Bronchitis is one of the most commondiseases among people. Recently, it has even become chronic. At the same time, its symptoms are very diverse and depend on numerous factors, both individual and surrounding. Immediately before starting treatment of a patient, the doctor must find the cause that served as the beginning of this disease. Today, there are some known cases when a doctor prescribes treatment for a patient based on antibiotics without tests and firm confidence in the nature of the disease. Sometimes patients themselves begin taking medications without consulting a doctor. And such uncontrolled and unsystematic taking of medications is inappropriate and can cause irreparable harm to health.

With bronchitis, antibiotic therapy is prescribed if:

there is a high temperature, not exceeding 3 days, more than 38 degrees;

symptoms of an organism intoxication are obvious;

there is a fall in the protruding part of the chest;

level of ESR above 20 mm / h;

Foci of infection were found;

increased leukocytosis;

the beginning of the inflammatory process is observed on the analysis of blood;

the disease lasts more than 3 weeks;

the patient's age is 60 years and above.

Is it always necessary when bronchitis is detected?start antibacterial therapy? Until now, specialists have not been able to answer this question unequivocally. And yet, they are absolutely unanimous in some matters. Definitely, antibiotics should not be started immediately in the first days of the disease. Because this disease has a viral basis of origin and at the first signs of the disease, antiviral drugs should be taken. If viral bronchitis is treated with antibiotics, these drugs will only interfere with the defense mechanisms to resist the virus. They will weaken the already weak immune system, and on such a basis, a person may develop allergies and dysbacteriosis. If a person has never had any diseases associated with the lungs before, then in 95% of cases it is viral bronchitis.

Doctors distinguish the following types of bronchitis:

• Acute bronchitis. In this case, inflammation is observed in the bronchi, which appears against the background of viral and infectious factors. If a patient has acute viral bronchitis, then the treatment is based on antiviral medications. And the disease itself can be caused by bacteria such as pneumococci, streptococci or staphylococci. This infection is treated symptomatically and quickly passes.

Symptoms of acute bronchitis include severecough with phlegm, low fever and chest pain. The disease usually passes quickly, rarely lasting up to a month. With this disease, which has a viral etiology, it is recommended to take expectorants and do inhalations. Plenty of fluids and bed rest are especially useful for the patient. If the total number of days of illness over 2 years exceeds 3 months, then such bronchitis is considered chronic. Its main difference is a strong cough with mucus secretion. This can be a consequence of smoking, allergies and working in hazardous industries.

• Chronic bronchitis during relapses andexacerbations are treated with antibiotics, expectorants and inhalants. All medicines are prescribed only by a doctor, after examination and on the basis of tests. Usually, with chronic uncomplicated bronchitis, which has up to 4 relapses per year, doctors advise taking tablets from a group of antibiotics such as tetracycline and aminopenicillin.

In chronic illness, when exacerbations occuroccur more than 4 times a year, the following are recommended: amoxiclav, amoxicillin, as well as drugs from the cephalosporin and macrolide group. People suffering from chronic bronchitis with concomitant diseases, such as heart and kidney failure and diabetes, are prescribed drugs from the fluoroquinolone group. It has been noted that chlamydial and mycoplasmal bronchitis have recently been increasingly diagnosed. This is a special type of pathogens that appear in the lungs and bronchi. And the disease itself occurs against the background of the appearance of such pathogens as chlamydia and mycoplasma in the human body.

• Chlamydia and mycoplasmal bronchitisare accompanied by intoxication of the patient. They develop and flow slowly, with a recurring protracted character and are very difficult to treat. Patients with this diagnosis have a high fever, muscle pain and chills. Chlamydia bronchitis is prescribed drugs from the group of tetracycline, macrolides and fluoroquinolones. And with mycoplasmal bronchitis antibiotics are appointed from the group of macrolides in mycoplasma bronchitis.

What antibiotics should be used to treat bronchitis?An accurate answer to this can be given by a bacterial culture analysis of sputum. But there is one negative point here: the results of the analysis become known to doctors only after 5 days and not earlier. But specialists do not stand still, but look for new opportunities and ways in medicine. Rules for taking medications:

• In order to successfully cure, and for a chronic disease to achieve the best effect of taking medications, it is recommended to take the medications on a continuous course and preferably at the same time.
• Each patient should carefully observeany changes that occur in the body. If within the first 2 days there was no improvement, then it is better to change antibiotics, having consulted in this occasion with the attending physician.
• After an obvious improvement, it takes 3 more days to continue treatment.
• For any malaise, fever, cough, and chills, consult a doctor immediately.

By using medications correctly, you can successfully cope with even such a formidable disease as bronchitis.

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