications, severe intoxication syndrome), detoxification therapy may be included in the treatment regimen. For specific prevention of the disease after treatment, Bicillin can be used. Thus, purulent tonsillitis can be severe. Even after complete recovery, long-term consequences are possible in the form of dysfunction of internal organs (heart, kidneys). If purulent tonsillitis is detected, antibacterial drugs are prescribed.

    • Types and features
    • Treatment of sore throat

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    Infectious disease doctor on the best antibiotics for purulent sore throat in adults

    Acute tonsillitis is an infectious and inflammatory disease characterized by damage to the lymphatic pharyngeal ring and accompanied by fever, general intoxication, sore throat and the presence of purulent effusion on the tonsils.

    The high risk of rheumatic complications in the heart and joints explains the fact that antibiotics for angina are the main means of therapy.

    The disease has airborne (transmission of the pathogen by coughing, sneezing) and contact-household (shared utensils) transmission mechanisms. Herpes infection (enterovirus infection caused by Coxsackie viruses) is characterized by the fecal-oral route of infection.

    The most common sources of infection are:

    • patients with tonsillitis in the acute period;
    • chronic carriers of staphylo- and streptococci;
    • patients with streptococcal impetigo;
    • patients with bacterial infection of the respiratory tract;

    Fungal tonsillitis usually occurs in people with immunodeficiencies. They may occur due to the activation of opportunistic flora or after the use of household items from infected patients.

    The main causative agents of the disease are:

    Antibiotics for purulent sore throat in adults

    The gold standard for the treatment of streptococcal tonsillitis are aminopenicillins and cephalosporins.

    In the presence of purulent complications, lincosamides are prescribed.

    For parenteral administration the following are preferred:

    A good antibiotic for sore throat in adults

    In the acute period, it is advisable to prescribe penicillins with an extended spectrum of activity (Ampicillin, Amoxicillin) and inhibitor-protected drugs (Amoxicillin/clavulanate, Ampicillin/sulbactam). For moderate disease, oral cephalosporins (Cefixime and Cefuroxime-axetil) are also highly effective.

    For severe or moderate tonsillitis with severe symptoms of intoxication and high fever, third and fourth generation cephalosporins are prescribed for parenteral administration.

    To prevent complications after the end of the main treatment, bicillin prophylaxis is carried out. Bicillin-3 is administered intramuscularly, with an interval of seven days, three times.

    Bicillin-5 is prescribed intramuscularly once (not used in young children).

    Zinnat

    It is a second generation cephalosporin drug. The active ingredient is Cefuroxime.

    It has a wide spectrum of antimicrobial activity, including gram-positive microorganisms resistant to penicillin (excluding methicillin-resistant strains). Effective against beta-hemolytic streptococci. Active against gram-negative flora with resistance to ampicillin.

    Contraindicated in the period up to three months of life, not prescribed to premature infants and weakened, exhausted patients. It is also not recommended for pregnant women (can only be prescribed if the benefit to the mother outweighs the possible risk to the fetus) and breastfeeding women.

    Not used in patients with a history of allergic reactions to cephalosporins and penicillins. In the presence of renal failure, ulcerative colitis, Crohn's disease.

    It is important to remember that Cefuroxime is not prescribed concomitantly with aminoglycosides and loop diuretics, due to the high risk of nephrotoxicity.

    Side effects include allergic reactions, dyspeptic disorders, dysbacteriosis, and thrush.

    Dosages

    For moderate infections, adults are prescribed 250 mg twice daily. For severe illness, the dose may be increased to 500 mg twice a day.

    For children from three to six months, use pomg/kg 2 times a day. Over 6 months but under two years, 60 to 120 mg every 12 hours. After two years, 25 mg of the drug at twelve-hour intervals.

    How many days should you take antibiotics for a sore throat?

    The duration of treatment depends on the severity of the disease.

    If necessary, antibiotics for purulent sore throat are used for up to ten days. A three-day prescription of azithromycin is advisable only as a prophylaxis for rheumatism, in case of an allergy to natural penicillins.

    Antibiotics for sore throat in adults in tablets, suspensions and syrups

    We present the trade names of the best antibiotics for sore throat in adults in the list:

    What antibiotics should be taken for sore throat in adults with beta-lactam intolerance?

    Erythromycin

    Belongs to the class of fourteen-membered macrolides. It has a pronounced bacteriostatic effect on pathogens, due to disruption of the formation of peptide bonds and blocking protein synthesis. If high dosages are used, the drug may exhibit a bactericidal effect.

    These antibiotics are prescribed only in the presence of individual intolerance or other contraindications to the prescription of penicillins and cephalosporins.

    The spectrum of activity includes most representatives of Gram+ and Gram- flora. Shigella, Salmonella, Enterobacter and Bacteroides are resistant to the action of erythromycin.

    • Erythromycin;
    • Ermiced;
    • Eomycin;
    • Ilozon;
    • Grunamycin.

    Grunamycin

    It has release forms for oral and parenteral use, and is also used in the form of rectal suppositories. Effective not only for the treatment of acute diseases of the ENT organs, but also for the prevention of rheumatic complications caused by streptococcal infection.

