In the article, we will consider what injections are prescribed for angina.
Tonsillitis, more commonly referred to as angina, is an inflammatory lesion of the throat that requires a comprehensive therapeutic approach.
The basis of the therapeutic effect is, most often, the use of antibiotic drugs. They are taken not only orally, but also in the form of intramuscular injections. Injections for sore throats in adults and children can be very effective.
Tonsillitis: a description of the pathology
Angina is an acute pathology of infectious origin. With a similar disease, the palatine tonsils are predominantly affected, but the disease can spread to other laryngeal tissues.
It should be noted that tonsillitis can develop under the influence of a variety of microorganisms - bacteria, viruses, some forms of fungus.
As a rule, tonsillitis develops against the background of streptococci that enter the body by household or contact means. Contact infection occurs when a he althy person comes into contact withinfected. With household infection, viruses and bacteria enter the human body when it comes into contact with household items that were previously used by an infected person.
The causative agents of tonsillitis, in themselves, are representatives of conditionally pathogenic microflora.
This means that if a person's immunity is in a normal state, then such microorganisms, entering the human body, do no harm to him.
Under the influence of certain external and internal factors (insufficient activity of the immune system, endocrine pathologies, hypothermia), such microflora is activated. In this case, acute tonsillitis begins to develop.
Expediency of using injections
One of the indications for the appointment of injections for angina is an acute form of the disease. Most often, injections are carried out intramuscularly.
It is worth noting that many specialists try to use injectable forms of drugs in extreme cases, as they have many negative effects, many patients are painfully tolerated.
Injections for angina can be prescribed by a specialist for the purpose of treating pathology of any form, if the disease is accompanied by complications. However, the use of such drugs is advisable, as a rule, with a purulent and bacterial form, as well as in the case when the patient has the following symptoms:
- Noticeable inflammation of the behind-the-ear and cervical lymph nodes, a strong increase in their size.
- Development of angina on the background of purulent sinusitischaracter.
- Development of extensive inflammatory processes on the surface of the larynx, on the tonsils.
- Fever above 39 degrees and ineffective use of antipyretic medications.
The appointment of injectable drugs is possible only after a comprehensive examination of the patient, since it is necessary to first identify the type of pathogen that provoked the development of angina. This approach allows you to prescribe the most effective medication.
In the treatment of angina with antibiotics in injections and the absence of positive dynamics, it is possible to adjust the treatment. Moreover, in some cases, injections have to be replaced with oral medications.
In some situations, regardless of the form of tonsillitis, a specialist may recommend the introduction of vitamins E and C.
Let's figure out why antibiotics are effective in injections for sore throats in adults and children?
Effectiveness of therapy
It is worth noting that in many cases, injectable forms of penicillin antibiotics - Ampicillin, Erythromycin, Oleandomycin - are used to treat tonsillitis.
When the pathology is transformed into a purulent disease, these drugs show a rather low efficiency. Therefore, instead of them, the use of cephalosporin antibiotic drugs in injections for angina is recommended.
Antibacterial drugs can also be used orally in tablet form, however, the effectiveness of injectablesmedication appears faster.
This is due to the fact that they enter the systemic circulation immediately, and there is no decrease in the concentration of active components, as when using tablets - they are absorbed into the blood through the intestines, and for quite a long time.
Let's consider what injections are prescribed for angina.
Most common medications
There are many different injectable antibiotics that can be used to treat tonsillitis.
It should be noted that each drug can be prescribed for certain indications. The most common drugs are "Benzylpenicillin", "Amoxicillin", "Ceftriaxone", "Ciprofloxacin". However, anyone must prescribe a doctor.
Injections "Ceftriaxone" for angina
The drug is used if there is a need for the treatment of aggravated forms of tonsillitis and urgent use of potent antibacterial drugs is required.
Perform a skin test before treatment with Ceftriaxone. It will reveal the patient's predisposition to an allergic response to the drug.
The main contraindications to the use of these injections for angina in adults intramuscularly are: enteritis, colitis, pregnancy in the 1st trimester, renal and hepatic insufficiency.
Ceftriaxone and Lidocaine pain reliever are used to inject.
The use of "Lidocaine" is necessary, since intramuscular administration of pure "Cefriaxone" can provoke significant pain. The drugs are mixed in a proportion of 1 ml of "Ceftriaxone" and 3.5 ml of "Lidocaine".
What other injections are administered intramuscularly for angina?
Amoxicillin
As a rule, "Amoxicillin" is used in combination with clavulanic acid. With such a combination, the antibacterial agent effectively inhibits streptococci, suppressing the symptoms of a severe sore throat.
It is important to note that the drug is contraindicated if the patient has allergic reactions to penicillin and cephalosporin antibiotics, as well as intolerance to carbapenems and monobactates.
The manufacturer produces the medicine in the form of a powder intended for making a solution. To prepare it, you should dilute the medicinal powder with injection water (20 ml per dose of the drug). The drug should be administered once a day. The duration of antibiotic therapy is 2 weeks.
Benzylpenicillin
The full name of the drug is benzylpenicillin sodium s alt.
These injections treat sore throats. The drug is able to affect most of the known gram-positive pathogens that can provoke the development of angina.
It is worth noting that certain strains of staphylococci can destroy the active ingredient of the drug, synthesizing penicillinase, an enzyme that can break downpenicillins.
An antibiotic agent is indicated 1-4 times a day at a dose of 250-500 thousand units
If a secondary infection that causes complications joins the sore throat, the dose of the drug can be increased on the recommendation of a doctor. On average, therapy lasts 7-10 days. In some cases, it may be extended.
The main contraindications to the use of the remedy are probable allergic manifestations.
It is important to note that the use of "Benzylpenicillin" can cause angioedema and anaphylactic shock. In this regard, before starting therapy, the patient should definitely conduct a skin test.
