Антибиотики от инфекций
Осенью большинство из нас сталкиваются с инфекциями уха–горла–носа и мочеполовой системы. Какие антибактериальные средства можно использовать в этих случаях?
Консультируют авторы книги «Что нужно знать каждому об антибиотиках» (издательство «Диля»), доктор медицинских наук, профессор, заведующий кафедрой клинической фармакологии Санкт-Петербургской государственной педиатрической медицинской академии Игорь Борисович Михайлов и доктор медицинских наук, профессор Ирина Валерьевна Маркова.
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Заболевания | Препараты выбора и их форма выпуска | Как использовать | Время лечения |
Ринит – насморк, вызванный бактериями | Изофра – спрей для носа | Впрыскивать в каждую ноздрю после тщательного высмаркивания: взрослым 4–6 раз в сутки, детям по одной дозе 3 раза в сутки. | 5–7 дней |
Бактробан – назальная мазь | Вводить мазь в обе ноздри 2–3 раза в день в количестве со спичечную головку | 5–10 дней | |
Биопарокс – аэрозоль | Распылять по 2–4 ингаляции в каждую ноздрю 4 раза в день | 10 дней | |
Острый синусит – воспаление придаточных пазух носа | Изофра – в комплексе с антибиотиками для приема внутрь | См. выше | 7 дней |
Флемоксин солютаб – таблетки | Принимать внутрь: взрослым – по 500 мг 3 раза в день; детям до двух лет – по 20 мг/кг, разделив дозу на три приема; детям старше двух лет – по 125–250 мг 3 раза в день | 5–7 дней | |
Ампициллин – таблетки и порошок для приготовления суспензии | Внутрь, независимо от приема пищи: взрослым – по 500 мг 3–4 раза в день, детям – из расчета 100 мг на 1 кг массы тела в сутки, разделив дозу на 4–6 приемов | 7–14 дней в зависимости от тяжести инфекции | |
Острый ларингит и трахеит – воспаление слизистой оболочки гортани и трахеи | Биопарокс – аэрозоль – в комплексе с антибиотиками для приема внутрь | На глубоком вдохе распылять в полость рта по 4 ингаляции. Взрослым проводить орошения каждые 4 часа, детям – каждые 6 часов | 10 дней |
Аугментин, амоксиклав – таблетки и порошок для приготовления суспензии | Принимать внутрь 3 раза в день: детям старше 12 лет и взрослым – по 250 или 500 мг на один прием; детям до 12 лет – предпочтительнее в виде суспензии по 0,5–1–2 чайные ложки на прием в зависимости от возраста и веса ребенка | От 5 до 14 дней | |
Макропен – таблетки и порошок для приготовления суспензии | Внутрь: взрослым и детям старше 12 лет – таблетки по 0,4 г 3 раза в день; детям до 12 лет – суспензия по 3,75–22,5 мл, в зависимости от возраста, 2 раза в день | От 7 до 14 дней | |
Отит – воспаление среднего уха | Вильпрафен – таблетки и порошок для приготовления суспензии | Внутрь, между приемами пищи. Взрослым и детям старше 14 лет в виде таблеток: первая доза – 1 г, затем по 0,5 г 1–3 раза в сутки. Детям до 14 лет – в виде суспензии в суточной дозе 30–50 мг на 1 кг массы тела, разделенной на три приема | Не менее 10 дней |
Клацид – таблетки и порошок для приготовления суспензии | Принимать внутрь: взрослым – таблетки по 250 мг 2 раза в день, детям – по 7,5 мг/кг в сутки, предпочтительнее в виде суспензии, разделив дозу на два приема | 6–14 дней | |
Сумамед – таблетки, капсулы 250 мг, порошок для приготовления суспензии; азивок – | Внутрь 1 раз в сутки за 1 час до еды или через 2 часа после. Взрослым – по 250–500 мг, детям – в дозе 10 мг/кг массы тела | 3–5 дней | |
Острый фарингит – | Рулид – таблетки | Принимать внутрь: детям в суточной дозе 5–8 мг/кг в 2 приема; взрослым – по 150 мг 2 раза в сутки с интервалом 12 ч либо 300 мг 1 раз в сутки | Не более 7–10 дней |
Аугментин, макропен, вильпрафен, сумамед, флемоксин солютаб | См. выше | См. выше | |
Зиннат – таблетки или суспензия – при отсутствии эффекта от других антибиотиков | Внутрь: взрослым и детям старше 12 лет – в таблетках по 250 мг 2 раза в сутки; детям до 12 лет – в виде суспензии: по 0,5 ч. ложки детям 3–6 месяцев, по 1–1,5 ч. ложки детям 6 месяцев–2 лет, по 1,5–2 ч. ложки детям старше 2 лет | 7–10 дней | |
Бронхит | Местно – биопарокс, внутрь – флемоксин солютаб, вильпрафен, макропен, клацид, сумамед, аугментин | См. выше | 5–10 дней |
