What antibiotics to drink for the treatment of tracheitis in children and adults

Tracheitis is called inflammation of the mucous membranes of the respiratory throat - the trachea. Symptoms of tracheitis are:

  • hacking cough,
  • sore throat and behind the sternum,
  • tickling and burning behind the sternum,
  • hyperemia of the posterior pharyngeal wall and its granularity,
  • shallow hemorrhages on the posterior pharyngeal wall.

The nature of this polyetiological disease is viral, bacterial, allergic, post-traumatic, etc.

Depending on the influence of a pathogenic factor, the inflammatory process occurred, tracheitis can be:

  • viral
  • bacterial
  • bacterial-viral (mixed),
  • allergic
  • post-traumatic
  • associated with GERD,
  • infectious and allergic.

The success of treatment of tracheitis depends on how correctly the cause of its occurrence was established, therefore, a qualified specialist should deal with the diagnosis and the appointment of medications.

When is antibiotic appropriate?

Are tracheitis treated with antibiotics? In bacterial tracheitis, systemic and local antibiotics can be used.

Antibacterial drugs are effective only against bacterial flora. They are used if the disease has a bacterial or bacterial-viral origin.

With viral and fungal tracheitis, antibiotics are not used.

To determine the etiology of the infectious process, a number of laboratory studies are carried out.

An extensive blood test helps to establish whether tracheitis is infectious or allergic, and bacteriological studies (sowing a smear from the trachea and sputum) reveal the causative agents of the infection and their sensitivity to a certain type of antibacterial drugs.

It should be borne in mind that the doctor will receive the first information about the presence of bacteria that an smear from the trachea can give in 7-14 days, therefore antibacterial agents of a wide spectrum of action are prescribed for the treatment of bacterial tracheitis.

In a patient with a well-functioning immune system, the growth of bacteria is significantly restrained, while in an organism with a weakened immune system, all conditions for the reproduction of both bacteria and viruses are created. This factor is taken into account when prescribing antibiotics: weakened patients need a higher dosage. According to indications, treatment can be supplemented with immunomodulatory drugs.

Treatment of tracheitis with antibiotics in adults is advisable if:

  • tracheitis is combined with bacterial bronchitis, pneumonia, laryngitis, tonsillitis, etc.,
  • severe febrile and intoxication symptoms are noted,
  • there is a risk of acute otitis media, sinusitis, pharyngitis and other complications.

Treatment can be carried out:

  • antibiotics of different classes,
  • expectorant
  • medicines intended for symptomatic therapy.

What antibiotics are most effective for tracheitis?

The category of starting drugs with which antibiotic treatment is started includes penicillin group antibiotics, presented:

If a patient has penicillin intolerance, he is prescribed bactericidal antibiotics belonging to the macrolide group:

In the presence of severe concomitant infections, cephalosporin antibiotics can be prescribed:

The group of reserve drugs used in case of inefficiency of other antibiotics and the presence of pneumonia, complicated bronchitis, etc., includes fluoroquinolone antibiotics:

Azithromycin ® for tracheitis

It can be used in one of three dosage forms:

  • in capsules (0.25 g each),
  • in tablets (0.25 g and 0.5 g each),
  • in the form of granules intended for the manufacture of a suspension.

Belonging to the class of macrolides - antibiotics with a wide spectrum of action and characterized by the lowest toxicity, azithromycin ® effectively destroys gram-positive cocci, the most prominent representatives of which are streptococci, staphylococci and pneumococci. The therapeutic effect of azithromycin ® is enhanced due to its ability to accumulate in the cells of the macrophage system and have a prolonged antibacterial effect.

The therapeutic regimen of azithromycin ® for the treatment of tracheitis in adult patients provides two options:

  • taking 0.5 g of the drug per day (for three days),
  • during the first day - 0.5 g, and over the next four - 0.25 g.

The entire daily dosage should be taken by the patient at a time, at least one hour before a meal.

Amoxicillin ® for tracheitis

Most often used orally, in the form of capsules and tablets. The recommended dosage for adult patients and children (whose body weight exceeds 40 kg) is 0.5 g three times a day. In the case of a severe course of the disease, it is doubled (1 g three times a day).

Pauses between doses should be at least six to eight hours. The average duration of a treatment course ranges from seven to ten days. Being an antibiotic of the penicillin series, the drug has a wide spectrum of action.

Due to the low toxicity and low frequency of side effects of the therapeutic effect, amoxicillin ® is sometimes used during pregnancy (carefully weighing the possible risk to the bearing fetus).

Amoxiclav ® for tracheitis

The tablets of this combination drug contain amoxicillin trihydrate ® and clavulanic acid. Due to the enhanced composition, the drug has a wider spectrum of action and is effective against penicillin-producing staphylococci. If tracheitis occurs in mild or moderate form, the patient is recommended to take one tablet:

  • 250 mg / 125 mg every eight hours,
  • 500 mg / 125 mg every twelve hours.

In severe cases of the disease, it is recommended to take one tablet (500 mg / 125 mg) or a tablet (875 mg / 125 mg) twice a day three times a day. The duration of the therapeutic course is from five days to two weeks.

Antibiotics in the treatment of tracheobronchitis

Many are interested in the question: "tracheobronchitis: what is it and how to treat it with antibiotics?" The answer to it lies in the name of the disease. In some patients, the inflammatory process simultaneously develops in the structures of the trachea and large bronchi. As a rule, this is observed as a result of a downward spread of infection: from the trachea to the bronchi.

A disease that combines the clinical manifestations of tracheitis and bronchitis is called tracheobronchitis.

Like bronchitis, it is accompanied by a wet (or productive) cough with easily separated sputum, but each coughing attack causes severe pain behind the sternum, characteristic of tracheitis. If the cough was prolonged and debilitating, the patient may develop pain in the diaphragm zone. Another symptom of tracheobronchitis is frequent coughing attacks, triggered by laughter, deep breathing, screaming, crying and a buildup of mucus in the trachea.

Choosing an antibiotic for the treatment of tracheobronchitis, the doctor focuses on the results of bacteriological studies of sputum, revealing the sensitivity of pathogens to antibacterial agents.

The names of antibiotics for tracheobronchitis in adults are listed in this list:

  • The aminopenicillin group drugs used to treat uncomplicated forms of chronic tracheobronchitis are represented by amoxiclav ®, amoxicillin ® and augmentin ®. The main disadvantage of these highly effective agents is the frequent occurrence of allergic reactions in patients.
  • Antibiotics belonging to the macrolide class and included in the treatment regimen for patients suffering from complicated forms of chronic tracheobronchitis are represented by Azithromycin ®, Sumamed ®, "Azitrus" ® and "Midecamycin ®.
  • Antibacterial drugs of the fluoroquinolone class (Levofloxacin ®, Avelox ®, Ofloxacin ®), which have a wide spectrum of action, are used to treat complicated forms of the disease (in patients over 18 years of age).

When appointed

Antibiotics are indicated for tracheitis caused by bacteria or bacteria along with viruses. Before the appointment of these drugs, an analysis is required to identify the pathogen, since with allergic, fungal and viral lesions of the trachea, antibacterial agents are ineffective.

When antibiotic treatment is indicated:

  • according to the doctor’s suggestions, the disease developed due to pneumonia,
  • coughing lasts longer than 21 days,
  • from the onset of the disease, hyperthermia stays stable and increases with time,
  • there is a risk of otitis media, sinusitis or pharyngitis.

Tracheitis is treated with antibiotics in both adults and children.

Important! Test results come after 7-14 days. In this regard, antibiotics of a wide spectrum of exposure are shown on the first day.

What antibiotics treat tracheitis

In the fight against pathology, antibacterial agents of a number of penicillins, cephalosporins and macrolides are used. When prescribing these medicines, the following factors are considered:

  • the clinical picture of the disease,
  • the age of the person
  • spectrum of action of the drug,
  • contraindications and the presence of concomitant pathologies in the patient.

The dosage is set in accordance with the weight, age and severity of the disease.

