What antibiotics should I take in the treatment of sinusitis in adults and children?

1 Principles of the selection of medicines

When choosing an effective antibacterial agent for the timely treatment of sinusitis, experts are guided by a set of general principles of selection, prescribed in the usual protocols of the disease course.

What antibiotics should I take in this situation? All medicines for the treatment of sinusitis are classified into 3 main groups:

  • First line medications.

This category includes funds that are assigned primarily and are of paramount importance. It is these antibiotics for sinusitis that are considered to be the best because of their maximum effectiveness. There are 3 drugs known to belong to this category: Clarithromycin, Amoxicillin, Azithromycin.

  • Effective drugs of the second line.

Similar agents are prescribed for adults living in an environment with an increased level of infestation by these resistant microorganisms. Their reception is allowed in the case when the listed first-class antibiotics did not bring

the expected result after 3-7 days of intensive treatment of sinusitis. Among the effective antibiotics for adults are: Amoxicillin, containing clavulanic acid, cephalosporin antibiotics, fluoroquinolones.

  • Antibiotics injection plan.

Patients who are prescribed outpatient treatment are starting to take drugs intravenously with maxillary sinusitis. In the list of injectable drugs, it is worth noting the following: Meropenem, Imipenem( used exclusively as antibiotics of the reserve in a stationary setting), Ceftriaxone, Gentamicin, and Tobramycin. Such antibiotics for sinusitis are appointed exclusively by the attending physician.

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To find out some of the features of taking this or that potent antibiotic for adults, it is worthwhile to discuss each of them in more detail.

2 Penicillin use

Penicillin drugs are considered to be the most effective and safe medicines. They are often prescribed not only for adults, but also for children( admission is possible from infancy).

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Effective penicillin is simply indispensable in the field of obstetrics. Similar preparations of the benzylpenicillin category are allowed to be taken with fetal and lactation.

The practical experience of taking these effective antibiotics proved in reality their high degree of safety and good tolerability of the drug.

It is worth considering the fact that some harmful microorganisms are able to produce components that cause the destruction of the beta-lactam ring of a prescribed antibiotic. That's why unprotected antibiotics to drink with sinusitis are fraught with the absence of the expected improvement. But, of course, this is not always the case. It is advisable at the diagnostic stage to find out the exact pathogen of the disease. Those who are still thinking, which antibiotic is better, and most importantly, safer, can turn their attention to this class of medicines.

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3 Possibilities of Amiksin

The drug Amiksin is truly the best antibiotic for sinusitis, its practical impact on the adult organism was studied in detail by leading American scientists. During a large-scale practical experiment on volunteers, it was found that 80% of participants had an improvement in general condition with regular intake of this drug.

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This famous Amoxicillin, otherwise known as Flemoxin, is prescribed today in uncomplicated antritis adults, it is an alternative option for the timely treatment of children. Effective medication refers to a class of drugs that are recommended to be used as a matter of priority for an adult and a sick child because of its sufficient safety.

According to official data, the confirmed efficacy of the drug is 80-90%, and the high degree of safety of the components allows the use of the drug safely in the treatment of children, which also adds to its popularity.


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4 What are macrolides

Common antibiotics for sinusitis are a class of macrolides. This category of drugs is prescribed as a good alternative to penicillin medicines if the patient has a pronounced allergy to the latter category. Well-known macrolides show themselves more actively with harmful moroxella bacteria.

