Antibiotics for sinusitis are often prescribed as the basis of drug therapy. In this case, not in all cases, the drugs of this group are used rationally for the treatment of this disease, and the doctor should recommend them after determining the type and causes of sinusitis.
Types of sinusitis - symptoms and treatment
Sinusitis is a kind of sinusitis , characterized by inflammation of the tissues of the mucosa of one or both of the maxillary sinus (maxillary). The disease can occur in acute or chronic form, without adequate treatment complicated by serious pathologies. Depending on the provoking factors, there are different types of sinusitis, and their treatment is different. Consider the main types of disease:
- Viral sinusitis - is one of the manifestations of acute respiratory viral infection, in which the inflammatory process goes beyond the nasal cavity. In most cases, the viral form of the disease does not require specific treatment, it passes after the cure of the underlying ailment. Therapeutic help can be provided by nasal vasoconstrictors, saline solutions that promote the restoration of sinus drainage. Sometimes prescribe antiviral drugs.
- Allergic sinusitis - rarely occurs in isolation, combined with the earlier allergic rhinitis and other allergic manifestations. A characteristic feature of inflammation of an allergic nature is not the hyperemia of the mucous membranes, but their blanching with a bluish tinge. Treatment of sinusitis of this origin is reduced to the elimination of the allergen, the use of antihistamines, glucocorticoids, vasoconstrictive nasal drugs, drugs from the group of stabilizers of the membranes of mast cells.
- Bacterial sinusitis - a kind of disease that quickly turns into a purulent form. The root causes may be long-lasting viral infections and allergies, traumatic injuries, dental infections, anatomical changes in the nasal cavity, and so on. Treatment of such a sinusitis often involves the appointment of antibiotics, in addition to which recommended vasoconstrictor drops, non-steroidal anti-inflammatory drugs, rinsing of sinuses.
Whether it is possible to cure a genyantritis with antibiotics?
Antibacterial drugs for sinusitis are effective only in the case of bacterial damage to the paranasal sinuses and are prescribed with moderate or severe severity of the disease. If the disease is detected in the initial, easy stage, developing against the background of acute respiratory viral infection or allergies, inflammation of the maxillary sinuses can be treated without antibiotics. In this case, measures are taken to unlock the sinuses and provide an outflow of inflammatory exudates (taking medications, physiotherapy methods).
If the sinusitis is accompanied by the release of pus, severe stuffiness and pain in the sinuses, symptoms of intoxication (headache, general weakness, fever), antibiotics can not be avoided. To quickly and effectively cure sinusitis, antibiotics for treatment should be taken together with vasoconstrictive and mucolytic drugs , washing the sinuses with salt and antiseptic solutions. In addition, to ensure that antibiotics for sinusitis provide the proper result, the following rules should be adhered to:
- The medicine must be taken at the prescribed dosage and at strictly defined time intervals.
- You can not reduce the established treatment course, even if the state of health has improved.
- If the symptoms of improvement are not observed within 2-3 days, the antibiotic should be changed.
What antibiotics are prescribed for sinusitis?
What antibiotics should be taken with genyantritis should be determined by the doctor, based on the picture of the disease, the likely causative agent of infection, the ability of the drug to accumulate in the lesion in the desired concentration. When choosing a remedy, it is necessary to take into account whether the patient has taken any antibiotics in the past six months, what chronic anomalies and individual characteristics of the organism are.
Droplets in the nose with an antibiotic for sinusitis
As a supplement to systemic antibiotic therapy or with a mild degree of severity of the pathology, drops from sinusitis with a local antibiotic can be prescribed. These drugs include:
- Polidex (spray) - contains antibiotics neomycin and polymyxin B, hormone anti-inflammatory substance dexamethasone and vasoconstrictor ingredient phenylephrine;
- Isophra (Spray) - contains the antibiotic Framicetin;
- Fluimucil antibiotic IT (lyophilizate for solution) - includes antibiotic thiamphenicol and mucolytic acetylcysteine.
Antibacterial ointment from sinusitis
Such a remedy, as an ointment, from sinusitis is often not prescribed by doctors in the traditional treatment, however it is actively used as an auxiliary in self-treatment. The effectiveness of such therapy is questionable, although, according to reviews, many patients use ointments brings relief when lubricating the nasal passages. The following ointments containing antibacterial and antiseptic components are used:
- Levomekol;
- Levosin;
- ichthyol ointment;
- sintomycin ointment;
- Vishnevsky ointment.
Antibiotics from a genyantritis in tablets
Bacterial inflammation of the maxillary sinuses treatment with tableted antibiotics brings good results. Considering which antibiotics to take with sinusitis, we will list the preferred preparations of a wide spectrum of action:
- aminopenicillins (Ampicillin, Amoxicillin, Flemoxin, Augmentin);
- cephalosporins (Zinnat, Supraks, Cefixim);
- macrolides (Clarithromycin, Azithromycin, Sumamed, Josamycin);
- fluoroquinolones (ciprofloxacin, levofloxacin).
Antibiotics-injections with genyantritis
Picking up what antibiotics to treat sinusitis, doctors stop on preparations for injection in especially severe and complicated cases, with nosocomial infections. Such antibiotics can be prescribed in the form of injections with genyantritis:
- Ceftriaxone ;
- Cefazolin;
- Cefuroxime;
- Tobramycin;
- Gentamicin;
- Doripenem and others.
What antibiotic is better for maxillary sinusitis?
To select the most effective antibiotics for sinusitis, it is necessary to perform bacussis of the contents of the sinus, which is possible only through puncture. Since this is an invasive procedure, it is performed in exceptional cases. Antibiotics are often prescribed empirically, based on data on common types of pathogens in genyantritis. This principle allows you to quickly start therapy, eliminates the additional costs of research. The drugs of the first line are aminopenicillins, which in most cases provide a quick result.