Antibiotics for pneumonia

Pneumonia is an inflammatory process in the lungs, often a consequence or complication of bronchitis. Treatment of pneumonia is carried out with antibiotics on a mandatory basis, because the causative agents of the disease are bacteriological infections.

Types of disease

There are pneumonia:

1. Hospital.
2. Community-acquired.

Depending on the treatment regime, different regimens for antibiotics are selected.

Rules for prescribing:

1. Choose a wide-spectrum antibiotic. This will be first line antibiotic therapy. The cause of the disease is assumed based on the color of sputum separated from the lungs and the nature of the course of pneumonia.
2. Conduct an analysis to identify the bacteria that caused the disease, as well as their sensitivity to antibiotics.
3. Correct the treatment scheme according to the results of the smear analysis of the sputum to be separated.

When choosing which antibiotics to drink in acute bronchitis and pneumonia, you should also consider:

• severity of the disease;
• contraindications;
• possible allergic reactions;
• toxicity of drugs;
• the tendency of development of bacterial resistance to antibiotics;
• the speed of penetration of the drug in body fluids;
• the speed at which the therapeutic dosage is reached in the foci of inflammation;
• spectrum of action of the drug.

Ineffectiveness of antibiotic in pneumonia

Such situations are quite a rarity. Basically they arise because of previous self-treatment of the patient with the help of bactericidal or bacteriostatic agents. Causes of lack of effectiveness of drugs can also be:

• frequent use and change of antibiotics;
• development of resistance of microorganisms to the selected drug;
• incorrect choice of dosage and duration of treatment.

The solution to the problem is replacing the drug with another, or combining several drugs.

What antibiotics to treat hospital pneumonia?

Hospital type of pneumonia involves a constant finding of a patient in a hospital hospital and supervision by a doctor.

First line. The following drugs are used:

1. Amoxicillin.
2. Penicillin.
3. Cefepime.
4. Ceftazidime.
5. Cefoperazone.

When intolerance of the above antibiotics or the occurrence of allergic reactions, it is possible to use alternative agents:

1. Ticarcillin.
2. Piperacillin.
3. Cefotaxime.
4. Ceftriaxone.
5. Ciprofloxacin.

In some cases, a combination of antibiotics is required to quickly improve the patient's condition and achieve the necessary concentration of the active substance in the body.

The basis for its use are:

• severe course of the disease;
• mixed infection;
• rapid development of microbial resistance to a single form of antibiotic;
• inflammatory process occurs against the background of oppressed immunity;
• The causative agent of infection is a combination of microorganisms that do not fall within the spectrum of exposure of any drug.

Antibiotics used together:

1. Cefuroxime and gentamicin;
2. Amoxicillin and gentamicin.
3. Lincomycin and amoxicillin.
4. Cephalosporin and lincomycin.
5. Cephalosporin and metronidazole.

The second line. If the initial treatment regimen is ineffective or in accordance with the correction according to the results of the pathogen analysis:

1. Cefepime.
2. Ticarcillin.
3. Fluoroquinolone.
4. Imipenem.
5. Meropenem.

Antibiotics against community-acquired pneumonia

At a mild and moderate stage of the disease, such antibiotics are used:

1. Clartromycin.
2. Azithromycin.
3. Fluoroquinolone.
4. Doxycycline.
5. Aminopenicillin.
6. Benzylpenicillin.

Names of antibiotics in the severe stage of pneumonia:

1. Cefotaxime.
2. Ceftriaxone.
3. Clarithromycin.
4. Azithromycin.
5. Fluoroquinolone.

Combinations of the above drugs can be used.

To choose the best suitable antibiotic for pneumonia, certainly, should the doctor. This will prevent the aggravation of the course of the disease and the emergence of antibiotic-resistant bacteria in the body.