Antibiotics for streptoderma in children

Antibiotics are the main therapeutic agent for streptoderma in both children and adults. A distinctive feature of the use of antibiotics for streptoderma in children is that they should be given as early as possible, when the first signs of the disease appear. This will stop the disease in the early stages, prevent severe recurrent course, complications. In children, due to anatomical and physiological features, the disease is especially severe. Therefore, in advanced forms, even several courses of antibiotics may be required. Combination therapy is recommended, which will include both systemic and local agents (ointments, creams).

In case of streptoderma in children, it is necessary to follow a number of recommendations:

1. It is necessary to establish a precise bacteriological diagnosis (carried out by means of bacteriological culture). To do this, it is necessary to know the exact type and genus of the microorganism that caused the corresponding disease. In case of streptoderma, such a pathogen is streptococcus. For a more precise selection of an antiseptic, it is necessary to determine more precise characteristics of the strain that caused the disease (genotypic, phenotypic characteristics, biovar or strain characteristics). Based on the obtained characteristics, it is possible to select the dosage, method of action. This will allow targeted therapy with minimal consequences and complications and maximum therapeutic effect.
2. If it is not possible to conduct a bacteriological study and identify a narrow-spectrum antibiotic aimed at the identified pathogen, there is an alternative - broad-spectrum antibiotics. There is no need to delay, it is necessary to begin therapy as soon as possible. Its success and effectiveness depend on it.
3. It is necessary to start not with the minimum, but with the maximum dosages in order to kill the bacterial infection as quickly as possible. To prevent complications and side effects. This will also prevent the development of bacterial resistance.
4. The therapy must be carried out for the entire prescribed period, reducing the dosage or skipping pills is strictly prohibited. Even if signs of improvement have appeared or the symptoms of the disease have completely disappeared.
5. If possible, it is necessary to use combined means, that is, not one, but several means at once, and also to combine systemic and local effects.
6. If you need to repeat the course, you should not take long breaks.
7. It is necessary to strive not only to eliminate the infection, but also to eliminate the adverse effects of taking antibiotics, prevent complications, and restore normal microflora.
8. It is necessary to take general tonics that will help prevent a decrease in the body's resistance, increase endurance and immunity.

Let's look at the main drugs that are most often prescribed for the treatment of streptoderma in children.

• Amoxicillin (possibly commercial name - Flemoxin)

Dosage - depending on age. It is not recommended to prescribe to children under 3 years. From 3 to 6 years, a quarter of a tablet can be prescribed - 125 mg once a day. From 6 to 12 years, half a tablet is prescribed (250 mg per day). After 12 years, you can switch to the dosage for adults - 500 mg per day. The course of treatment on average fluctuates between 3-5 days. If necessary, the course can be extended. Sometimes a break is taken and after 3-5 days a repeat course is prescribed. Or the treatment tactics are changed.

Precautions: may cause allergies, intestinal and stomach disorders, indigestion (heartburn, flatulence, constipation, diarrhea). Therefore, it is not recommended to give to children under 3 years old (their intestinal microflora has not yet formed, digestion has not been established). Prescribe with caution to children with gastrointestinal diseases, gastritis and ulcers in the anamnesis.

Side effects: digestive disorders, microflora disorders (dysbacteriosis), dyspepsia, vomiting, diarrhea, constipation, flatulence, abdominal pain, allergic reactions, anaphylactic shock, Quincke's edema.

• Biseptol

Dosage - depending on age. It is not recommended to prescribe to children under 2 years. Children from 2 to 6 years - 240 mg per day, children over 6 years - 480 mg per day (divided into 2 doses). Duration of treatment - from 7 to 21 days, depending on the severity of the disease.

Precautions: Do not give to children under 1.5-2 years of age. Not recommended in cases of individual intolerance to the drug or its components, or a tendency to immediate allergic reactions (anaphylactic shock, Quincke's edema).

