Update: October 2018
Bronchitis is a common disease that in recent years
among the population is chronic, and signs of bronchitis in
adults разнообразны и зависят от многих факторов.
Before treating bronchitis, it is necessary to find out the reason that caused
disease. Unfortunately, today antibiotics for bronchitis
adults назначаются эмпирически, а при некоторых состояниях их
the appointment is completely inappropriate. It is known that bronchitis without
antibiotics are easily treated if the inflammation is viral
origin because the virus is not treated with antibacterial
If during ARVI to take antibiotics – it only hinders
the defense mechanisms of the body to fight the virus, they oppress
immune system, lead to the development of dysbiosis, allergies,
produce microbial resistance to drugs
drug. Depending on the type of bronchitis, the doctor prescribes
Types of bronchitis
- Acute bronchitis
This inflammatory process in the bronchi, which occurs more often
in total against a background of an orvi, flu. With a normal immune response, the body
copes with the virus itself and in this case antibiotics do not
are shown. But when joining a bacterial infection –
pneumococci, staphylococci, streptococci, with severe
acute bronchitis without antibiotics is indispensable. Symptoms
acute bronchitis: purulent sputum (yellow or green) with strong
cough, temperature 37.5-38.5 C, chest pain. Doctor
prescribes expectorant, mucolytic agents to improve
sputum excretion (bromhexin, lasolvan, chest collection),
показаны ингаляции. When dry painful unproductive
coughs are shown antishock means (Sinekod, libexin). Good
It helps therapeutic gymnastics, physiotherapy, vibration massage.
With timely and adequate treatment, the disease passes quickly,
residual effects in the form of cough may persist for 3-4
weeks after illness.
- Chronical bronchitis
If the number of days of illness in two years exceeds three months,
such bronchitis is considered chronic. It is characterized by the presence of a strong
cough with mucus. This may be due to smoking (see lung cancer
and smoking), occupational hazards, allergies and
respiratory tract infections.
Atypical forms of bronchitis are highlighted separately. Mycoplasma and
Chlamydial bronchitis is a special type of inflammation of the bronchi and lungs,
caused by atypical pathogens such as chlamydia and
mycoplasma. Recently, these bronchitis have become more common.
to be diagnosed. Mycoplasma and chlamydial bronchitis and
pneumonia develops slowly, is accompanied by intoxication, wear
recurrent and protracted, difficult to treat. Have
patients except cough, there is a high body temperature, chills,
Which antibiotic is better
The table provides the choice of treatment depending on the type
|Types of bronchitis||additional characteristics||The choice of treatment|
|Acute bronchitis||Viral etiology||Expectorant drugs, inhalations bed rest abundant
drinking Bronchitis without antibiotics
|Chronic uncomplicated bronchitis||Less than 4 exacerbations per year||Aminopenicillins Macrolides|
|Chronic complicated bronchitis|| More than 4 relapses per year, the age of the patient is over 65
|Amoxicillin, Amoxiclav Cephalosporins Macrolides|
|Chronical bronchitis с сопутствующими заболеваниями|| The presence of chronic diseases, diabetes,
renal, heart failure
|Fluoroquinolones (with resistant flora, are contraindicated
|Chlamydial bronchitis|| Развивается у детей и у adults с ослабленным
|Tetracyclines Macrolides Fluoroquinolones|
|Mycoplasma bronchitis|| Развивается у детей и у adults с ослабленным
- Aminopenicillins – first line drugs
This is Amoxicillin (average
price of 50-100 rubles.), Amoxiclav (average price of 250-280 rubles), Augmentin
(цена 120-180 руб.), Арyears old (цена 240- 260 руб.). Such antibiotics
разрушают кyears oldочные стенки бактерий, действуя только на микробы, не
harming the body. Their disadvantage is that penicillins are very often
cause allergic reactions in patients.
- Macrolides — препараты второго ряда
Azithromycin (Sumamed price 540-560 rubles. Azithromycin, Azitroks,
Hemomitsin, Zi-factor, Azitrus 140 rubles., Azitsid, Azitral),
Midecamycin (Macropen price 220-230 rub.). Disrupt protein production
в кyears oldках бактерий, поэтому микробы перестают размножаться.
- Fluoroquinolones – are prescribed for the ineffectiveness of allergic
reactions to the first 2 rows
Levofloxacin (price 430-670 rub.), Ofloxacin (price 30 –
170 rub.), Moxifloxacin (Avelox price 1100-1200 rub.).
Quite expensive drugs, are widespread antibiotics.
spectrum of action, are contraindicated in children, cause dysbiosis,
are considered reserve drugs.
Cefazolin (10-12 rub a bottle on 1 injection), Ceftriaxone (17-50
rubles per bottle for 1 in.), Cefalexin (capsules 40-50 rubles for 16 pcs.),
Cefixime (Supraks, Pancef, Ixim).
Read also on the topic:
- Barking cough in a child-treatment
- Obstructive bronchitis adults
- Inhalation with bronchitis, laryngitis in children
- Berodual for inhalation
- Признаки бронхита у adults
- Bronchitis in children – symptoms and treatment
- 11 rules-how to take antibiotics
- Treatment of bronchitis at home
- Treatment of chronic bronchitis folk remedies
What is the best antibiotic for bronchitis?
This is the one to which the pathogen is most sensitive.
diseases. How to determine this, and what antibiotics to drink when
bronchitis? The most correct choice of medicine will be after
the result of bacterial sputum culture for sensitivity to
antibacterial agents. The disadvantage of this analysis is
the duration of the result, as well as the fact that the analysis does not
due to savings of reagents or lack of laboratories. More often
the doctor prescribes a broad-spectrum antibiotic at once according to the standard of treatment
Antibiotics for children
The use of antimicrobial agents in children with colds
Unacceptable, their reception is justified only in the case of development
- This may be the case when, after the influenza virus, ARVI through
4-5 days there was a deterioration in the general condition of the child, rising again
high fever, wet cough with purulent sputum. In that
the case should call a doctor.
- The safest and most effective drugs that can
children are aminopenicillins and macrolides. Cephalosporins и
macrolides are prescribed if there is an allergy to penicillins.
- During and after taking antibiotics, your child should take
probiotic preparations in the intervals between antibiotic intake, and
after completing the course of treatment, continue using Bifiform,
RioFlora Immuno, Atsipola, Bifidumbakterin, Linex still for
2-4 weeks (see the full list of probiotics, Linesk analogs).
The main rules of antibiotics
- Continuity of treatment. Doctor оценивает состояние больного
and determines the duration of therapy, usually 5-7 days, with
treatment with macrolides – 5 days.
- Take exactly on time. It is necessary to observe the multiplicity
reception and maintain the same time intervals (24, 12, 8, 6
hours), that is, if an antibiotic is prescribed 3 times a day, it means
Reception is carried out every 8 hours. It is necessary to maintain
constant concentration of the drug in the blood. Some antibiotics should
drink once a day (every 24 hours), another 2 (every 12 hours),
some three (8 hours).
- Monitor the effect of the antibiotic. If within 72 hours
improvement is not observed, it means the pathogen to this
The antibacterial agent is stable and should be changed.
- Continue treatment 2–3 days after apparent improvement.
recovery (see also 11 rules for proper administration
For any ailment, cough, temperature should always
consult a doctor. Distinguish between manifestations of diseases
differentiate the disease, which drug for bronchitis is better to choose
and how to take it correctly, only a specialist is capable.
Trust the doctors, then you don’t have to face the situation.
development of complications from untimely or incorrect treatment,
as well as with unreasonable medication.