Penicillin group

Penicillins are famous for their wide spectrum of action, belong to beta-lactam antibiotics. Funds are produced based on the mold of the genus Penicillins, active against gram-positive and some gram-negative microorganisms - gonococci, streptococci, staphylococci, meningococci, spirochetes.

Effective penicillin drugs for tracheitis:

They are well tolerated by patients, have low toxicity, a wide range of dosages. Antibiotics of biosynthetic, semi-synthetic, natural origin are isolated.

How to take antibiotics?

So that antibiotics can give the maximum effect, it is necessary:

  • Do not interrupt the prescribed therapeutic course.
  • Maintain a constant concentration of antibiotics in the blood by observing the frequency of their intake, strictly monitoring the maintenance of the same time intervals between the use of the drug.
  • Closely monitor the therapeutic effect of the taken antibacterial agent. The absence of any improvement in the patient’s condition within seventy-two hours after the start of antibiotic use indicates that the bacteria are resistant to the drugs of this group and a replacement of the drug is required.

Macrolides

When a person is intolerant of penicillins, he is shown bactericidal antibiotics of the macrolide series:

  • Erythromycin,
  • Sumamed
  • Wilprafen.

They are part of the group of least toxic drugs, destroy bacteria of a number of cocci, chlamydia, mycoplasma. Macrolide antibiotics accumulate in the tissues of the respiratory tract, due to this their therapeutic effect is enhanced.

Antibacterial medicines of this series are famous for the low incidence of side effects and contraindications.

Cephalosporins

If the preparations of these series did not have the desired effect, or contraindications to them were found, cephalosporins are prescribed:

  • Ceftriaxone
  • Zinnat
  • Aksetin.

They have a bactericidal effect on a wide range of pathogenic agents. The main elements begin to act after 1 hour from the moment of administration, are evacuated from the body after 8 hours with urine.

At what tracheitis it is rational to prescribe antibiotics

As shown by numerous scientific studies conducted in different countries of the world, the main reason for the development of tracheitis is acute respiratory viral infection (acute respiratory viral infection), which most often occurs in our climate in the autumn-winter season. Antibiotics act only on the bacterial flora (with rare exceptions, also on fungi and protozoa).

When using them for viral pathology, they are not only ineffective, but can often produce various complications and side effects. Therefore, a logical question arose - how can we distinguish between bacterial and viral tracheitis?

The most effective way to reliably detect a bacterial infection is bacteriological research. For its conduct, special smears, sputum or mucus are taken, in which the pathogen is identified using immunological and other methods. Among the disadvantages of this method is the duration of its implementation, which often amounts to several days, when a decision on the tactics of therapy should be taken immediately.

However, it continues to be used in difficult diagnostic situations, or when the prescribed treatment after three days has been ineffective. Additionally, it allows you to study the sensitivity of microbes to various antibacterial agents. This allows the attending physician to choose the most optimal antibiotic for a particular patient.

Nevertheless, the empirical method of monitoring the patient's condition and complaints is most often used in medical practice. It is known that against the background of viral infection, in most cases, weakening of the body's immune defense mechanisms occurs. This leads to the multiplication of pathogenic bacterial flora by 3-10 days of illness.

Clinically, this is manifested by a deterioration in the general condition of the patient, the appearance of new symptoms, a change in the nature of sputum and other signs. It is in such cases that we can talk about the need for antibiotics. In addition, an experienced doctor collects information about cases of a similar disease from relatives, relatives, friends and colleagues of the patient. It also helps to make the right decision about treatment tactics.

The importance of this issue is due to the fact that with the ineffective and irrational use of antibacterial drugs, the resistance of the microbial flora to them increases. This problem has become especially urgent in recent years, when several strains of bacteria resistant to antibiotics of the last generations were discovered.

Fluoroquinolones

A number of reserve funds used for the absolute failure of other funds include antibacterial drugs of a number of fluoroquinolones:

Fluoroquinolones are widely used to treat advanced phase tracheitis. Since they are fraught with side effects from the digestive tract, their use is not always justified. These drugs have an extensive spectrum of effects, effective against bacteria resistant to penicillins. If therapy requires long-term administration of medicines of this group, then funds for dysbiosis should be additionally used.

Antibacterial Aerosols

Sprays for the throat with antibacterial, anti-inflammatory, enveloping action are usually prescribed for the acute form of the disease that arose due to damage by fungi or bacteria.

Important! If a virus is established by the pathogen, then aerosols are selected to relieve swelling, irritation, and cooling the inflamed tracheal mucosa. Children are prescribed these funds from 3 years.

Antibacterial aerosols are not indicated for patients with obstructive pulmonary disease due to the risk of asthma attack.

How to use sprays:

  1. Pre-rinse the throat with plain water to remove mucus and purulent plaque.
  2. In advance, press the spray 2 times so that the solution does not penetrate the spray.
  3. Insert the nozzle into the oropharynx and press 2 times to the left and right side.
  4. The first 5 minutes after injection try not to swallow saliva.
  5. Refrain from food and water for 40 minutes.

The list of effective tools:

  1. Hexaspray is an antiseptic drug, the main element is biclotimol. It has an anti-inflammatory effect, eliminates mucosal irritation. It is applied 3 times a day for 2 doses.
  2. Ingalipt - reduces burning, perspiration in the larynx due to the presence of thymol and plant elements: eucalyptus oil and peppermint. Apply 3 times a day for 2 doses. Children under 3 years old, with lactation, pregnant women, the medication is prohibited for use.
  3. Cameton contains menthol, is considered an antiseptic. The medication helps to facilitate breathing with a barking cough, the medicinal effect lasts up to 6 hours. Daily do 4 spray 3 times. Assigned to children from 5 years.

It will be faster to cure inflammation of the trachea in that situation if a person flushes the nasal passages with saline. An insignificant concentration of salt inhibits the spread of pathogenic agents and makes the mucus less liquid.

When is it necessary to take antibiotics for tracheitis?

With tracheitis in the respiratory throat of a person, a focus of inflammation occurs, affecting the mucous membrane and walls of the trachea. The disease is often manifested against the background of colds, flu, rhinitis.

What antibiotics are prescribed for tracheitis in adults and children?

But the cause is often pathogenic and aerobic bacteria that enter the respiratory tract:

  • staphylococci,
  • streptococci,
  • Pseudomonas aeruginosa,
  • Moraxella catarrhalis,
  • pneumococci.

In most diagnosed cases, viruses become the cause of tracheitis. But with inflammation on the walls of the trachea loosened areas appear, the immune defense falls. The body ceases to resist bacterial infection, so secondary infection occurs.

Antibiotics for tracheitis should be taken if:

  • the patient has pneumonia, purulent otitis media or sinusitis,
  • cough of unclear etiology lasts more than 10 days,
  • during the week there is a temperature above 37.5 °,
  • rhinitis intensifies.

Before using antibiotics, the doctor should prescribe a series of tests. The most informative smears from the pharynx or mucous membranes of the nose, where a large number of aerobic bacteria are concentrated during tracheitis. For each subspecies, drugs are selected individually, which guarantees efficiency and quick recovery.

The choice of antibiotic for the treatment of tracheitis in a child

Tracheitis for children is considered a dangerous disease. Due to the imperfect structure of the respiratory system and trachea, babies have a higher risk of stenosis, painful cramps. Suppurations of the throat give complications to the urinary system, the heart of the child.

In the acute stage of the disease under the age of 3 years, many symptoms are more pronounced:

  • temperature keeps on indicators 38–39 °,
  • loud and strong cough
  • copious mucus with a green tint
  • pallor of the skin,
  • drowsiness.

Antibiotics for tracheitis in young children should be prescribed only by a doctor. It focuses on various manifestations of the disease, tests and the danger of a concomitant disease: laryngitis, pharyngitis, pneumonia.

When treating and choosing drugs, he observes several rules:

  • with tracheitis, the antibiotic is combined with other methods,
  • during administration, the intestines should be protected from dysbiosis,
  • broad spectrum antibiotics must be used.

Similar drugs in the treatment of tracheitis in children are prescribed after the acute stage, when their need is reliably established.

