Antibiotics for tracheobronchitis

The choice of antibiotic for tracheobronchitis depends entirely on whether the pathogen is sensitive to it. To do this, a smear is taken from the patient for bacterial culture of sputum to determine sensitivity to antibacterial drugs.

The main types of medications, which depend on the type of inflammation:

Form of tracheobronchitis	Medicines for treatment
Acute (viral etiology)	Expectorants, inhalations
Chronic (uncomplicated)	Aminopenicillins, Tetracyclines
Chronic (complicated)	Macrolides, Amoxiclav, Cephalosporins
Chronic (with concomitant diseases)	Fluoroquinolones

Antibiotics used:

• Aminopenicillins – Amoxicillin, Augmentin, Amoxiclav. First-line drugs that destroy viral cells but do not harm the body. Their main drawback is frequent allergic reactions in patients.
• Macrolides – Sumamed, Midecamycin, Azithromycin, Azitrus. Second-line drugs that stop the reproduction of viruses and bacteria.
• Fluoroquinolones – Ofloxacin, Avelox, Levofloxacin. Prescribed if the inflammatory process has an allergic form.

The use of antibiotics for tracheobronchitis in children is possible only if complications develop. The most effective and safe are Cephalosporins, Macrolides and Aminopenicillins. In addition to antibiotics, children are prescribed probiotics, which are taken between doses of the main medications and at the end of the course of treatment. This can be Linex, Bifiform, Acipol, Bifidumbacterin and other drugs.

Rules for taking antibiotics:

• The course must be continuous.
• It is necessary to observe the frequency of administration, maintaining equal time intervals between the use of the medicine. This is necessary to maintain a constant concentration of medicinal substances in the blood.
• Carefully monitor the effect of the drug - if there is no improvement after 72 hours of use, this indicates that the pathogen is resistant to the antibiotic and it needs to be changed.

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Ceftriaxone for tracheobronchitis

Ceftriaxone belongs to the clinical and pharmacological group of third-generation cephalosporins. The drug is available in the form of powder for intravenous and intramuscular injections. The antibiotic has a broad spectrum of action, is resistant to many gram-positive and gram-negative bacteria, β-lactamases.

• It is used for diseases of the upper and lower respiratory tract, infectious lesions of the abdominal cavity, infected wounds and burns, skin and soft tissue infections, urinary tract. It is effective for endocarditis, bacterial meningitis, salmonellosis, and also for the prevention of postoperative infection.
• After intramuscular administration, it is completely absorbed into the systemic bloodstream, penetrating into the body's fluids and tissues. It is excreted by the kidneys. The dosage for adults and children over 12 years old is 1-2 g once a day or 0.5 g every 12 hours. The maximum daily dose should not exceed 4 g. Injection solutions are prepared before use. For this, lidocaine, sterile water for injection or sodium chloride solution are used.
• In case of overdose, symptomatic therapy is performed, since hemodialysis is ineffective. The drug is not used in case of hypersensitivity to its components, as well as to other cephalosporins, carbapenems and penicillins. Use with caution during pregnancy and lactation, in the treatment of newborns and patients with renal and hepatic insufficiency.
• Side effects are most often accompanied by headaches, nausea, vomiting, flatulence, taste disturbance. Nosebleeds, anemia, leukopenia, allergic reactions on the skin, superinfection (candidiasis) and local reactions, i.e. painful sensations along the vein and when the medication is administered, are possible.

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Amoxicillin for tracheobronchitis

Amoxicillin is a bactericidal antibiotic from the category of semi-synthetic penicillins. The drug has a broad spectrum of action, is active against gram-negative and gram-positive microorganisms. Microorganisms that produce penicillinase are resistant to the drug. It is produced in the form of tablets, solution and suspensions for oral use, as well as powder for injections.

• The remedy is prescribed to eliminate bacterial infections of the upper and lower respiratory tract. It is effective in inflammation of the urethra, kidney tissue and renal pelvis, as well as damage to the small intestine.
• Before use, it is recommended to determine the sensitivity of the microflora. The dosage is selected individually and depends on the sensitivity of the pathogen. For adults and children, 0.5 g is prescribed three times a day. If the infection is severe, 0.25 g is taken three times a day. Children under 10 years of age are prescribed a suspension.
• Side effects – allergic and dermatological reactions (redness, itching and swelling of the skin, urticaria), rhinitis, conjunctivitis, fever, anaphylactic shock. In rare cases, superinfections occur.
• The drug is contraindicated for use in case of individual intolerance to penicillins. It is used with special caution during pregnancy and lactation, in patients with allergic reactions.

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Biseptol for tracheobronchitis

Biseptol has bacteriostatic and bactericidal properties. The drug is active against gram-positive and gram-negative microorganisms, including bacteria that are resistant to sulfonamides. It is active against staphylococci, streptococci and pneumococci. After administration, the active components are quickly and completely absorbed. The maximum concentration in the blood is observed 1-3 hours after administration and lasts for 5-7 hours. It is excreted in the urine.

• Biseptol is effective in the treatment of respiratory tract infections, bronchiectasis, urinary tract lesions, abscesses, urinary tract infections and gastrointestinal tract infections. It helps with septicemia and uncomplicated gonorrhea.
• Before use, it is necessary to determine the sensitivity of the microflora. Children and adults are prescribed 4 tablets or 8 measuring spoons of syrup. The maximum daily dose is 6 tablets or 12 measuring spoons of syrup. Take after meals with a sufficient amount of liquid. Duration of therapy is 5-10 days.
• Side effects include nausea, vomiting, diarrhea, allergic reactions, and a sharp decrease in the level of leukocytes in the blood is also possible. Contraindicated in cases of individual intolerance to sulfonamides, diseases of the hematopoietic system, pregnancy, impaired renal and hepatic function. Not prescribed to newborns and premature babies.

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