Therapy with this medicine can be combined with therapy with antimycotic agents - Levorin, Nystatin. The need for antifungal treatment is due to the fact that long-term use of "Benzylpenicillin" can provoke the development of candidiasis.
Ciprofloxacin
"Ciprofloxacin" is an antibacterial drug with a wide range of effects. The drug is effective against streptococci and staphylococci.
The drug has a number of contraindications. Among them: pregnancy, age under 5 years, acute heart disease, myocardial infarction, ischemic stroke. Its use is not recommended for the treatment of patients with psycho-emotional disorders, atherosclerotic manifestations, any cardiac arrhythmias (bradycardia, arrhythmia).
It is recommended to administer "Ciprofloxacin" once a day, at a dose of 200 mg.
It should be noted that the medicinecan provoke a fairly large number of negative effects, including: urination disorders, dyspeptic manifestations, decreased appetite, disruptions in the activity of the heart, exacerbation of arthritis, nervous disorders - lack of proper sleep, nightmares, fainting, chronic migraines, as well as disorders of the senses.
In addition, there is a general contraindication for all injections for purulent sore throat - intolerance to the active or any auxiliary component that is part of the recommended medication.
Therefore, the dosage and type of antibacterial drug is selected for each patient individually and taking into account the degree of the patient's predisposition to allergic responses.
Injections for angina in children
For the treatment of young patients, less aggressive and active antibiotic drugs are used, since antibiotics used in the treatment of adult patients can provoke allergic reactions in a child's fragile body.
So, what kind of injections for angina are most often prescribed for children? One of the most common drugs for tonsillitis is an injection solution intended for intramuscular injection "Pantsef". The main active substance in the composition of the drug is cefixime, which belongs to the third generation of cephalosporins.
"Pancef" has bactericidal properties. It not only suppresses pathogenic microflora, but also prevents it.re-distribution and reproduction.
The following microorganisms that can cause angina are sensitive to this medication: Haemophilus influenzae, Morcasella, Salmonella, Streptococcus, Klebsiella, Shigella.
The drug is not effective if the pathology is caused by enterococci or staphylococci. In addition, it is contraindicated if the child is likely to develop an allergic response to the effects of its components, as well as functional disorders of the kidneys, under the age of 12.
In such situations, children are prescribed the same medicine, but in the form of tablets or suspension.
It is also worth considering that the intramuscular injection of "Pancef" can cause the development of the following negative symptoms:
- Decrease in the concentration of leukocytes, neutrophils, platelets in the blood.
- Interstitial nephritis.
- Violation of the activity of the stomach. The main manifestation of such disorders is diarrhea.
- Hemolytic anemia.
When prescribing this medication, the required dosage is calculated based on the child's age and body weight. Patients over 12 years of age, weighing more than 50 kg, are shown to inject 200 mg of the drug intramuscularly twice a day.
If the child's weight is less, then, taking into account the severity of the pathology, the dosage is calculated as follows: for each kilogram of weight, 3-9 mg of Pancef should be used.
Another popular drug used to treat childhood tonsillitis is Ceftriaxone. Children over 12 years of age weighing more than 50 kg should take twice a dayinject 1 gram of the drug.
If the child weighs less and is less than 12 years old, then the dosage is determined at the rate of 40-100 mg of medication per 1 kg of weight. Injections should also be performed twice a day, dividing the total daily dose in half.
It is worth noting that therapy, depending on the severity of the pathology, can last 7-10 days.
Ceftriaxone is contraindicated in the following cases:
- Ulcerative colitis of a non-specific nature.
- Severe forms of impaired renal and hepatic activity.
- Diarrhea, intestinal inflammation that occurs when using antibacterial drugs.
- Beta-lactamate intolerance.
- Cholelithiasis.
- Hepatitis.
- Prematurity.
It is generally accepted that the use of injectable antibiotic drugs for the treatment of tonsillitis is a reliable way to eliminate the pathology, especially in the treatment of young patients, when the body itself is still poorly fighting the infection.
However, these medicines are potent drugs, so their independent use is strictly prohibited. Only a doctor is able to determine the effectiveness of a particular medication in a particular case, and only after a mandatory diagnosis.
"Cefotaxime". Treatment Features
Also popular injections "Cefotaxime" for angina. The drug is effective in almost all cases of purulent tonsillitis. It destroys both streptococci andstaphylococci, and even those resistant to penicillins. Therefore, being started in a timely manner, treatment with them is always effective. Children weighing up to 50 kg are prescribed the drug in a total dose of 50-180 mg per kg of body weight, divided into 5-6 injections. Adults and children weighing more than 50 kg are prescribed 1 g of the drug every 8-12 hours.
Disadvantages of injections for tonsillitis
Specialists recommend the use of injectable drugs for the treatment of angina only in extreme situations. This is due to the fact that this method of therapy has certain disadvantages. Among them:
- During the introduction of the drug there is a violation of the integrity of the skin. Any, even small damage to the skin, can become an entrance gate for pathogens that can lead to the development of an inflammatory process.
- In cases where a he alth worker does not adhere to the rules of antisepsis, even an injection needle can provoke an infection. In this case, an abscess may occur at the injection site.
- Despite the fact that the method of intramuscular injection of drugs is quite simple, you still have to do them by contacting a specially trained medical professional. While the use of oral preparations does not require special preparation.
- Most injectable antibiotics are quite painful. Experts recommend administering such medications together with Lidocaion or Novocain. However, even this introductiondrugs can cause severe pain to the patient for several minutes.
Besides this, it is worth remembering that many patients have a fear of injections - even adults. In this regard, such manipulations are considered to be a great stress not only for young patients, but also for adults.
We looked at what injections are given for angina.