Among the most recommended and common antibiotics in pediatrics are:

It is difficult for preschool children to take pills, so manufacturers offer antibiotics in the form of a sweet suspension. The drug is prescribed in a dose calculated based on the weight of the baby, take at least 2 times a day.Treatment lasts from 5 to 7 days.

Inhalation with antibiotics

Antibacterial drugs are often used as solutions for inhalation. This method is considered more effective, since the active components of the drug immediately fall into the area of ​​the inflammatory focus. Moreover, this method of using drugs reduces the risk of side effects, especially from the intestines. Medicines for inhalation measures should be purchased in the form of ready-made solutions or powders.

  1. Fluimucil. The tool is diluted with saline. Adults and 1 time small patients up to 6 years old breathe over fumes 2 times a day. The maximum duration of treatment is 10 days.
  2. Bioparox. The active element is fusafungin. It has a bactericidal effect, weakens inflammation in the trachea. Adults are shown inhalations with an interval of 4 hours, and children - 6. The therapeutic course lasts 5-10 days.

It is forbidden to interrupt the course of treatment with inhalations.

What antibiotics to take with tracheitis in adults?

The choice of an effective agent for the treatment of adult patients is based on the type of pathogen. Therefore, one should not refuse preliminary diagnostics.

The list of drugs recommended by specialists:

  1. Penicillin group - Amoxicillin, Amoxiclav, Augmentin.
  2. Fluoroquinol - Levofloxocin, Abactal.
  3. Macrolytic - Clarithromycin, Azithromycin.
  4. Cephalosporin - Ceftriaxone, Cefazolin.

If there is no opportunity to conduct a sputum analysis and accurately select antibiotics, doctors prescribe a wide range of drugs. Good results are recorded against the background of the use of ceftriaxone, Amoxicillin. In case of complications, it is recommended that adult patients undergo an injection course of treatment, which is fast-acting, does not affect the gastric mucosa with gastritis or an ulcer.

For the treatment of tracheitis, the dosage is selected based on the weight of the patient. Be sure to take into account chronic diseases of the internal organs, the presence of diabetes mellitus or hypertension. Treatment begins with starting antibiotics, which differ in minimal side effects. Adults are more often prescribed amoclavin, clavocin, or augmentin. In the absence of effect and worsening condition, a medicine of a narrower focus is selected: Ospexin, Keflex, Josamycin.

Antibiotics during pregnancy

In the second half of pregnancy, women begin to shift the diaphragm. She rises, making room for the growing fetus. Therefore, a simple cold with a cough becomes the cause of tracheitis and threatens with unpleasant consequences. In this case, antibiotics are necessary, but their choice must be agreed with the obstetrician-gynecologist: some drugs are strictly prohibited in the 1-2 trimester, have many limitations.

Antibiotics for tracheitis during pregnancy are selected from the penicillin group. These drugs have been tested and numerous studies are relatively safe for the embryo. They do not disturb the blood circulation and nutrition of the placenta, do not provoke developmental pathologies.

List of drugs approved for future mothers:

If trachitis is complicated by bronchitis or pneumonia, antibiotics are prescribed, which are macrolides. For example, the drug Azithromisin can be taken only 1 time per day, and the average treatment time does not exceed 5 days.

The rules of antibiotic therapy for tracheitis

The first rule of taking antibiotics is that only a qualified doctor can prescribe them. Only he is able to qualitatively assess the need for the use of a drug in a particular situation. Self-medication with antibiotics often leads to the development of various side effects and complications. Often patients incorrectly choose the dose of the drug they need, which sometimes provokes an overdose.

In addition, you must follow the correct regimen for taking an antibacterial agent, which depends on its pharmacological properties. Some drugs (penicillins) must be taken strictly on an "empty stomach", while others (clarithromycin) can be taken with meals. You can not independently adjust the dosage of the drug or cancel it, even if the patient has significantly improved health.

It is best to take antibiotics at a fixed time of day. To drink a capsule or tablet of a medication, it is advised to use plain water. Light tea or still table water is also allowed. This is due to the fact that some of the components that go into drinks can affect the absorption of antibiotics and other drugs. Therefore, it is forbidden to drink antibacterial agents with alcohol, coffee, juices, carbonated drinks and dairy products.

If you skip taking the antibiotic, you should not panic. It is enough to take the missed dose of the drug as soon as possible and continue the therapy as usual. At the next appointment with the doctor, you need to report what happened.

If the patient has discovered the occurrence of side effects, he needs to immediately contact his doctor.

Only he must make a decision on whether it is necessary to cancel the therapy, replace the drug or the patient’s anxiety unreasonably and he needs to be reassured and provide psychological support.

Antibiotics for inhalation with tracheitis

Antibiotics for tracheitis can be used as inhalations. The medicine is sprayed into the larynx, its microparticles settle on the mucous membranes of the trachea. This helps prevent an attack of stenosis, relieve swelling and redness. For treatment, a minimum dose is sufficient, which reduces the risk of an allergic reaction and side effects. The method is suitable for adult patients, it is recommended for children older than 3 years.

An antibiotic for inhalation should be purchased in the form of a solution. One ampoule is enough for 2-3 procedures.

The list of drugs for the nebulizer allows you to choose a remedy taking into account complications of tracheitis:

Before use, antibiotics are diluted with water for injection or saline. A single dose for tracheitis for a child is 100-125 mg, an adult needs from 250 to 500 mg.

How to get rid of tracheitis without antibiotics?

Can tracheitis be cured without antibiotics? Of course, it is possible if the disease has a viral etiology. The main goal of symptomatic treatment is to alleviate coughing attacks and completely eliminate it.

To implement this task, apply:

  • Expectorant medications that make sputum discharge easier. One of the most popular products is Ambroxol ®. The optimal dosage for adult patients is one tablet three times a day.
  • Bromhexine ® has a good coughing effect. A wide range of dosage forms (tablets, drops, solutions for injection and oral use, dragees and syrups) allows you to include it in the treatment regimen of patients of any age. The therapeutic effect of the use of bromhexine begins to appear after two to four days from the start of treatment. The daily dose of the drug (for children over fourteen years old and adult patients) is 16 mg, subject to a four-time intake. The maximum duration of therapy is five days.
  • To stop the attacks of dry unproductive cough, patients are often prescribed medications that reduce the sensitivity of the mucous membranes of the respiratory tract to the action of irritants. One such agent is libexin ®. Adult patients should take one 100 mg tablet 3-4 times a day. The size of the daily dose intended for the treatment of the child and adjusted in accordance with age ranges from 25-50 mg.
  • The use of potions, breast collections and decoctions of medicinal plants gives good results in the treatment of acute tracheitis of non-bacterial etiology (oregano, sweet clover, thyme, coltsfoot, thyme, plantain, angelica are used for their preparation). 100 ml of warm herbal decoction should be taken twice a day. It is also useful to use it to gargle.

What antibiotics are used to treat tracheitis

Several factors influence the choice of an antibacterial drug. The first of them is the type of pathogen. Many clinical studies have been performed that have shown that bacterial tracheitis most often occurs due to staphylococci, hemophilic bacillus, streptococci and moraxella.

Tracheitis in most cases refers to infectious pathologies that are treated on an outpatient basis.

Therefore, such patients must be prescribed drugs in the form for oral administration (tablets, capsules, syrup).

If tracheitis is treated in a hospital ward, then drugs that can be used for intramuscular or intravenous administration are preferred. Usually choose one of the drugs:

  • penicillins (amoxicillin, apicillin, Augmentin),
  • macrolides (azithromycin, clarithromycin),
  • cephalosporins (cefoperazone, ceftriaxone),
  • fluoroquinolones (levofloxacin, hemifloxacin).

Dosage and rules of use

The daily dose is prescribed in the instructions, but sometimes the physician makes adjustments to the schedule and duration of administration. To quickly obtain a result, in especially severe conditions, antibiotic injections are prescribed. If the severity of the pathology is not accompanied by intolerable symptoms, preparations in tablet form are indicated. The dosage for children is calculated by the attending physician depending on their weight and age.