    • patients taking terfenadine or astemizole (antihistamines);
    • in the presence of hypersensitivity and individual intolerance;
    • patients with severe heart rhythm disturbances, severe hearing impairment, renal or liver failure;
    • during lactation.

    It is also important to remember that antibiotics for purulent sore throat containing erythromycin estolate are not prescribed to pregnant women and are not recommended for use in newborns, due to the high risk of pyloric stenosis.

    Side effects from use
    • frequent dyspeptic disorders;
    • dysbacteriosis;
    • transient increase in liver transaminases in a biochemical blood test;
    • cholestatic jaundice;
    • when taking dosages above four grams per day, an ototoxic effect is possible, accompanied by reversible hearing loss;
    • Rhythm disturbances and allergic reactions rarely occur.
    Dosage regimen

    For children over fourteen years of age and adult patients, a single dose ranges from 250 to 500 mg. Grunamycin is used four times a day, at six-hour intervals. The recommended daily dose is 1-2 grams. The maximum allowable dose is four grams per day.

    The drug must be administered intravenously in a stream, slowly over five minutes or by drip.

    Patients from four months to eighteen years are prescribed pomg/kg per day, divided into 2-3 administrations (appointments). Babies up to three months of age are prescribed pomg/kg per day.

    For rectal use (suppositories), 400 mg per day is prescribed for ages from one to three years, pomg from 3 to six years, and one gram from six to eight years. The daily dosage is divided into 4-6 times.

    Drug interactions

    Erythromycin reduces the effectiveness of beta-lactams. Increases the toxic effect on the kidneys during cyclosporine therapy. Reduces the effectiveness of taking hormonal contraceptives.

    It is strictly incompatible with terfenadine and astemizole due to the high risk of severe heart rhythm disturbances. It also exhibits antagonistic interactions with the drugs clindamycin and chloramphenicol.

    Antibiotic for sore throat “3 tablets”

    Azithromycin is a semisynthetic fifteen-membered macrolide from the azalide group.

    It has a lower risk of side effects and unwanted drug interactions, and is well tolerated. In short courses of 3 tablets, this antibiotic for sore throat is used only after the end of the main treatment in order to prevent rheumatic complications in case of intolerance to penicillins (bicillin-3 and -5).

    For the treatment of acute diseases, it is used in courses lasting 7-10 days.

    Oroseptics or local antibiotics for sore throat

    Effective as an additional treatment method against the background of systemic antimicrobial therapy. Not prescribed as monotherapy.

    A throat spray with an antibiotic for sore throat can only be used after the age of three, since, due to the essential oils contained in aerosols and sprays, there is a high risk of laryngospasm in young children.

    Ingalipt

    The active ingredients of the drug are soluble sulfonamides and essential oils of mint and eucalyptus.

    It has anti-inflammatory, antibacterial and antifungal effects. It also has a mild analgesic effect. The spectrum of activity covers gram-positive and gram-negative flora, fungi of the genus Candida.

    A sore throat spray with an antibiotic is not used if there is an individual intolerance to the components of the drug.

    Side effects include burning in the throat, sore throat, and allergic reactions.

    Ingalipt is used up to four times a day, spraying the spray in the mouth for 1-2 seconds, after rinsing the mouth with warm boiled water.

    Antibiotic-free sprays

    With antiseptic effect. Kameton

    It is a combined medicine that has a pronounced antiseptic and anti-inflammatory effect due to the content of chlorobutanol. It also has a moderate analgesic effect due to the action of camphor, menthol and eucalyptus oil.

    Contraindications to the use of Cameton include children under five years of age and individual intolerance.

    The product is sprayed into the mouth, followed by inhalation for two seconds. Such inhalations are used up to four times a day.

    With anti-inflammatory effect. Tantum Verde

    It has pronounced anti-inflammatory and analgesic effects, relieves swelling of the mucous membrane, stabilizes the permeability of the vascular wall of capillaries, due to the content of benzydamine (non-steroidal anti-inflammatory).

    Not prescribed to patients with individual intolerance to the components. Lozenges should be used with caution in women during pregnancy and breastfeeding.

    The tablets are dissolved one at a time 3-4 times a day.

    Spray for adults is used every 2-3 hours, making 4-8 presses on the sprayer. For children from six to twelve years of age, four sprays are prescribed. Up to 6 years of age, 1 spray is prescribed for every 4 kilograms of body weight, not exceeding the total dose of 4 sprays.

    Additional treatments

    1. Bed rest, a gentle diet and plenty of fluid intake are recommended.
    2. Gargling with infusions of chamomile, mint, sage, oak and calamus bark, and salt with iodine is effective.
    3. Resorption of Septefril, Lizobakt, Chlorophyllipt tablets is prescribed.
    4. When the temperature rises above 38 degrees, taking antipyretics (Ibuprofen, Paracetamol, Nimesulide, Nise) is indicated.

    The use of antihistamines helps reduce the risk of allergic reactions to the medications used, and also help reduce swelling of the mucous membrane and reduce the permeability of the capillary wall (Cetrin, Loratadine, Zodak, Zirtek, Tavegil).