Among the analogous preparations for maxillary sinusitis in tablets of this classification, it is worth highlighting the medicines that cover a rather wide range of pathogens of the acute form of sinusitis: Clarithromycin and Azithromycin. These two basic safe medicines of this group have the following characteristics:

  1. Clarithromycin. Effective macrolide of the second generation. Has sufficient activity in relation to all harmful microorganisms associated with acute and chronic form of sinusitis. It is desirable to administer the drug at equivalent time intervals. The total duration of treatment is 7-10 days, the decision to stop receiving it can only be carried out by an observant physician.
  2. Azithromycin. The drug is advantageously allocated among its analogues for a long half-life. It is because of this property that the treatment with the drug turns into a unique process. The duration of such antibiotic therapy is mostly about 5 days, but it all depends on the decision of the treating doctor.
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5 Vegetable Sinupret

Although this drug does not belong to the class of antibiotics, it is worth mentioning about it. It is produced on the basis of exclusively natural components, here several varieties of plant raw materials are used. The main ones are ordinary sorrel, dried flowers of May primrose. It is aimed at improving the natural departure of accumulated sputum from the main foci of inflammation. It is most often admitted to administration in the treatment of acute forms of ENT diseases and affected respiratory organs. All the complex effects of safe medication have not yet been fully determined.

Advantageous advantages: it has an active anti-inflammatory effect on the body, significantly reduces mucosal edema, helps restore natural airway patency. Vegetable Sinupret is most often prescribed for complex antibiotic therapy. It is aimed at diluting the pathological purulent secretion that accumulates in the nasal sinuses, while its accelerated excretion takes place, as a result of which the patient quickly feels considerable relief from nasal breathing. The drug is able to save the patient from a wide range of diseases, it treats not only sinusitis, but also chronic bronchitis, complex forms of sinusitis.

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Main disadvantages: for young children under the age of 2, the receipt of funds is prohibited. It is desirable to be more accurate with taking the drug with liver diseases and alcoholic beverages.

6 Injection preparations: the arguments for and against

Until quite recently many domestic doctors diagnosed the genyantritis and immediately prescribed to the patient the reception of such injections, motivating with a quick effect and the speedy improvement of the general condition. After the appointment, the patients underwent 7 consecutive procedures, after which the insidious illness really receded, but the probable consequences from such therapy were hushed up.

Do all patients have an acute need for a course of injection therapy? As leading leading experts in this field believe, the use of antibiotics is parenterally prescribed only to patients who have nosocomial acute sinusitis. This infection is provoked by persistent Gram-negative microorganisms. Antibiotics of aminoglycoside class are used as an optimal variant. For the proper selection of the agent, it is recommended in laboratory conditions to carry out artificial seeding of bacteria in order to accurately detect the degree of their sensitivity to the drug. Among drugs of this class should be allocated Tobramycin and Gentamicin. As side effects from the use of funds of this group, it is necessary to distinguish the lesion of the auditory canals, which may become the further cause of the onset of deafness. This is why it is necessary to be extremely cautious with the introduction of these injections, it is advisable for an adult to be under the supervision of a specialist during this period.

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7 Drug administration in the form of drops

Most often, patients with a similar diagnosis are asked by questions about what antibiotics to drink at a genyantritis and whether tableted strong antibiotics can be replaced with sprays or drops. If the genyantritis has been diagnosed, the patient needs to be prepared that it is impossible to completely cure the disease without antibiotic therapy, because any bacterial infection requires a therapy directed against it.

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Topical preparations are not able to penetrate deep into the maxillary sinuses. Therefore, in such a situation, their use is inexpedient. In the acute and chronic form of maxillary sinitis, the use of antibiotic sprays is simply ineffective.

The appointment of potent antibiotics is the prerogative of a specialist.

It should be noted that the correct selection of the drug is carried out only by the doctor. He is able to identify the causative agent of this insidious disease. Self-medication prescription is fraught with serious consequences, rather than the expected recovery.

At the same time, an adult needs to remember that the first signs of inflammation require an urgent consultation with a specialist and timely antibacterial treatment.

Often, this treatment with antibiotics can cause intestinal dysbacteriosis. Therefore, the reception of live probiotics, acting to improve the intestinal microflora, is shown. They support a fragile microflora when exposed to potent drugs, so these means should not be underestimated by adults. Regular admission by an adult patient of any potent antibiotic is fraught with tangible consequences for the intestine.

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