Side effects: allergic reactions are possible in case of individual intolerance. The most dangerous of them are RGS NT, manifested by Quincke's edema, anaphylactic shock.

• Ciprofloxacin

Dosage: 3 to 5 years old – 125 mg (a quarter of a tablet), 6 to 12 – 250 mg (half a tablet), over 12 years old – 500 mg per day (a whole tablet), 7 to 10 days.

Precautions: Not recommended for children with kidney, liver or digestive disorders.

Side effects: digestive disorders, dysbacteriosis, liver dysfunction, digestion. As a rule, they disappear after complete drug withdrawal. But you should consult a doctor about the advisability of withdrawal.

• Erythromycin

Dosage – from 250 mg to 750 grams per day. Dosage depends on age, body weight, severity of the disease, and severity of symptoms.

Precautions: Not for persons under 2 years of age.

Side effects: dysbacteriosis, digestive disorders, bowel disorders, loss of appetite. Sometimes headaches and increased heart rate occur. As a rule, these symptoms quickly pass without taking any specific means.

• Amoxiclav Quiktab

Dosage: for children aged 3 to 6 years - a quarter of a tablet (125 mg) per day, from 6 to 12 years - half a tablet (250 mg) per day, after 12 years - a tablet (500 mg) once a day, 5-7 days.

Precautions: the drug contains a substance (clavulanic acid) that protects the stomach from the adverse effects of the antibiotic itself. Clavulanic acid also enhances the activity of the drug, increases its bioavailability and safety. It is recommended for people with diseases of the digestive tract (after consultation with a gastroenterologist). It is also considered one of the safest drugs for children.

Side effects: allergic reactions, dysbacteriosis.

• Streptomycin

It exhibits high activity against microorganisms of the Streptococcus group, which are the main causative agents of streptoderma, both in children and adults. It may have numerous side effects in the form of allergies, so it should be prescribed with caution to children who are prone to allergic reactions. Sometimes complications associated with damage to the 8th pair of cranial nerves occur, and hearing function is impaired. Up to complete hearing loss (called ototoxicity). Complete deafness can develop with prolonged use. Therefore, the main precaution should be to consult a doctor and strictly follow his recommendations.

• Tetracycline

A typical tetracycline antibiotic, a complex agent aimed at normalizing microflora, preventing fungal and protozoan flora (protozoa, amoebas, trichomonads). In severe streptoderma - together with penicillin.

The single dosage depends on age. Children under 5 years old - 125 mg, aged 5 to 12 years - 250 mg, after 12 years - 500 mg. If necessary, the single dosage can be doubled. But this can only be done as prescribed by a doctor, and under the control of the body's condition and tolerance.

Usually quite well tolerated by the body, but side effects are not excluded, which manifest themselves in the form of diarrhea, nausea, vomiting. To prevent side effects, drink with antifungal agents (pimafucin, nystatin, fluconazole).

• Levomycetin

It works on various types of bacteria, including all types of streptococci. The dosage is determined by the doctor, since it depends on the child's body weight, as well as BMI - body mass index, and other parameters.

• Flemoxin solutab

It is an antibiotic of the penicillin group. Analogue – amoxicillin. Prescribed for children under 2 years old 20 mg per day, children from 2 to 5 years old – 125 mg per dose, children from 5 to 12 years old – 250 mg, over 12 years old – can take 500 mg. The interval between doses should be 8 hours.

• Sumamed

Sumamed is an antibiotic used to treat bacterial infections in children. Sumamed is used as a suspension or tablets. It is most often used in tablet form, since it has practically not been sold in pharmacies in suspension form in recent years. It belongs to the azalide group. A single dose is 500 mg for a child over 12 years old. For children under 12 years old - 250 mg. It is not used for children under 2 years old. The course is designed for three days. Thus, the course dose for children over 12 years old is 1.5 grams, for children under 12 years old - 750 mg. Side effects are rare.

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