Bronchitis refers to one of the most commondiseases among people. Recently, it has acquired even a chronic character. At the same time, its signs are very diverse and depend on numerous factors, both individual and surrounding. Immediately before starting the treatment of the patient, the doctor must find the cause that triggered the disease. Today, some cases are known when the doctor prescribes the treatment of a patient on the basis of antibiotics without tests and a strong belief in the nature of the disease. Sometimes patients start taking medication without consulting their doctor. And such uncontrolled and unsystematic taking of medicines is inexpedient 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 to detect bronchitis?to start antibacterial therapy? Until now, specialists can not answer this question unambiguously. And yet in some issues they are absolutely solidary. Unambiguous reception of antibiotics should not be started immediately in the first days of illness. Because this disease has a viral basis of origin and at the first signs of the onset of the disease should take antiviral drugs. If viral bronchitis is treated with antibiotics, then these drugs will only interfere with the defense mechanisms to resist the virus. They will weaken the already weak immune system, and on this basis a person can develop an allergy and a dysbiosis. If a person has never before had any diseases associated with the lungs, then in 95% it is a 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 are strongcough with phlegm, low fever and chest pain. In general, the disease passes quickly, rarely lasting up to a month. With this disease, which carries a viral etiology, it is recommended to take expectorants and inhalation. Especially beneficial to the patient is a plentiful drink and bed rest. If within 2 years the total number of sick days exceeds 3 months, then such bronchitis is considered chronic. Its main difference is a strong cough with the release of mucus. This may be a consequence of smoking, allergies and work in harmful 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 exacerbationsoccur more than 4 times a year, are recommended to receive: amoxiclav, amoxicillin, as well as preparations from the group of cephalosporins and macrolides. Persons suffering from chronic bronchitis with concomitant diseases, for example, such as heart and kidney failure and diabetes, are prescribed drugs from the group of fluoroquinolones. It is noticed that recently chlamydial and mycoplasmal bronchitis have become more and more frequently 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 in the human body of such pathogens as chlamydia and mycoplasma.

• 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 kind of antibiotics to treat bronchitis? An exact answer to this can be given by an analysis of bacterial culture on sputum. But there is one negative point: the result of the analysis becomes known to doctors only after 5 days and not before. But experts are not standing still, but are looking 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.

Properly using medicines, you can successfully cope with even such a formidable disease as bronchitis.

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