  1. Do not stop the therapeutic course on your own.
  2. Maintain a constant concentration of the drug in the blood. This is achieved by observing the frequency of their use. To do this, you need to take the medicine at the same time.
  3. Constantly monitor the therapeutic effect of the antibiotic taken. If there is no improvement or development of side effects, consult a doctor.

Antibiotic treatment should last, on average, 3-14 days. They are also prescribed for preventive purposes, to avoid complications after inflammation of the trachea.

Antibiotics for tracheitis in children

Children are usually treated without antibacterial agents. They are relevant for pathologies of a protracted nature, with exacerbations or when they are accompanied by sinusitis, otitis media.

The list of antibacterial medicines that are prescribed for small patients:

  1. Bioparox. The drug is used by inhalation, for children older than 3 years. The procedure is carried out 1 time per day.
  2. Azithromycin The antibiotic of the latest generation of macrolide series of a wide spectrum of influence. Used once a day from birth.
  3. Augmentin. The medicine belongs to penicillins, 1 tablet is used once a day for children from 3 years old as a suspension.

Doctors prescribe antibiotics for children with less powerful effects to prevent side effects.

What can be used during pregnancy and lactation?

If the first symptoms of the disease occur, the expectant mother should immediately consult a doctor. Self-treatment of tracheitis is dangerous for the fetus. Dosage is calculated by the doctor. As a rule, in 5-7 days of using antibacterial agents, it is possible to cope with the signs of pathology. Doctors prescribe those drugs that cross the placenta and affect the fetus to a lesser extent. Preference is given to funds in the form of injections, since they pass through the digestive tract.

What antibiotics are allowed:

  • Ceftriaxone
  • Cefazolin
  • Ampicillin
  • Amoxicillin
  • Amoxiclav
  • Flemoxin Solutab.

Attention! To increase the protective functions, immunomodulators are additionally prescribed.

Contraindications

Each antibacterial agent implies its contraindications.The main prohibitions include:

  • kidney, liver,
  • individual intolerance to the components,
  • optic neuritis,
  • stomach ulcer.

A detailed list of contraindications is indicated in the instructions for each antibiotic.

Can tracheitis be treated without antibiotics?

The cure of the pathology of the respiratory system without antibacterial agents is possible in the situation when viruses, fungi acted as the causative agent of the disease, or it arose against the background of an allergic response of the immune system to the stimulus.

Regarding the bacterial form - a lot depends on the functioning of the protective properties. When antibiotics are not needed, symptomatic therapy in the form of antipyretic expectorant medicines will be enough to cure the disease. It is possible to identify the need for taking antibacterial agents only after being examined by a doctor.

Treatment of tracheitis with antibiotics

Tracheitis occurs in two forms - acute and chronic. Acute tracheitis, the main symptom of which is a persistent dry cough tearing at the throat, in most cases is combined with acute inflammation of the nasal mucosa (rhinitis), inflammation of the mucous pharynx (pharyngitis) and larynx (laryngitis). All these inflammatory processes are the result of a viral infection. As you know, viruses do not have a cellular structure and invade living cells; therefore, antibiotics for acute tracheitis of viral origin are powerless, and coughs are treated with antitussive drugs (in the form of tablets or medicines), alkaline inhalations, decoctions of medicinal plants, etc.

But infectious tracheitis can develop due to exposure to a bacterial infection. Moreover, as noted by microbiologists, bacteria can become both the root cause of the disease and may accompany existing viruses. This happens because viruses, suppressing the human immune system, facilitate the development of pathogenic bacteria in the body.

In this situation, antibiotics for tracheitis and bronchitis, as well as for other diseases of the respiratory tract of bacterial origin, fulfill their main therapeutic task - they inhibit the growth of pathogens.

Indications for starting to use the antibiotic for tracheitis in adults are: suspected pneumonia (pneumonia), the duration of coughing exceeds three weeks, from the very beginning of the disease the temperature keeps + 37.5-38 ° С and continues to grow, signs of inflammation appear tonsils (tonsillitis), ears (otitis media) or sinuses (sinusitis).

It should be noted that timely untreated acute tracheitis can become chronic. But chronic inflammation of the mucosa of the trachea can be associated with the anatomical features of the human respiratory tract or with the presence of pathological changes in them, as well as with frequent changes in the temperature of the environment. As a rule, chronic tracheitis - with coughing attacks at night and after sleep - affects heavy smokers and people who abuse alcohol, as well as those whose work is associated with various chemicals, fumes of which irritate the mucous membrane of the respiratory throat and cause its inflammation. In addition, in allergy sufferers, dust is the cause of allergic tracheitis. In these cases, otolaryngologists never treat tracheitis with antibiotics.

What is the best antibiotic for tracheitis?

So, according to the anamnesis, all the symptoms, as well as according to a clinical blood test and bacteriological examination of sputum and smears from the throat, the doctor determined that tracheitis is caused by bacteria. That is, treatment of tracheitis with antibiotics is inevitable.

When prescribing antibiotics to get rid of tracheitis, everything should be taken into account: the clinical picture of the disease, the patient's age and the presence of concomitant pathologies, the spectrum of action of a particular drug and its contraindications.And the recommended antibiotic dosage is determined by the severity of the inflammatory process.

According to many experts, the most effective antibiotics for tracheitis are drugs of the penicillin group, administered parenterally. But there are many drugs of this group that are taken orally or have several forms. In addition, they have a wider spectrum of antibacterial activity. For example, the drug Augmentin (synonyms - Amoxicillin potentiated by clavulanate, Amoxiclav, Amoclavin, Clavocin) contains amoxicillin (a semi-synthetic penicillin antibiotic) and clavulanic acid (which protects amoxicillin from decay and expands the spectrum of its antibacterial effect). This medicine is available in the form of tablets, powder for the preparation of an injection solution and powder for the preparation of a suspension.

Augmentin (tablets 1 g) is used to treat adults and children over 12 years old - one tablet twice a day (at the beginning of a meal). In severe forms of acute tracheitis and other bacterial infections of the respiratory tract - a tablet 3 times a day. For gastrointestinal diseases, infectious mononucleosis and chronic renal failure, this antibiotic should be used with caution. And during pregnancy, especially in the first trimester, and during lactation it is not recommended to take it.

If patients are intolerant of penicillin and its derivatives, antibiotics of the cephalosporin group or the macrolide group are prescribed. For bacterial or viral-bacterial acute tracheitis, doctors recommend taking Cephalexin (synonyms - Ospeksin, Keflex), which has a bactericidal effect on a wide range of pathogens. The active substances of the drug begin to act, disrupting the synthesis of the cell wall of microorganisms, 1-1.5 hours after administration, and are completely excreted from the body after 8 hours with urine. This antibiotic is available in the form of capsules, tablets and powder for suspension.

The daily dose of cephalexin (0.25 g capsules) for adults is 1-4 g, the drug must be taken every 6 hours, half an hour before meals, drinking 150-200 ml of water. The course of treatment is up to two weeks. The medicine has side effects: from weakness, headache, urticaria and dyspepsia up to cholestatic jaundice and leukopenia. Contraindications are intolerance to cephalosporins and penicillin antibiotics, as well as children under 12 years of age.

Next in the list of antibiotics for tracheitis are macrolides, which are among the least toxic agents of the antibiotic family. Macrolides cope well with gram-positive cocci and pneumococci, they act on the causative agents of whooping cough and diphtheria, legionella and spirochetes, chlamydia and mycoplasma. Antibiotics of this pharmacological group accumulate in the tissues of the respiratory organs, including the tracheal mucosa, due to which their therapeutic effect becomes stronger.

Antibiotic macrolide Azithromycin is available in the form of capsules (0.25 g each), tablets (0.125 g and 0.5 g each), and also in the form of a powder for suspension (in 15 ml and 30 ml vials). Scheme of use of this drug by adults: 0.5 g per day for three days or 0.5 g on the first day and 0.25 g for another four days. The entire dose is taken at a time - an hour before a meal.

