One of the most common ENT diseases is tonsillitis. It occurs in both adults and children. The disease is complex, has several types and stages of development. May cause serious he alth complications. In the acute stage of development, antibiotics are prescribed for tonsillitis. The chronic stage of the disease is no less dangerous than the acute one. After all, the tonsils are teeming with staphylococci and streptococci, which constantly poison the body. Despite this, antibiotics are rarely prescribed in the chronic form of pathology.
What is tonsillitis?
Tonsillitis is an inflammation of the tonsils. It happens acute and chronic. Acute inflammation of the tonsils is called angina. Prolonged and improper treatment of inflammation of the tonsils (palatine tonsils) causes chronic tonsillitis. With this disease, the tonsils are dotted with crypts that open on the pharynx with lacunae.
This paired organ affects immunityorganism. The tonsils are located near the respiratory and digestive systems, affect the heart. If the palatine tonsils are constantly inflamed, then an infection enters the body. This causes permanent intoxication.
Chronic form of tonsillitis is compensated and decompensated. In the first case, angina rarely occurs. The only thing that worries a person is the plugs on the tonsils. With a decompensated form, a person is prone to frequent tonsillitis, which provokes serious he alth complications.
Symptoms of tonsillitis are bad breath and sore throat. With tonsillitis, pain can radiate to the ear. When the disease is enlarged lymph nodes, palpation, at their location, there is pain.
Tonsillitis in its acute form can cause rheumatism, vasculitis and dermatomyositis. The disease provokes diseases of the cardiovascular and pulmonary systems. It can cause an upset of the gastrointestinal apparatus, damage to the visual organ, disruption of the kidneys, liver and endocrine system. In chronic tonsillitis, there is often a malfunction of the subcutaneous tissue, adipose tissue and epidermis.
Antibiotics for tonsillitis are prescribed in the acute course of the disease. Sometimes these drugs are used to treat a chronic form of pathology.
Types of antibiotics for tonsillitis
The modern market offers a huge selection of drugs. Treatment of tonsillitis with antibiotics in adults should be carried out under the supervision of an ENT doctor. Modern antibacterial drugs quickly remove unpleasant symptoms andrelieve exacerbation. The most popular medicines are:
- Penicillins. This category of antibiotics is most often used for chronic tonsillitis. They are rapidly absorbed into the intestines and are well tolerated by patients. Effective. They are used both for the treatment of the adult population and in the treatment of children. The dosage is determined by the doctor, after diagnosing the patient and determining the severity of the disease.
- Resistant penicillins. Eliminate negative symptoms in a short time. They give good results in the fight against pathogenic bacteria. Helps to get rid of relapses.
- Macrolides. No less effective than penicillins. They act quickly. Improvement occurs after the first pill drunk. Medicines in this group are slowly excreted from the body. Therefore, antibiotics for tonsillitis in this category are drunk one tablet a day.
- Aminoglycosides. It is used when Staphylococcus aureus has become the cause of chronic tonsillitis. Drugs in this group successfully fight the disease and rarely cause side effects. Patients note their effectiveness in treating the disease.
Treatment of tonsillitis with antibiotics has a positive effect on the course of pathology. The result comes on day 2-3 of therapy.
Penicillins
Antibiotics for tonsillitis in adults are often used. The most popular drugs are drugs of the penicillin group. They are used both during the period of exacerbation and to prevent complications in tonsillitis caused byhemolytic streptococcus. The most popular drugs are:
- "Amoxicillin". Its action is based on blocking the protein synthesis of infected microorganisms. Because of what microbes stop dividing. Their number decreases, and the inflammatory process in the tonsils passes. The drug is used for streptococcal tonsillitis. The drug is produced in the form of tablets and in the form of a powder for the preparation of a suspension. The drug can be administered intramuscularly. The cost varies between 170-200 rubles.
- Oxacillin. The drug has a bactericidal effect. It is used for infections caused by staphylococci. Absorbed by the intestine quickly and completely. Released within two hours. Used for mixed bacterial infections. Available as a powder for injection. One bottle costs about 10 rubles.
- "Ampicillin". Broad spectrum antibiotic. Resistant to the acidic environment of the stomach. Available in the form of capsules and tablets. They treat pathologies caused by bacteria with sensitivity to ampicillin. With tonsillitis, tablets are taken up to 4 times a day, every six hours. Ten tablets cost between 8-15 rubles.
Which antibiotics are especially effective for tonsillitis? In the treatment of this disease, inhibitor-protected penicillins have gained particular popularity. These medicines contain clavulanic acid, which makes them resistant to various microbial enzymes. The most famous drugs of this group are:
- "Flemoclav". The drug is released in tablets. Medicine in a short timeabsorbed into the intestinal wall and excreted within an hour. The medication is drunk twice a day. The course of treatment is fourteen days. Twenty tablets cost 450 rubles.
