Tonsillitis is an infectious and dangerous disease. It can provoke a number of severe consequences in the form of damage to the kidneys and the heart, rheumatic pathologies and the transition of the inflammatory process into a sluggish form. For effective treatment of the disease, it is important to choose the right medicines in time.
What causes angina?
Damage to the tissues of the pharynx and the progression of acute tonsillitis occurs due to 3 types of pathogens: pathogenic microorganisms, fungi and viruses. Bacteria that cause angina are mainly streptococci (hemolytic) and staphylococci, often they multiply on the mucous membranes in parallel. Sometimes the cause of the disease are gonococci and chlamydia.
Mycosis pathogens are yeast-like fungi, which colonize the pharynx on the background of worsening of the work of local immunity. If the sore throat is viral, it could be triggered by a type of herpes or influenza. Nonspecific forms include tonsillitis, which accompany the following pathologies:
- syphilis;
- leukemia;
- tularemia ;
- scarlet fever;
- enterovirus;
- infectious mononucleosis ;
- agranulocytosis.
Do you need antibiotics for angina?
The decision on the need to prescribe antimicrobial drugs is taken only by the otolaryngologist. Before issuing a prescription, a specialist should definitely make a laboratory test of a smear from the pharynx. This helps to find out what is developing angina - treatment with antibiotics is carried out in 3 cases:
- Tonsillitis is caused by a bacterial flora;
- secondary infection has joined;
- complications began with the multiplication of pathogenic microorganisms.
If the disease in question has a fungal or viral origin, antibiotics for angina in an adult are not only completely useless, but also harmful. Unreasonable intake of antimicrobial drugs leads to a strong inhibition of local immunity and the creation of conditions that favor the reproduction of other pathogens of tonsillitis, its complications and progression.
What antibiotics should I take with angina in adults?
The choice of a particular medication depends on several criteria:
- spectrum of action of the preparation;
- type of bacteria detected;
- the susceptibility of pathogenic microorganisms to various antimicrobial agents;
- presence of intolerance in the patient.
Correct treatment of sore throat with antibiotics in adults is selected after receiving the results of laboratory tests. During the study, the causative agent of tonsillitis and its reaction to all available groups of antimicrobial agents is established. A medication is prescribed, to which the bacteria found have the strongest susceptibility. At the same time, it is important to choose a medicine with a minimum of negative side effects.
Treatment of purulent sore throat in adults with antibiotics
The presence of white dense plaque on the mucous surfaces of the pharynx and the presence of light yellow plaques indicate a high activity of pathogenic microbes. Depending on the location, volume and nature of the exudate, follicular and lacunar tonsillitis are distinguished. Antibiotics for purulent angina in adults are often prescribed without taking into account its shape, only the agent of the inflammatory process matters.
Both types of lesions of the pharynx are often provoked by hemolytic streptococcus. Sometimes tonsillitis is complicated by the addition of staphylococcal infection, so antibiotics against sore throats in adults are better to choose with a wide range of action. Medicines of a narrow orientation are preferred for the propagation of other bacteria - gonococci and chlamydia.
Follicular angina - treatment in adults, antibiotics
This form of tonsillitis is characterized by the formation on the surface of the tonsils of purulent small balls. If a microbial infection was detected during the study of their contents, an effective antibiotic is selected - in case of angina in adults, a penicillin drug is first prescribed. They are most effective when infected with streptococci of any type, including hemolytic bacteria. Penicillin-containing antibiotics for angina in an adult are considered the safest. Such drugs do not cause significant harm to the beneficial microflora.
Lacunar angina - treatment in adults - what antibiotics?
The described tonsillitis is accompanied by a strong yellow-white coating in the mouths of the center of the tonsils. When lacunar form, it is important to quickly select a cure for sore throats - adults are prescribed antibiotics immediately after the smear results to avoid severe consequences of inflammation. Penicillin medicines in this case may be ineffective, because this type of tonsillitis is provoked by streptococci in combination with staphylococci. To eliminate mixed microbial damage, the following antibiotics for angina in an adult are recommended:
- macrolides ;
- fluoroquinolones;
- cephalosporins.
The best antibiotic for angina in adults
It is forbidden to buy medications on your own or on the advice of a pharmacist in a pharmacy. Only a qualified otolaryngologist can decide which antibiotic is better - with angina adults should take exceptionally safe and effective means that produce a pronounced effect on the detected pathogens of tonsillitis.
If there are no allergic reactions to penicillin antimicrobials, and there is no resistance, it is advisable to begin therapy with this group of drugs. When there is a worsening of the state or changes in the state of health of the weak, antibiotics can be changed - in a progressive angina, an adult should find a stronger medication. It is important to first talk with the doctor and pick up medications with a minimum of side effects and a low risk of toxic damage to liver tissue.
Antibiotics for angina in an adult in tablets
The first line of antimicrobial agents include penicillins, which have a harmful effect on gram-positive and gram-negative pathogens. What antibiotics to drink with sore throat
- Amoxicillin;
- Ecobol;
- Flemoxin Solutab;
- Ampicillin;
- Clavam;
- Gramox;
- Amoxyl;
- Ospene and others.
With allergies to this group of drugs or the absence of the expected reaction to the proposed tablets, macrolides are used for 72 hours. What antibiotics are prescribed for angina in adults instead of penicillins:
- Sumamed;
- Zitrolide;
- Rulicin;
- Hermitage;
- Azithromycin;
- Klabaks;
- Azitroxy and analogues.
If macrolides do not help, fluoroquinolones are used:
- Levotech;
- Siflox;
- Avelox;
- Tebris;
- Afenoxin and others.
The last option for the treatment of tonsillitis are cephalosporins:
- Cemidexor;
- Supraks;
- Cephalexin;
- Cefixime and synonyms.
Antibiotics for angina in an adult in pricks
Injections are prescribed by the otolaryngologist in the most severe cases of the current disease, when there is severe fever and the risk of complications is very high. They are administered temporarily (2-4 days) for emergency relief of acute symptoms, then replaced with oral medications. What antibiotics to treat angina in adults - antimicrobial solutions:
- Ampioks;
- Benzylpenicillin;
- Ampicillin;
- Ticarcicline;
- Bilmycin;
- Hemomycin;
- Ceftriaxone;
- Gatifloxacin;
- Moxifloxacin;
- Levofloxacin;
- Ciprofloxacin.