The drug Josamycin (synonym - Vilprafen) also belongs to the group of natural macrolide antibiotics and in 2012 was included in the Russian "List of vital and essential medicines." It is used in the treatment of infectious inflammation of the respiratory tract and oral cavity, in the treatment of chlamydia, gonorrhea, syphilis, scarlet fever, dysentery and other diseases.With tracheitis of a bacterial etiology, Josamycin is prescribed to adults and children over 14 years of age 1-2 grams per day - in three doses. This drug can be used during pregnancy and during breastfeeding.

Serious adverse reactions during antibiotic treatment of the macrolide group are rare and are manifested by nausea, vomiting and abdominal pain. And among their contraindications, pronounced liver dysfunction and individual hypersensitivity to drugs of this group are indicated.

How to cure tracheitis without antibiotics?

If antibiotics for tracheitis are used only for the bacterial or viral-bacterial origin of the disease, then doctors deal with ordinary viral tracheitis using other methods.

For example, with the help of traditional symptomatic therapy aimed at alleviating cough and completely getting rid of it. Among expectorant medicines for unproductive (dry) coughs, doctors recommend taking Ambroxol or Bromhexine, not much different from it.

Ambroxol (synonyms - Lazolvan, Ambrolitic, Bronchopront, Fluixol, Lindoxil, Mucosan, Mukovent, Secret, Viscomcil) increases mucus secretion in the respiratory tract and is prescribed to adults 2-3 times a day (after meals) for adults. The dosage of the drug in the form of a syrup for children is: up to 2 years - 2.5 ml 2 times a day, from 2 to 5 years - 2.5 ml 3 times a day, over 5 years - 5 ml 2-3 times in a day. Side effects may include heartburn, dyspepsia, nausea, vomiting, skin rash.

A mucolytic drug with a coughing effect - Bromhexine (Bronhostop, Solvin) - is available in the form of a dragee, tablets, drop, injection, oral solution, as well as syrup and tablets for children. The therapeutic effect of the drug appears after 2-5 days from the start of treatment, to increase it you need to drink a sufficient amount of liquid. It is prescribed to adults and children over 14 years of age - 8-16 mg 3-4 times a day, children older than 2 years - 2 mg three times a day, 2-6 years - 4 mg 3 times a day, 6-14 years - 8 mg 3 times a day. Duration of use - no more than 5 days. Among the contraindications for this medication are hypersensitivity, gastric ulcer, pregnancy (first trimester), lactation, children's age (up to 6 years for taking tablets).

To relieve attacks of dry cough, doctors can prescribe drugs that reduce the sensitivity of the mucous membrane of the respiratory tract to irritants, for example, Libexin. The average dose for adults is 100 mg (1 tablet) 3-4 times a day. And the average dose for children, depending on age and body weight, is 25-50 mg (0.25-0.5 tablets) 3-4 per day.

A positive therapeutic effect in acute non-bacterial tracheitis is given by various mixtures based on the root of the marshmallow, licorice, and thermopsis. You can also use special breast collections of medicinal plants, brew them and drink according to the recommendations indicated on the package. And for internal use, herbal decoctions based on coltsfoot, sweet clover, tricolor violet, angelica, plantain, oregano or thyme are prepared. Herbal decoctions should be drunk warm, 100 ml twice a day, it is also useful to gargle with them.

They help alleviate the condition with tracheitis inhalation with pine buds, eucalyptus leaves, sage or thyme. You need to prepare a decoction of these plants (a tablespoon in a glass of boiling water), and then (if there is no special inhaler) breathe over the slightly cooled composition, covering your head with a bath towel.

And remember that with all the variety of medications, including antibiotics for tracheitis, the therapeutic effect on the body of natural bee honey and ordinary hot tea with lemon, no one canceled ...

Indications for the use of antibiotics

The occurrence of tracheobronchitis often occurs against the background of an acute respiratory viral infection, treatment can take place without antibiotics. Among the indications for use:

  • Bacterial infection forming mucopurulent sputum
  • Increasing signs of intoxication, long-term cough, with sputum
  • Diagnosing a patient with an allergic form of tracheobronchitis
  • Anatomical defect in the development of the respiratory tract
  • Cardiovascular diseases
  • Pathology of the respiratory system
  • Patient age less than three years
  • The presence of diabetes in a patient

Indications and contraindications for the use of antibiotics

Antibiotics are necessary in cases of:

  • The occurrence of pneumonia, sinusitis, otitis media in a patient
  • Unclear cause of cough lasting more than ten days
  • Increasing runny nose
  • If within a week the patient has a temperature increase above 37.5 degrees

The appointment of antibiotics is preceded by a number of analyzes, among which a smear from the pharynx, nasal mucous membranes gives great information. With tracheitis, a large number of aerobic-type bacteria are concentrated in these areas. For each subspecies, an individual drug is selected.

Among the contraindications to the use of antibiotics:

  • The patient has an individual intolerance to the components of drugs
  • Pregnancy
  • Breastfeeding period

Course Features

A doctor with tracheobronchitis prescribes antibiotics related to mucrolides and aminopenicillins. These are drugs that destroy bacteria on the bronchial walls. Often cause an allergic reaction, therefore, they are prescribed with caution. If the patient does not tolerate penicillins, cephalosporins are prescribed. If the patient has a chronic form of pathology, fluoroquinolones are prescribed, but they have side effects on the digestive tract.

How to choose an antibiotic for a child

Tracheobronchitis is most dangerous in childhood than in adulthood. This is due to the lack of formation of the respiratory system. As a result, the risk of developing stenosis, the occurrence of painful spasms increases. The formation of suppuration in the throat is reflected by complications in the urinary and cardiovascular systems of children.

Symptoms are more vivid:

  • Increase in body temperature to indicators of 38-39 degrees
  • The appearance of a loud, strong cough
  • A large discharge of mucus of a greenish tint
  • Pallor of the skin
  • Lethargy, drowsiness

Children's treatment is carried out with the use of agents that remove and dilute sputum. Doctors opt for licorice root and Ambroxol. Often, inhalations are used in the treatment of children. The course of therapy is with immunomodulating and antiallergic drugs (for example, with the use of Umkalor). When prescribing antibiotics, drugs are prescribed that normalize the intestinal microflora.

Can I use antibiotics for pregnant women

Pregnant women are allowed to use antibiotics under medical supervision. The doctor prescribes medications that do not harm the fetus. Treatment is difficult due to a sedentary and elevated diaphragm. In the acute form of pathology, Bioparox is prescribed - a drug that does not penetrate the placenta, which is used in the form of inhalation.

Inhalation with tracheobronchitis

Antibiotics for tracheobronchitis are also used in inhaled form. Therapy is effective due to the penetration of the active substance directly into the focus of inflammation with minimal side effects on the digestive tract. Inhalation preparations are released in the form of a powder or solution.

A frequently prescribed medication for inhalation is fluomizine. The drug is diluted with saline. Adults need to take two inhalations per day, for children under six years of age - once a day. The maximum duration of the inhalation course is ten days. When inhaling, you can not use other antibiotics.

Effective drugs for tracheobronchitis

Consider which of the most effective drugs. At the first stage, the doctor appoints: Amoxicillin Amoxilav, Flemoklav. With intolerance, antibiotics related to bactericidal are prescribed:

  • Azithromycin
  • Erythromycin

If the patient has a severe concomitant infection, it is prescribed:

  • Suprax
  • Cefazolin
  • Zinnat

Consider the use of some drugs separately

The use of azithromycin for tracheitis

Azithromycin is available in the form of capsules, tablets, or granules for the preparation of suspensions. This is a broad-spectrum wetrolide antibiotic. The drug has low toxicity, fights gram-positive cocci: staphylococci and pneumococci. Azithromycin accumulates in the cells and has an antibacterial effect. When tracheitis in an adult, 0.5 grams per day is used for three days, or 0.5 grams on the first day and four days at 0, 25. The daily dosage is taken once, an hour before a meal.

