Notes on the topic of medicine # 015

Acute bronchitis
Bronchitis is symptomatically manifested in the form of fever and cough, accompanied by separation of mucosa, and then mucopurulent sputum. For a long time, antibiotics for acute bronchitis were part of the mandatory therapeutic course, whereas now the need for their appointment is considered a very controversial issue.
Etiology of acute bronchitis
There are several sources that cause acute bronchitis.
Viral bronchitis. Most of the recorded cases of the disease are caused by respiratory viruses: rhinoviruses, coronaviruses, influenza pathogens, respiratory syncytial viruses.
Mycoplasma bronchitis. The prevalence of this disease is of a recurring epidemiological nature and is most often observed in young people.
Chlamydial bronchitis. They have been isolated into a separate group relatively recently and are accompanied by acute forms of pharyngitis and laryngitis.
Bacterial bronchitis. Previously, they formed the predominant group of diagnosed infections, whereas now they develop in people with suppressed immune systems.
Antibiotics for acute bronchitis: indications for use
In the case of uncomplicated bronchitis of viral etiology, antibacterial therapy is ineffective, while there are cases when antibiotics from the nirofuran group had an immunosuppressive effect in acute bronchitis.
Antibiotic therapy is indicated when pronounced foci of bacterial infection are detected, as well as as a complementary course in case of suspected concomitant diseases.
The main drug of choice for antibacterial therapy is amoxicillin in the form of water-soluble tablets (Flemoxin Solutab). The appointment of macrolide antibiotics (Azithromycin, Spiramycin) is recommended for mycoplasma etiology of acute bronchitis.
Antibiotics for acute bronchitis are introduced into the course of treatment exclusively accompanied by dietary or medical preventive measures to prevent dysbiosis.
The controversial effectiveness of the drugs and a significant number of identified side effects make it unacceptable to take antibiotics on your own. Any appointment of such potent drugs should come only from a specialist who is leading this case of the disease.
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