Since paraproctitis is an inflammatory process with acute or chronic course in the cavity of the pararectal tissue, antibiotic therapy will be prescribed. Regardless of the fact that antibiotics are the basis of such medication, paraproctitis is almost never used.
For the purpose of paraproctitis antibiotic treatment there can be such reasons:
- After the operation for a long time, there is an increased body temperature - from 38 degrees and above. In this case, the wound condition is assessed and its contents examined for bacteriological culture. Only after such procedures, antibiotics can be prescribed, otherwise, it can lubricate the picture of the patient's condition.
- During the rehabilitation period, inflammatory processes can be preserved in the wound site, in the cavity of the pararectal tissue and rectum. In this case, taking medicines will help in quickly getting rid of these processes.
- After surgical plastic surgery in the treatment of paraproctitis with rectal fistula. These operations include: excision of the fistula with the rectum of the rectum and the excision of the fistula when the sphincter is sutured.
Described above, refers to the drug treatment of paraproctitis with systemic antibiotics. Before, to appoint such preparations, it is necessary to carry out bacteriological culture. After the result of the survey is obtained, the appropriateness of prescribing for paraproctitis is determined.
Depending on which infection caused the pathogenic condition, different groups of agents are used. The duration of the course of paraproctitis treatment with systemic antibiotics is a maximum, a week.
In addition to the use of systemic antibiotics in paraproctitis, which enter the infected foci through blood vessels, local medications are also used in the form of ointments, creams and powders. This type of medication is used in the treatment of paraproctitis in the postoperative period. They help to speed up healing, to prevent a bacterial complication.
What antibiotics should I take with paraproctitis?
Metronidazole is used if an anaerobic microflora is observed. It is an antiprotozoal drug, and does not work on aerobic bacteria. The drug should be taken orally at a dosage of 7.5 mg / kg, with an interval of 6 hours, or administered intravenously at 15 mg / kg initially and 7.5 μ / kg at the same interval as in the case of oral administration. This antibiotic is often used in combination with Amoxicillin.
In the case of an aerobic source of infection, aminoglycosides administered by the intramuscular route are used. It is possible to use several generations, antibiotics:
- First - Streptomycin, Neomycin, Kanamycin.
- The second - Gentamicin, Tobramycin and Netilmicin. The third is Amikacin. This group is perfectly combined with the penicillin group. They have oto and nephrotoxicity, which affects the ears and kidneys, but side effects can easily be reversed after the application has been completed. The most effective is aminoglycoside.
In addition, semi-synthetic penicillins, which are drugs with a broad antibacterial spectrum, may be prescribed. In the case of oral administration in tablets, ampicillin and Amoxicillin may be used by intramuscular or intravenous routes. Also for intramuscular and intravenous administration, Azlocillin, Ticarcillin and Carbenicillin are used. For oral administration, Carthecillin is suitable.
For local treatment of paraproctitis, antibiotic drugs such as:
- can be used. Levomecol is a combined ointment with the presence of an antibiotic - chloramphenicol and a regenerating agent - methyluracil. Levomekol has antibacterial, anti-inflammatory and healing effect. It is worth noting that Levomekol with paraproctitis is the most effective ointment.
- Levosin is a combined ointment that has the same composition as Levomecol, only sulfadimethoxin is added to it. It has antibacterial, anti-inflammatory and analgesic effects.
As can be seen, treatment with antibiotics in paraproctitis is prescribed only in the postoperative period.