How to use antibiotics

The use of antibiotics follows several simple rules:

  • Drugs are washed down only with water without gas
  • To support the intestinal microflora, products containing bifidobacteria (Hilak Forte, Lactofiltrum) are used
  • The doctor calculates the dosage of the drug, based on the weight of the patient, you can not independently change the dosage
  • Do not interrupt the course of antibiotic use

If you start a course of treatment on the first day after the onset of the inflammatory process, complications and infections do not occur. Mucolytics are used that stimulate the elimination of sputum. The most famous of them: Bromhexine, Lazolvan, Bronchostop.

Acute tracheobronchitis is treated with inhalation based on mineral water, soda, saline. Tea tree, eucalyptus and rosemary oils restore irritated bronchial mucosa. Effective rinses with a pharmaceutical camomile, St. John's wort. Before using traditional medicine, consult your doctor. In addition to Azithromycin, Suprax and other antibiotics described in the article, the doctor may prescribe other drugs, do not take the medicine yourself.

Description of common antibiotics

The most popular antibiotics that doctors prescribe for acute and chronic inflammation of the trachea:

  1. Azithromycin It belongs to the macrolide antibiotic group, it affects common types of bacteria (staphylococci, pneumococci). Due to the low degree of toxicity, side effects rarely occur. When taken, it accumulates in the mucous tissue, continuing to protect them after the end of the course of treatment.
  2. Amoxiclav. These are antibiotics of the combined type of the penicillin group, which effectively treat tracheitis, laryngitis, bronchitis and other inflammation of the respiratory tract. Recommended for adults and children from 12 years.
  3. Ceftriaxone. With such antibiotics, it is necessary to treat severe complications affecting the lungs and bronchial tree. A powerful tool based on cephalosporin quickly destroys bacteria at any stage of growth and reproduction, giving a positive effect after 1–2 days of use. The maximum dosage should not exceed 1000 mg per day.
  4. Amoxicillin. Proven antibiotics offer consumers 500 mg of the active substance in capsules and tablets. With tracheitis, they help to cope with acute inflammation caused by the growth of bacteria in sputum. The drug is a derivative of penicillin, therefore, it is allowed to treat pregnant women, children, and people with poor health.
  5. Flemoxin Solutab. The drug is based on amoxicillin. It belongs to the means of the latest generation, it is convenient to use: the tablet can be dissolved in water, give the patient to drink the resulting syrup with a pleasant aftertaste. Copes with aerobic pathogens in 4-6 days.

What medications to choose for the course of treatment, the doctor must decide. Starting to treat tracheitis, it is necessary to remember the possibility of an allergy to active substances, which manifests itself in the form of a rash, redness of the skin, itching.

Antibiotics for the treatment of tracheobronchitis

Tracheobronchitis is a severe complication of tracheitis that affects the upper respiratory tract. The bronchi become inflamed, secreting a large amount of sputum. If she does not have time to be excreted with a cough, painful inflammation begins.The disease is characterized by high fever, severe chest pain, prolonged attacks of coughing.

Antibiotics for tracheobronchitis are prescribed without fail. The choice should be made from the following list:

  • with an uncomplicated form and the absence of an allergy to penicillin, Amoxiclav, Augmentin helps,
  • with chronic tracheobronchitis, Sumamed or Midecamycin is recommended,
  • for complex pathologies of the respiratory system, Levofloxacin or Ofloxacin is used.

The average course of treatment is from 7 to 12 days. Medications should be combined with physiotherapy, warming up and healing inhalations.

Rules for taking antibiotics

Many patients do not want to use antibiotics for tracheitis due to fear of side effects.

But subject to certain rules, unpleasant situations can be avoided:

  • dosage is selected according to the weight of the patient. It cannot be exceeded or lowered without the permission of a doctor
  • To maintain the intestinal microflora, medicines based on bifidobacteria, lactobacilli, and probiotics (Linex, Hilak Forte, Lactofiltrum) must be used,
  • the course should be completed
  • you can drink the medicine only with clean water without gas.

In case of chronic inflammation of the stomach, enveloping agents protecting the mucous membrane are additionally used. In therapy in children, it is recommended to use antihistamines to reduce the risk of allergies.

Penicillins

Penicillins are commonly used to treat uncomplicated tracheitis in children and adults. They are the most ancient drugs from the antibiotic groups and have been used since the 1940s to treat bacterial pathologies of the respiratory tract.

Among the positive aspects of penicillins is low toxicity, which makes it possible to prescribe drugs to pregnant women, the elderly and with serious concomitant pathologies. Penicillins can disrupt the structure of bacterial membranes, thus leading to their lysis and death. This type of action is called bacteriostatic.

However, there are also disadvantages. Firstly, quite often there are various allergic reactions (urticaria, Quincke's edema, anaphylactic shock and others) when using medications from the penicillin group. Therefore, before the first intake of penicillins, it is necessary to conduct a hypersensitivity study.

In addition, due to the prolonged use of these drugs, microorganism resistance arose to them, which led to a decrease in efficiency. Partially solving this problem was helped by the addition of clavulanic acid (a beta-lactamase inhibitor) in the Augmentin preparation.

Among the side effects, the occurrence of dyspeptic disorders, headache, dizziness, transient disorders of the hematopoietic system is also noted. During therapy, it is recommended to conduct a study of indicators of liver and kidney function.

Among penicillins, ampicillin and amoxicillin are most often prescribed. They are taken in a course of 5 to 10 days (depending on the clinical picture of the disease).

Antibiotics for tracheitis: list and types of drugs, contraindications and rules for admission

Tracheitis alone does not require the use of antibiotics if the nature of the disease is viral. However, staphylococcus, which requires antibacterial treatment, can be the cause of the disease.

Or it is necessary if the disease passes from acute to chronic.

Complications may also appear in the form of tonsillitis, otitis media, pneumonia, which is why the doctor, observing the patient’s condition, raises the question of whether antibiotics are needed for tracheitis.

Types of Tracheitis

In addition to the acute and chronic phases, the primary and secondary forms of the disease are also distinguished. And also subdivide the disease by the origin of the pathogen:

  • Infectious,
  • Viral,
  • Allergic,
  • Bacterial,
  • Fungal,
  • Mixed.

Overcooling, allergies to a number of chemicals and the presence of infection can also cause tracheitis. Also, the disease can occur when a foreign body enters the trachea, diseases of the kidneys, heart, with weakened immunity.

With bad habits, tracheitis can turn into a chronic form, which smokers especially feel on themselves.

Symptoms

  • Sore throat,
  • A biting cough that occurs more often at night
  • The pain behind the sternum worries
  • Weakness and drowsiness
  • Fatigue and high temperature,
  • Enlarged lymph nodes.
  • Sneezing, runny nose, sore throat may also bother.

How is tracheitis diagnosed?

The diagnosis is based on the anamnesis, as well as listening to the patient. A blood test, x-ray and spirometry are also done. Take sputum to the tank.seeding.

Wheezing, which is scattered throughout the lungs, indicates developing tracheitis. But the foci that are not tapped can say that a complication begins - pneumonia.

In children, it develops very quickly and is difficult, so it is very important to urgently start taking antibiotics.

It is the symptoms of the disease that indicate whether to take the medicine, and what drugs are needed. Chills, fever, severe cough and pain behind the sternum for several days indicates a severe course of the disease. Therefore, the doctor will definitely prescribe, in addition to symptomatic therapy, an antibacterial agent.

Some ask if tracheitis is contagious, of course, yes, because it is transmitted by airborne droplets. In addition, every person has staphylococci, so they begin to actively multiply on the mucosa and affect the body.

Usually, tracheitis is treated comprehensively, and antibiotics are only included if there is evidence for this.

Good to know: Medications for treating tracheitis

Appointment depending on the pathogen

  • Viral infection is treated without antibiotics. They are connected only if complications have begun.
  • A bacterial infection can only be suppressed with antibacterial drugs.
  • With fungal etiology, Bioparox is quite effective. It is considered a topical antibiotic and is available in aerosols. A wide spectrum of the drug allows it to fight with staphylococci, mycoplasmas, legionella. Fusafungin - the active substance of the drug copes with any inflammation of the respiratory system.