    • To speed up recovery, increased dosages of vitamin C are used (for adults, up to 2 grams per day, the first three days, with a gradual decrease to 500 mg). After recovery, a course of multivitamins is indicated.
    • For patients with cardiopathy, rhythm disturbances, etc. It is advisable to add cardiotrophic therapy (Riboxin, Elcar).
    • The use of physiotherapeutic agents (Ural irradiation, UHF, ultrasound) is effective.

    With frequent tonsillitis, it is necessary to carry out bicillin prophylaxis twice a year: in spring and autumn.

    Surgical treatment is indicated in the presence of purulent complications (abscess, lymphadenitis) and consists of opening and draining the lesion, followed by washing it with solutions of antiseptics and antimicrobials. Systemic treatment with lincosamides is also prescribed.

    Tonsillectomy is used for chronic decompensated tonsillitis.

    Is it possible to cure a sore throat without antibiotics in an adult?

    To answer the question: “How to cure a sore throat without antibiotics in an adult?” — it is necessary to analyze the etiology of non-streptococcal tonsillitis.

    Herpetic a. begins with a flu-like syndrome (weakness, weakness, fever, chills). Then a sore throat, excessive salivation, and symptoms of rhinitis appear. On examination, bright hyperemia of the arches, posterior wall of the pharynx, tonsils and uvula, and abundant vesicular rashes filled with serous contents are visualized. Small pinpoint hemorrhages on the mucous membrane are possible. Depending on the course of the disease, the elements of the rash either suppurate or open, forming shallow ulcers and erosions.

    Basic therapy for mild and moderate forms includes:

    • antihistamines;
    • oroseptics, and subsequently agents that accelerate epithelization;
    • immunomodulators;
    • antiviral drugs;
    • antipyretics;
    • measures to relieve symptoms of intoxication;
    • bed rest;
    • a gentle diet to avoid additional trauma to the mucous membrane;
    • multivitamins;
    • probiotics.

    For pharyngomycosis, multiple yellowish-white plaques spreading to the uvula, arches and buccal mucosa are indicative. There is an unpleasant odor from the mouth and a perversion of taste.

    • against the background of immunodeficiency states;
    • in smokers;
    • patients receiving long-term therapy with hormonal inhaled drugs (asthmatics);
    • in persons using dentures.

    Therapy consists of prescribing systemic antifungal drugs, using oroseptics, gargling with antiseptic solutions, treating affected areas, prescribing immunostimulants, multivitamins, and probiotics. Drinking plenty of fluids and bed rest are also recommended.

    General classification

    1. Light, medium, heavy;
    2. Primary (catarrhal, lacunar, follicular, ulcerative-membranous, necrotic);
    3. Secondary (against the background of another disease: infectious mononucleosis, leukemia, agranulocytosis, diphtheria, scarlet fever).
    1. Compensated, decompensated;
    2. Specific (tuberculosis, syphilitic).

    Main symptoms

    Classic streptococcal tonsillitis is characterized by a general onset with an increase in temperature of several degrees, and the severity of general intoxication symptoms (weakness, lethargy, pain in muscles and joints, nausea). Patients complain of sore throat, which gets worse when swallowing or talking. Upon examination, bright hyperemia of the arches, uvula and posterior wall of the pharynx is revealed. Tonsils are enlarged. The abundance of purulent effusion depends on the severity of the disease.

    Condition of the tonsils during angina: increase in size, purulent plaque.

    The submandibular and cervical lymph nodes are enlarged in size (1-1.5 cm), densely elastic, mobile, not fused into conglomerates. Typically painless or moderately sensitive to palpation.

    Antibiotics for purulent tonsillitis must be used from the first days of treatment, this will avoid early and late complications.

    • Enlargement of the lymph nodes to two or more centimeters, redness of the skin over them and severe pain indicate the addition of lymphadenitis. Palpable softening of the node is an indicator of its purulent melting and requires surgical treatment.
    • Increasing pain in the throat, spasm of the masticatory muscles, persistent temperature and one-sided sharp bulging of the tonsil indicate the development of a peritonsillar abscess. Treatment of purulent tonsillitis complicated by an abscess is carried out with lincosamide antibiotics (Clindamycin), after opening and draining the septic focus.

    How many days does a fever last for a sore throat while taking antibiotics?

    Depends on the state of immunity and the severity of the disease.

    Usually, in moderate forms against the background of a normally functioning immune system, periodic increases in temperature can be observed for up to 3-4 days.

    Diagnostics

    A general blood test shows signs of a bacterial infection. Leukocytosis appears with a shift of the formula to the left, a significant acceleration of the erythrocyte sedimentation rate, and the appearance of C-reactive protein.

    To clarify the pathogen, a microbiological examination of a throat smear is carried out to determine sensitivity to antimicrobial agents.

    Complications

    Chernenko A.L., infectious disease doctor.

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    An infectious disease doctor on the best antibiotics for purulent sore throat in adults: 1 comment

    Kameton is certainly a good spray, but the aftertaste remains terrible. Although, if you are an adult, you can endure it, but the price is good and it is effective. But we usually take Tantum for the child, it will be more pleasant.

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