- "Panklav". The drug is characterized by a wide spectrum of antibacterial action. Produced in the form of tablets. With tonsillitis, they are drunk three times a day. The therapeutic course is determined by the doctor, but cannot last more than two weeks. The cost of 14 tablets is 300 rubles.
- "Amoxiclav". The drug is active against many gram-negative and gram-positive microorganisms. Available in tablets and powder for suspension. The drug is taken every eight hours, three times a day. The course can last from five to fourteen days. The cost of an antibiotic varies between 200-450 rubles.
- "Ampixid". Produced in the form of tablets and powder for suspension. The drug has bactericidal properties. Treats not only ENT diseases, but respiratory tract infections. Pathology of the genital organs and biliary tract. Take the medicine twice a day. Duration of therapy 14 days.
These are the best antibiotics for tonsillitis. They have repeatedly proven their effectiveness in the treatment of this disease.
Other groups of antibiotics
Antibiotics for chronic tonsillitis in adults are also used from the category of second-generation macrolides. Medicines from this group are no less effective than penicillins. Quickly give results in the treatment of the disease. The best drugs are:
- "Sumamed";
- Clarithromycin;
- "Azitral";
- Hemomycin;
- Josamycin.
What other antibiotics can be used for tonsillitis? In addition to the drugs described, cephalosporins are often used in the treatment of tonsillitis. The most popular are: Cefuroxime, Cefazidime, Cefepime, Cefoperazone, Cefixime, Ceftriaxone, Ceftibuten.
If tonsillitis appeared due to Staphylococcus aureus, then antimicrobial drugs, aminoglycosides, are prescribed. They do not give side effects and are well tolerated by patients. Amikacin is considered the best antibiotic in this group.
Fluoroquinolones may be prescribed by a doctor in the treatment of tonsillitis. Among them stand out:
- Ofloxacin;
- Norfloxacin;
- "Lefloxacin";
- Levofloxacin;
- Gatifloxacin;
- Ciprofloxacin;
- Sparfloxacin;
- "Lomefloxacin";
- Moxifloxacin;
- Sparflo.
About what antibiotics for chronic tonsillitis help to cope with the disease, it was described above. These drugs are prescribed by doctors for angina. You should not take antibiotics without a doctor's prescription, as these drugs have contraindications and can cause side effects.
Topical preparations
Acute tonsillitis is treated with antibiotics quite successfully. But for the best result, local preparations are added to them. These may include sprays, lozenges, gargles, and oral medications.inhalation.
A popular procedure is washing the tonsils with a solution containing penicillin or sulfanilamide. The duration of treatment is 7-10 days. Lacunas are washed daily, using a medical syringe. Furacilin can be used for rinsing.
An alternative to flushing can be paratonsillar injection of the drug into the tonsils. The procedure is carried out if the abscesses are located deep in the tonsils. To perform this manipulation, antibiotics of the penicillin group are used.
Both in acute and chronic tonsillitis, inhalation has a beneficial effect on the body. The procedure is carried out with Miramistin, Dioxidin, Tolzigon, Chlorophyllipt. The drugs are diluted with saline. Procedures are done using a nebulizer. With tonsillitis, it is forbidden to inhale with hot steam.
A good result with sore throat is irrigation of the throat with sprays "Tantum Verde", "Gexoral", "Ingalipt", "Lugol".
Lozenges play an important role in the treatment of the disease. The best drugs are: Faringosept, Grammidin, Lizobakt, Imudon, Tonsilotren.
Local remedies combined with antibiotics for tonsillitis speed up the healing process. Improve the result of treatment. They can be used both in the chronic form of the disease and during exacerbations.
Treatment of children
What antibiotics are used for tonsillitis in children? Babies are also frequently prescribed antibiotics. Doctors are tryingchoose the safest and most gentle medicines. In therapy, drugs are used not only from the penicillin group, but also from the cephalosporin and macrolide categories. The most requested tools include:
- Oxacillin. Penicillin synthetic drug. Its maximum concentration in the blood is observed after 30 minutes. The medication can cause side effects. A single dosage is 0.25-0.5 g. Newborns are prescribed 90-150 mg per day. For infants up to three months, the daily dosage is 200 mg. For children from three months to three years, the daily dose is increased to 1 g. Patients aged 2-6 years are prescribed a daily amount of the drug equal to 2 g. The course is 7-10 days.
- "Phenoxymethylpenicillin". This is another antibiotic of the penicillin group that doctors often prescribe to children. For babies under 10 years old, it is prescribed at a dosage of 0.5-1.5 million units. In children over 10 years of age, the drug is prescribed in a daily dose of 3 million units. The daily amount is divided into three doses.