Гастроэнтерит или диарея путешественников | Амоксициллин – таблетки и порошок для приготовления суспензии | Принимать внутрь 3 раза в сутки, соблюдая 8-часовой интервал. Разовая доза для взрослых и детей массой тела более 40 кг – | От 5–7 до 10 дней в зависимости от тяжести инфекции |
| Юнидокс солютаб – таблетки, доксициклин – капсулы (только для взрослых и детей старше 8 лет в связи с влиянием на зубную эмаль) | Внутрь, после еды, запивая большим количеством воды (но не молока): взрослым в первый день по 100 мг 2 раза в день, затем в той же дозе 1 раз в день. Детям старше 8 лет в первый день – по 2 мг/кг массы тела 2 раза в день, в последующие дни – 1 раз в сутки | 5–10 дней |
Холецистит – воспаление желчного пузыря | Только для лечения бактериальной инфекции и после исключения желчнокаменной болезни: аугментин, амоксиклав, зиннат | См. выше | 5–14 дней |
Острый пиелонефрит – воспаление почек и почечных лоханок | До получения результатов «посева» – один из антибиотиков широкого спектра действия в таблетках: амоксициллин, аугментин, амоксиклав, зиннат, цефалексин | Дозировки упоминавшихся ранее препаратов – см. выше. Цефалексин принимать внутрь: взрослым по 250–500 мг; суточная доза для детей массой менее 40 кг – 25–50 мг/кг. Кратность приема – от 2 до 6 раз в сутки в зависимости от тяжести заболевания | 7–14 дней |
Острый цистит – воспаление слизистой оболочки мочевого пузыря | Амоксициллин, аугментин, цефалексин | См. выше | 5–8 дней |
| Антимикробные препараты, производные нитрофурана: фурагин фурадонин – таблетки | Внутрь: взрослым по 100–150 мг 3–4 раза в день. Детская суточная доза составляется из расчета 5–7 мг/кг массы тела. Таблетки принимать вместе с пищей, содержащей белки | 3–5 дней |
| Препараты из группы фторхинолонов: абактал, заноцин, таривид, ципробай, цифран, ципролет – таблетки | Абактал: внутрь однократно в дозе 400 мг в сутки. Заноцин: по 200 мг 2 раза в сутки. Таривид: от 200 до 800 мг в сутки за два приема в зависимости от тяжести заболевания. Ципробай: по 0,25–0,5 г 2 раза в сутки. | От 1 до 10 дней в зависимости от препарата |
| Монурал – порошок для приготовления микстуры | Растворить необходимое количество препарата в 1/3 стакана воды и принять за 2 часа до или после еды, лучше перед сном, после опорожнения мочевого пузыря. Взрослым: по 3 г 1 раз в сутки. Детям старше 5 лет – в дозе 2 г однократно | 1–2 дня |
Вагинит, кольпит – воспаление слизистой оболочки влагалища | При бактериально–грибковых инфекциях – полижинакс, вагинальные капсулы | Вводить по одной капсуле перед сном | 12 дней |
| При сложных смешанных инфекциях – тержинан, вагинальные таблетки | Лежа в постели вводить по 1 вагинальной таблетке на ночь, предварительно подержав ее 20–30 секунд в воде | 10–20 дней |
| При грибковых инфекциях – пимафуцин местно и внутрь | Вводить перед сном по 1 вагинальной свече. Таблетки принимать при тяжелом течении инфекции в дозе 100 мг 4 раза в сутки | От 6 до 10–20 дней |
Инфекции кожи и мягких тканей: гнойники, фурункулы, порезы, пролежни, ожоги | Мирамистин, раствор хлоргексидина | Промывать инфицированные ткани, накладывать пропитанные раствором марлевые повязки | До очищения ткани от инфекции |
| Банеоцин – мазь и порошок для наружного применения | Наносить на очаги поражения 2–3 раза в сутки, при необходимости изготовить повязку | От 7 дней |
| Левомеколь – мазь, воскопран –салфетки с мазью левомеколь | Накладывать на раны пропитанные мазью стерильные повязки. Перевязки производить ежедневно | До полного очищения раны от инфекции |
| При повышении температуры, общем недомогании – антибиотики для приема внутрь: амоксициллин, аугментин, макропен, вильпрафен, клацид, сумамед, азивок | См. выше | От 5 до 10 дней |
Что мешает женщине реализовать себя? Чем женская самореализация отличается от мужской? И как быть и реализованной, и счастливой? Рассказывает психолог, эзотерик, автор образовательных программ Юлия Ивлиева.
Почему женщине так важно иметь «рукодельное» хобби? Как творческие занятия мамы влияют на воспитание детей? И почему представительницам прекрасного пола необходима поддержка любящих мужчин?
