In chronic bronchitis during an exacerbation, antibiotics are often prescribed. The purpose of a particular drug depends on the type of pathogen.
Bronchitis for several years
Chronic bronchitis is chronic bronchitis, at which morphological reorganizations in a mucous membrane of bronchi are noted. In chronic bronchitis, sputum is excreted for at least 2 years, and within 1 year at least 3 months. This disease is characterized by periods of remission and exacerbations. An exacerbation, as a rule, is quite difficult, forcing the patient to consult a doctor. In the period of remission, the patient is also worried about coughing up sputum, but this does not greatly impair the quality of life of the person.
In the period of exacerbation, besides coughing with copious expectoration, the patient is also worried about weakness, low-grade fever, and sweating. With the progression of the disease symptoms become more pronounced, and lasts longer (almost constantly). Sputum in chronic bronchitis can be purulent, mucous, purulent-mucous, and in some cases, with streaks of blood.
Most often chronic bronchitis occurs in adult patients. Children and young people are more likely to have protracted bronchitis or acute bronchitis with frequent relapses.
First thing at treatment of chronic bronchitis Smoking should be stopped if the patient has this habit. Doctors noted that a one-step stop smoking is more effective than a gradual rejection of the habit. It is worth noting that the cessation of smoking has a positive effect on the condition of the lungs, even in the latter stages of the disease.
Special bronchodilator drugs are prescribed – cholinergic and adrenoreceptor stimulants. Also for the sputum the patient takes expectorant drugs.
To use or not to use antibiotics during the treatment of bronchitis is a rather complicated question, and requires careful diagnosis and a weighted approach of a specialist. For a start, it is worthwhile to immediately understand that acute bronchitis is overwhelmingly caused by viruses, so taking antibiotics will not have any therapeutic effect. And the uncontrolled use of antibacterial agents (many of them are sold without a prescription) will only worsen your health. So self-treatment with antibiotics often leads to disruption of the intestinal microflora, which is the cause of the development of dysbiosis. Against this background, the immune defense is reduced, and allergic reactions develop. In addition, there is a high probability of “nurturing” the pathogenic flora when bacteria become resistant to the action of the drug.
In chronic bronchitis, antibiotics and combination antibacterial drugs are prescribed during exacerbations of purulent bronchitis. As a rule, antibiotic therapy is carried out in a course of 7-10 days. In the case of a long period of exacerbation, the course continues up to 14 days.
Determination of the desired drug
Before prescribing antibiotics to the patient, it is advisable to determine the sensitivity of microflora to them. For example, the pathogen H. influenza is resistant to the action of beta-lactam antibiotics and erythromycin. In recent years, it became known that the strain Str. pneumonia also began to show resistance to beta-lactam antibiotics, in particular to penicillin, as well as tetracycline.
In some cases, chronic bronchitis is exacerbated by the presence of chlamydia, mycoplasma and legionella. Here macrolide antibiotics will be effective.
Azimed (azithromycin) – a representative of a new group of macrolide antibiotics – azalides. It has a wide spectrum of action, slows the growth and multiplication of bacteria, and at high concentrations can have a bactericidal effect. Azimed penetrates well into the respiratory tract, organs and tissues of the urogenital tract, the skin and soft tissues, because it is prescribed to treat various bacterial infections: pharyngitis and tonsillitis, sinusitis and otitis media, bronchitis and community-acquired pneumonia, erythema migrans, erysipelas, impetigo, urethritis and cervicitis.
For gram-positive coccal flora, azithromycin is effective, as well as cephalosporin antibiotics. When a gram-negative coccal flora is detected, aminoglycoside as well as the latest generation cephalosporin antibiotics are prescribed.
Also can be effective and antibiotics with a wide spectrum of action, for example, macrolides, tetracyclines and others.
However, remember that you do not need to choose an antibiotic yourself. As already mentioned, this leads to undesirable consequences. Only a doctor after a thorough examination prescribes a comprehensive treatment.