- "Erythromycin". The drug belongs to the macrolide group. They treat tonsillitis caused by staphylococcal and streptococcal infections. The drug does not act on the fungus and viral infection. The drug is prescribed for children who are allergic to penicillins. Patients from seven years of age are prescribed to take the drug four times a day for 0.25 g. For babies up to seven years old, 20 mg of medication is taken for each kilogram of weight.
- "Benzylpenicillin". The tool has a bactericidal property. Can be administered intramuscularly and intravenously. The dosage depends on the severity of the disease and the age of the patient. fluctuatesfrom 4 to 6 million units. per day.
Treat tonsillitis with antibiotics. Especially if the disease is in an acute stage of development. With improper therapy, the pathology becomes chronic and then it is more difficult to treat the disease.
Treatment of tonsillitis during pregnancy
Antibiotics for tonsillitis in adult women during pregnancy are rarely used. In the first trimester of pregnancy, antimicrobials are strictly contraindicated. However, even in this position, acute tonsillitis cannot be treated. The penetration of infection into the body is dangerous not only for the expectant mother, but also for the baby. During this period, internal organs are formed in the fetus and the ingress of microbes causes the development of various pathologies.
Exacerbation of tonsillitis during pregnancy is treated with Flemoxin. This antibiotic is considered the safest. It is quickly absorbed into the walls of the gastrointestinal tract and also quickly excreted from the body. Since the drug quickly leaves the body, not having time to harm the body. This feature of the drug does not affect its effectiveness.
Pregnant women are prescribed the following antimicrobials during the second and third trimesters:
- "Amoxicar";
- "Amoxon";
- "Danemox";
- "Klavunate";
- Medoclave.
Treatment of tonsillitis with antibiotics during pregnancy lasts at least two weeks. Medicines are taken orally from one to three times a day. The dosage is regulated by the doctor. Can be used in addition to oral medicationslocal medicines. They speed up the healing process. At the end of therapy, they pass an appropriate analysis confirming the effectiveness of the treatment.
Treatment of tonsillitis without antibiotics
Chronic tonsillitis (which antibiotics treat this disease is described above) does not require constant use of antibiotics. To avoid relapses in a chronic disease, you need to lead a he althy lifestyle and constantly strengthen the body's immune system. Well removes the inflammatory process in the tonsils rinse. For the procedure, traditional medicine advises using the following solutions:
- freshly squeezed lemon juice diluted with boiled water;
- squeezed horseradish juice;
- burdock decoction;
- weak solution of potassium permanganate with the addition of iodine;
- gold mustache tincture;
- green tea and garlic solution.
In addition to these remedies, it is recommended to increase immunity with herbal decoctions. The following recipes have proven themselves well:
- Helichrysum in the amount of 100 g, mixed with St. John's wort, chamomile and birch buds, taken in the same amount as immortelle. The herbal mixture is poured with boiling water and allowed to infuse for about four hours.
- To beetroot juice (50 g) add a tablespoon of kefir, the same amount of rosehip syrup and lemon juice.
Herbal tea will be a good addition in the treatment of tonsillitis without antibiotics. It may include chamomile, yarrow, wild rose, nettle and other plants that strengthen the immune system.
Efficiency of applicationantibiotics
Does tonsillitis always go away after antibiotics? Unfortunately no. Treatment with these drugs does not work when the body is resistant to one or another group of drugs. As a rule, this situation often occurs with drugs of the penicillin group.
If you treat viral or fungal tonsillitis with antibiotics, then the therapy will not work either, since antimicrobial drugs do not work on viruses and fungi.
Effectiveness of treatment can be equal to zero if the patient did not follow the doctor's instructions. Did not drink the full course and stopped taking the medicine for 2-3 days after improvement.
In all other cases, antibiotic treatment gives a good effect. People feel better after taking the first medication.
Reviews
It's hard to say what are the best antibiotics for tonsillitis. Each case is individual. Patients note that washing the lacunae, lubricating the throat with Lugol, Chlorophyllipt, diluted alcohol propolis, and treating the tonsils with ultrasound gives a good result. Positively people speak about the drug "Tonzilor". They say that it helps to forget about tonsillitis for a long time.
Bicillin injections are distinguished from antibiotics. Three injections are enough to improve the condition. A good opinion of patients was earned by such drugs as Avelox, Augmentin, Flemoxin Solutab, Ciprofloxacin, Erythromycin, Zinnat, Sumamed, Azithromycin.
Besides antibiotics, people treated tonsillitis with lozenges"Trakhisan", "Lizobakt", "Pharingosept", "Tonzilotren". The Lugol, Tantum Verde and Hexoral sprays showed themselves well in the treatment of angina.
In the treatment of tonsillitis, strengthening the immune system plays an important role. Therefore, after the use of antibiotics, doctors often prescribe Immunal, vitamin complexes, Imupret.
In the treatment of the disease, the correct lifestyle plays a huge role. During the period of therapy, you should refrain from smoking and alcohol. Exercise regularly and normalize your diet.