Medicines often prescribed by your doctor

  • Antitussive. Of course, aerosols work better, because they reach the bronchial tree. Inhalations in treatment are also popular. Drugs: Sumamed (a drug from the macrolide group, can cure a complex infection in just 3 days),

- Erespal (antitussive, anti-inflammatory, antihistamine),

- Berodual (used for inhalation),

- Sinecode (an antitussive drug. It improves the supply of blood with oxygen, the drug is prescribed already from the 3rd month of the baby’s life. It is not used for pregnant and lactating women),

- Mucosolvan (improves secretory function, may also be used for inhalation).

  • Antipyretic at temperature. Paracetamol, Ibuprofen,
  • Antiviral if the pathogen is caused by it. It can be Kagocel, other drugs,
  • Antihistamines, with allergic syndrome or general intoxication of the body. For example: Diazolin, Claritin, Suprastin.
  • Immunomodulating drugs. Immudon, Immunal.

All appointments are made by a doctor. Do not treat tracheitis yourself. This is a fairly serious disease that can lead to complications.

General recommendations

  • Be sure to drink plenty. Juices, lemon tea, fruit drinks, decoctions, mineral water,
  • Humidification, airing, cleaning the room where the patient is located,
  • We treat dry cough with Sinecode, Lazolvan, Libexin,
  • Thinning agents: Ambroxol, Acetylcysteine,
  • Alkaline inhalation, possible with mineral water without gas.

Mandatory use of antibacterial agents

Why Bioparox is not always used

Often at the beginning of the disease, Bioparox or Berodual aerosol is used. Bioparox is used as spraying 4 times a day for a week. For children, this remedy is alternated by 2-4 inhalations in the nose and mouth. Treatment is carried out strictly according to the scheme and it is impossible to interrupt it, even if the cough is almost gone. This is a local antibiotic, they need to be treated to the end.

Recently, however, Bioparox spray, as a topical antibiotic, has caused many complaints because of the allergic syndrome, so its use should be strictly controlled by a doctor.

This is especially important for a child who has a history of allergies to food, pollen. In this case, Augmentin is prescribed in tablets or Penicillin intramuscularly.

Injections are prescribed from 4 to 6 times a day, so the child can be put in the hospital if the mother can not put the injections herself.

For allergies to this series, macrolides can be used as a replacement. They can be both in injections, and in tablet form or syrup.

Cephalosporins and macrolides are convenient in that they can be used once a day, which allows you to be at home treatment regimen.

For example, Azithromycin is used in both children and pregnant women and it copes with mycoplasma perfectly.

Aerosols and inhalants, such as Erespal and Pulmicort, are used only as directed by a doctor and are very rare in children.

Commonly prescribed medications

What remedies are prescribed for tracheitis:

  • Amoxiclav or Biseptol,
  • Flemoxin or Summamed,
  • Amoxicillin or Augmentin,
  • Azithromycin
  • For cough: Ambrobene, Ascoril, ACC or Lazolvan.

Good to know: Causes and treatments for allergic tracheitis

Since children get complications faster than adults, the use of antibiotics can be replaced by sulfonamides. However, they can subsequently lead to complications by ear. The decision on the appointment of a pulmonologist takes together with a pediatrician.

What determines the speed of treatment

It is difficult to say how many days tracheitis will last, a cough can pass in a week if treatment is started on time, and sometimes it stretches for a month. Usually the number of days spent on sick leave depends on the power of the drugs prescribed by the doctor, so it is very important to be treated with antibiotics, if there is evidence.

In addition, it is very important to carry out the appointment of a specialist, drink antibacterial drugs according to the scheme, do not forget to make inhalations, observe bed rest, if there is a temperature. Usually, if the prescribed drug does not give an effect, then the doctor may prescribe another one. It is very important how often the patient does inhalation.

Sometimes they are allowed to do up to 4 times a day.

You should not save on yourself and buy analogues of funds without consulting a doctor, since you can get a weakening effect of treatment. First, an effect on the cough is carried out in order to improve the discharge of sputum, then night attacks are removed. Do not forget that after taking antibiotics, the doctor should advise a remedy that will restore the disturbed microflora.

To use antibiotics less for diseases, do not allow colds, do hardening, take vitamins, and increase immunity. Then the diseases will pass by.

Azithromycin® for tracheitis

It can be used in one of three dosage forms:

  • in capsules (0.25 g each),
  • in tablets (0.25 g and 0.5 g each),
  • in the form of granules intended for the manufacture of a suspension.

Belonging to the class of macrolides - antibiotics with a wide spectrum of action and characterized by the lowest toxicity, azithromycin® effectively destroys gram-positive cocci, the most prominent representatives of which are streptococci, staphylococci and pneumococci.The therapeutic effect of azithromycin® is enhanced by its ability to accumulate in the cells of the macrophage system and have a prolonged antibacterial effect.

The therapeutic regimen of azithromycin® for the treatment of tracheitis in adult patients provides two options:

  • taking 0.5 g of the drug per day (for three days),
  • during the first day - 0.5 g, and over the next four - 0.25 g.

The entire daily dosage should be taken by the patient at a time, at least one hour before a meal.

Read: Instructions for use azithromycin® in plain language

Amoxicillin® for tracheitis

Most often used orally, in the form of capsules and tablets. The recommended dosage for adult patients and children (whose body weight exceeds 40 kg) is 0.5 g three times a day. In the case of a severe course of the disease, it is doubled (1 g three times a day).

Pauses between doses should be at least six to eight hours. The average duration of a treatment course ranges from seven to ten days. Being an antibiotic of the penicillin series, the drug has a wide spectrum of action.

Due to the low toxicity and low frequency of side effects of the therapeutic effect, amoxicillin® is sometimes used during pregnancy (carefully weighing the possible risk to the bearing fetus).

Amoxiclav® for tracheitis

The tablets of this combination drug contain amoxicillin trihydrate and clavulanic acid. Due to the enhanced composition, the drug has a wider spectrum of action and is effective against penicillin-producing staphylococci. If tracheitis occurs in mild or moderate form, the patient is recommended to take one tablet:

  • 250 mg / 125 mg every eight hours,
  • 500 mg / 125 mg every twelve hours.

In severe cases of the disease, it is recommended to take one tablet (500 mg / 125 mg) or a tablet (875 mg / 125 mg) twice a day three times a day. The duration of the therapeutic course is from five days to two weeks.

Read on: Original instructions for use of amoxiclav® in tablets and suspensions

Antibiotics for tracheobronchitis for adults and children

Tracheobronchitis - the simultaneous occurrence of tracheitis and bronchitis, the inflammatory process of the bronchial mucosa, trachea, bronchioles. Antibiotics for tracheobronchitis allow the patient to recover within a few weeks. Chronic or acute forms of pathology occur against a background of viral infection, influenza, pneumonia, measles or sinusitis. How to cure the disease - we will tell further.

Antibiotics for tracheitis - a list of effective drugs for adult children and pregnant women

With tracheitis in the respiratory throat of a person, a focus of inflammation occurs, affecting the mucous membrane and walls of the trachea. The disease is often manifested against the background of colds, flu, rhinitis.

What antibiotics are prescribed for tracheitis in adults and children?

But the cause is often pathogenic and aerobic bacteria that enter the respiratory tract:

  • staphylococci,
  • streptococci,
  • Pseudomonas aeruginosa,
  • Moraxella catarrhalis,
  • pneumococci.

In most diagnosed cases, viruses become the cause of tracheitis. But with inflammation on the walls of the trachea loosened areas appear, the immune defense falls. The body ceases to resist bacterial infection, so secondary infection occurs.

Antibiotics for tracheitis should be taken if:

  • the patient has pneumonia, purulent otitis media or sinusitis,
  • cough of unclear etiology lasts more than 10 days,
  • during the week there is a temperature above 37.5 °,
  • rhinitis intensifies.

Before using antibiotics, the doctor should prescribe a series of tests.The most informative smears from the pharynx or mucous membranes of the nose, where a large number of aerobic bacteria are concentrated during tracheitis. For each subspecies, drugs are selected individually, which guarantees efficiency and quick recovery.

