Bronchitis and antibiotics: in some cases, prescribers, and wikih not?13/12/2018
What is bronchitis? It is an inflammatory disease of the bronchi that conduct air flow to the respiratory parts, warm, moisturize and clean it. It occurs when the Airways of the lungs swell and begin to produce mucus. Bronchitis doctors sometimes prescribe a course of antibiotics, but how is this justified?
Causes of bronchitis
It turns out that there are many causes of bronchitis. The main ones are :
- viral infection
- bacterial infection
- mixed infection
- atypical pathogens
- chemical exposure
The patient often coughs up sputum, which may be of different colors (transparent, white, yellow, green, brown, pink or red).
There are several types of this disease :
- acute bronchitis
- uncomplicated chronic bronchitis
- complicated chronic bronchitis
- chronic bronchitis with some typical diseases
- chlamydial and mycoplasmal bronchitis
Very common acute bronchitis, is often caused by infections of the upper respiratory tract. Chronic bronchitis develops in the case when the Airways are irritated over long periods of time (often this disease occurs due to Smoking).
Acute bronchitis usually goes away in 7-10 days, although cough may continue for several weeks. But if the acute bronchitis is repeated, it may indicate chronic disease. In particular, the bronchitis is considered chronic if the patient coughs up sputum for at least 90 consecutive days for more than 24 consecutive months. This disease is associated with chronic obstructive pulmonary disease (COPD).
In acute and chronic bronchitis are the following symptoms: cough, sputum, fatigue, breathing problems, discomfort of the chest.
When a person is sick with acute bronchitis, it may be some cold symptoms (e.g., mild headache). These symptoms are usually after 7-10 days, but the cough may last longer.
To the doctor you need to go if cough lasts more than three weeks, if the body temperature rises above 38C, if there is a colorless sputum if sputum is present the blood if there is wheezing with breathing or shortness of breath.
Treatment with antibiotics
In different countries the doctors for acute bronchitis continue with surprising stubbornness to prescribe antibiotics, although long known that this disease is caused by viral infections. With antibiotics is not effective. These drugs should not be used for the treatment of acute bronchitis. The use of antibiotics in cases where they are not needed may do more harm than good.
But it’s not just the fault of doctors. The patients themselves request that they, or their children prescribed antibiotics, believing that the only way to be cured.
Often doctors prescribe antibiotics for bronchitis with discolored sputum. This sputum is a sign of bacterial infection. However, in 2014, Spanish researchers in the study came to the conclusion that if you take antibiotics with colorless sputum, the cough persists. In particular, patients who took ibuprofen had a cough for 9 days and consumed antibiotics or pills for 11 days. Thus, from the drug’s last chance, there are a number of side effects, including bleeding in the gastrointestinal tract.
Not to rekomendatsiyami antibiotics for adults with uncomplicated bronchitis, if not pneumonia is suspected .
But if the doctor suspects that the patient has a bacterial infection, he may prescribe antibiotics. These drugs also prevent a secondary infection. As for children, if they have bronchitis and high fever, the doctor may decide on the use of antibiotics, if the temperature of the medium, we can restrict pills and medicines.
- Cough medicine. If a cough disturbs your sleep, it is possible with the help of special medications and pills, it significantly reduce.
- Other medicines. If the patient has allergies, asthma, chronic obstructive pulmonary disease (COPD), your doctor may recommend a nebulizer or other tablets, which, for example, reduce inflammation.
In chronic bronchitis often resort to pulmonary rehabilitation. This is a program of breathing exercises, whereby the patient can breathe more easily. Also increases the capacity for physical development.
Also, bronchitis follows :
- to stay in bed
- drink plenty of fluids
- use expectorant drugs
- you can use a special humidifier
- to try various physical exercises, including breathing
Bronchitis in children
With the arrival of winter weather children often poseschaemosti and ailments.The symptoms of bronchitis in children coincide with the signs of the disease in adults, but the treatment is slightly different.
Sputum is a good nutrient medium and substrate for bacteria. Therefore, stagnation of mucus in bronchi threatened by the risk of secondary bacterial complications, such as purulent bronchitis or pneumonia. In this regard, in the treatment of bronchitis in children, the complex of medical actions should be aimed at the speedy suppression of inflammation as well as thinning and stimulation of sputum discharge from bronchial tubes.
In addition to the coughing, symptoms of bronchitis in a child may also be:
- a slight increase in temperature
- weakness, asthenia
- the decrease in activity, appetite
- deterioration of the General condition
In the treatment of children bronchitis is distributed primenyayutsya that can be conducted on the basis of mineral water, expectorant drugs and bronchodilators.
Interesting to know :
There are about 200 types of different viruses that can cause acute inflammation of the bronchi. Most often it is the viruses of influenza types A and b, parainfluenza, coronavirus infection, rhinoviruses or respiratory syncytial infection.
Prevention of bronchitis
Prevention of bronchitis is necessary for those who recently suffered the disease to prevent possible recurrence.
To prevention of bronchitis include :
- the rejection of bad habits, from Smoking
- when allergiesanti ispolzovatblizhny funds, bronchodilators
- strengthening the immune system Winnipeg
- influenza vaccination for those at risk. This is true in the presence of diseases chronic forms, when planning a pregnancy
- good hygiene, particularly hand washing and use of disposable tissues for nose
Bronchitis is a viral disease that requires constant monitoring and further observation.
Complications of bronchitis
Bronchitis complications gives, in most cases, in the absence of treatment, interruption of therapy with the disappearance of major symptoms, compliance with the recommended regime. Genetic factors, ongoing illness, a weak immune system also increase the risk of complications. In most cases, complications are children, the elderly and people with weakened immune systems.
The most common complications of the disease:
- bronhoektaza extensions bronchi irreversible
- the escalation of the disease into a chronic form
- insufficiency respiratory activities
- lack of oxygen
- failure of the heart system
- bronchial asthma
- rare cases complications such as pulmonary heart
See also :
- COUGH AFTER BRONCHITIS
- BRONCHITIS ACUTE AND CHRONIC
- BRONCHITIS IN CHILDREN