Tracheitis for children is considered a dangerous disease. Due to the imperfect structure of the respiratory system and trachea, babies have a higher risk of stenosis, painful cramps. Suppurations of the throat give complications to the urinary system, the heart of the child.

In the acute stage of the disease under the age of 3 years, many symptoms are more pronounced:

  • temperature keeps on indicators 38–39 °,
  • loud and strong cough
  • copious mucus with a green tint
  • pallor of the skin,
  • drowsiness.

Antibiotics for tracheitis in young children should be prescribed only by a doctor. It focuses on various manifestations of the disease, tests and the danger of a concomitant disease: laryngitis, pharyngitis, pneumonia.

When treating and choosing drugs, he observes several rules:

  • with tracheitis, the antibiotic is combined with other methods,
  • during administration, the intestines should be protected from dysbiosis,
  • broad spectrum antibiotics must be used.

Similar drugs in the treatment of tracheitis in children are prescribed after the acute stage, when their need is reliably established.

Among the most recommended and common antibiotics in pediatrics are:

  • Augmentin
  • Flemoxin Solutab,
  • Klacid
  • Zinnat
  • Amoxiclav
  • Binoculars.

It is difficult for preschool children to take pills, so manufacturers offer antibiotics in the form of a sweet suspension. The drug is prescribed in a dose calculated based on the weight of the baby, take at least 2 times a day. Treatment lasts from 5 to 7 days.

The choice of an effective agent for the treatment of adult patients is based on the type of pathogen. Therefore, one should not refuse preliminary diagnostics.

The list of drugs recommended by specialists:

  1. Penicillin group - Amoxicillin, Amoxiclav, Augmentin.
  2. Fluoroquinol - Levofloxocin, Abactal.
  3. Macrolytic - Clarithromycin, Azithromycin.
  4. Cephalosporin - Ceftriaxone, Cefazolin.

If there is no opportunity to conduct a sputum analysis and accurately select antibiotics, doctors prescribe a wide range of drugs.

Good results are recorded against the background of the use of ceftriaxone, Amoxicillin.

In case of complications, it is recommended that adult patients undergo an injection course of treatment, which is fast-acting, does not affect the gastric mucosa with gastritis or an ulcer.

For the treatment of tracheitis, the dosage is selected based on the weight of the patient. Be sure to take into account chronic diseases of the internal organs, the presence of diabetes mellitus or hypertension.

Treatment begins with starting antibiotics, which differ in minimal side effects. Adults are more often prescribed amoclavin, clavocin, or augmentin.

In the absence of effect and worsening condition, a medicine of a narrower focus is selected: Ospexin, Keflex, Josamycin.

In the second half of pregnancy, women begin to shift the diaphragm. She rises, making room for the growing fetus.

Therefore, a simple cold with a cough becomes the cause of tracheitis and threatens with unpleasant consequences.

In this case, antibiotics are necessary, but their choice must be agreed with the obstetrician-gynecologist: some drugs are strictly prohibited in the 1-2 trimester, have many limitations.

Antibiotics for tracheitis during pregnancy are selected from the penicillin group. These drugs have been tested and numerous studies are relatively safe for the embryo. They do not disturb the blood circulation and nutrition of the placenta, do not provoke developmental pathologies.

List of drugs approved for future mothers:

If trachitis is complicated by bronchitis or pneumonia, antibiotics are prescribed, which are macrolides. For example, the drug Azithromisin can be taken only 1 time per day, and the average treatment time does not exceed 5 days.

Antibiotics for tracheitis can be used as inhalations. The medicine is sprayed into the larynx, its microparticles settle on the mucous membranes of the trachea.

This helps prevent an attack of stenosis, relieve swelling and redness. For treatment, a minimum dose is sufficient, which reduces the risk of an allergic reaction and side effects.

The method is suitable for adult patients, it is recommended for children older than 3 years.

An antibiotic for inhalation should be purchased in the form of a solution. One ampoule is enough for 2-3 procedures.

The list of drugs for the nebulizer allows you to choose a remedy taking into account complications of tracheitis:

Before use, antibiotics are diluted with water for injection or saline. A single dose for tracheitis for a child is 100-125 mg, an adult needs from 250 to 500 mg.

The most popular antibiotics that doctors prescribe for acute and chronic inflammation of the trachea:

  1. Azithromycin It belongs to the macrolide antibiotic group, it affects common types of bacteria (staphylococci, pneumococci). Due to the low degree of toxicity, side effects rarely occur. When taken, it accumulates in the mucous tissue, continuing to protect them after the end of the course of treatment.
  2. Amoxiclav. These are antibiotics of the combined type of the penicillin group, which effectively treat tracheitis, laryngitis, bronchitis and other inflammation of the respiratory tract. Recommended for adults and children from 12 years.
  3. Ceftriaxone. With such antibiotics, it is necessary to treat severe complications affecting the lungs and bronchial tree. A powerful tool based on cephalosporin quickly destroys bacteria at any stage of growth and reproduction, giving a positive effect after 1–2 days of use. The maximum dosage should not exceed 1000 mg per day.
  4. Amoxicillin. Proven antibiotics offer consumers 500 mg of the active substance in capsules and tablets. With tracheitis, they help to cope with acute inflammation caused by the growth of bacteria in sputum. The drug is a derivative of penicillin, therefore, it is allowed to treat pregnant women, children, and people with poor health.
  5. Flemoxin Solutab. The drug is based on amoxicillin. It belongs to the means of the latest generation, it is convenient to use: the tablet can be dissolved in water, give the patient to drink the resulting syrup with a pleasant aftertaste. Copes with aerobic pathogens in 4-6 days.

What medications to choose for the course of treatment, the doctor must decide. Starting to treat tracheitis, it is necessary to remember the possibility of an allergy to active substances, which manifests itself in the form of a rash, redness of the skin, itching.

Tracheobronchitis is a severe complication of tracheitis that affects the upper respiratory tract. The bronchi become inflamed, secreting a large amount of sputum. If she does not have time to be excreted with a cough, painful inflammation begins. The disease is characterized by high fever, severe chest pain, prolonged attacks of coughing.

Antibiotics for tracheobronchitis are prescribed without fail. The choice should be made from the following list:

  • with an uncomplicated form and the absence of an allergy to penicillin, Amoxiclav, Augmentin helps,
  • with chronic tracheobronchitis, Sumamed or Midecamycin is recommended,
  • for complex pathologies of the respiratory system, Levofloxacin or Ofloxacin is used.

The average course of treatment is from 7 to 12 days. Medications should be combined with physiotherapy, warming up and healing inhalations.

Many patients do not want to use antibiotics for tracheitis due to fear of side effects.

But subject to certain rules, unpleasant situations can be avoided:

  • dosage is selected according to the weight of the patient. It cannot be exceeded or lowered without the permission of a doctor
  • To maintain the intestinal microflora, medicines based on bifidobacteria, lactobacilli, and probiotics (Linex, Hilak Forte, Lactofiltrum) must be used,
  • the course should be completed
  • you can drink the medicine only with clean water without gas.

In case of chronic inflammation of the stomach, enveloping agents protecting the mucous membrane are additionally used. In therapy in children, it is recommended to use antihistamines to reduce the risk of allergies.

If you start therapy on the first day after inflammation, you can avoid complications and the development of a bacterial infection. For this, it is necessary to choose effective cough suppressants, stimulate sputum excretion. Common mucolytics for children and adults: Lazolvan, Bromhexine, Bronchostop.

Acute tracheitis can be treated with inhalation with the addition of baking soda, saline or Borjomi mineral water.

Tea tree oil, eucalyptus or rosemary, gargling with a decoction of pharmacy chamomile, thyme, and St. John's wort are no less useful for irritated mucous membranes on the walls of the trachea.

If the temperature does not exceed 37 °, the breasts are warmed with mustard plasters, compresses with honey or boiled potatoes.

But with all the diversity of folk methods and drugs, only their combination helps to get rid of the disease. To prevent re-inflammation, it is necessary to strengthen the immune system, eat rationally and correctly, and allocate time for sports.

Watch the video: Treating Upper Respiratory Infections (March 2020).