HealthDiseases and Conditions

Angina: treatment with antibiotics in adults. Consultation of a doctor-otorhinolaryngologist

Angina is an infectious disease. The cause of this disease is bacteria, less often - viruses. The microorganisms that most often cause angina are staphylococci and streptococci. This disease is transmitted by airborne droplets or through a common dish. The course of the disease can be quite acute, but the most dangerous consequences are expressed in the form of complications. Only the doctor is able to identify the cause, the result of which was angina. Treatment with antibiotics in adults and children takes place only with bacterial infection.


Angina is easy to recognize by the symptoms characteristic of the disease:

  • Acute onset of illness accompanied by fever;
  • Painful sensations when swallowing;
  • Deterioration of general condition associated with intoxication;
  • Increase in the size of the tonsils;
  • Appearance of purulent formations and plaque on the surface of the pharynx;
  • Pre-nodal lymph nodes become inflamed, increase in size and bring painful sensations.

If a patient has such symptoms, he is diagnosed with "angina". Treatment with antibiotics in adults and children is recommended in this case.

Types of the disease

Doctors refer to angina as acute tonsillitis and distinguish the following types:

  • Lacunar . This species is characterized by the presence of a white-yellow coating in the form of a film that covers the entire surface of the pharynx or is localized in lacunae.
  • Follicular . With this type of sore throat, white-yellow nodules appear, which are visible through the mucous membrane.
  • Film and ulcer. With this disease there is plaque and small wounds on the tonsils and throat.

When is the pathogen the virus?

A very common phenomenon - angina due to an acute respiratory viral infection or influenza. Viral infection depresses human immunity, and bacterial flora joins it. The consequence of this phenomenon is angina. Treatment of antibiotics in adults and children in this case, the doctor appoints.

But sometimes the virus itself is the causative agent of angina. For example, it occurs with herpes, adenovirus and enterovirus infection, scarlet fever, syphilis, agranulocytosis, tularemia and mononucleosis. It also happens that angina occurs with leukemia.

If the cause is a bacterial infection

Bacterial angina is caused by the following pathogens:

  • Streptococcus - 10% of all cases;
  • Streptococcus with staphylococcus - 10%;
  • Hemolytic streptococcus - 80% of cases;
  • Gonococcus or chlamydial infection - isolated cases.

What are the symptoms of angina in children?

In children the most common is purulent angina. Antibiotics are prescribed by the doctor without fail, as soon as the bacterial nature of the disease is confirmed.

Before being diagnosed, the otorhinolaryngologist pays attention to the following symptoms:

  • Absence of cough and runny nose;
  • High body temperature (more than 38.5 ˚С);
  • Lymph nodes on the neck are enlarged and painful;
  • On the body there are no rashes (with the exception of scarlet fever);
  • Glands are enlarged in size, have intense red color and white coating.

If these facts occur, the doctor diagnoses "angina". Treatment with antibiotics in adults and children is considered mandatory.

If the pathogen is a fungus

There are cases when the causative agents of angina are fungi. During prolonged antibiotic therapy, there is a local decrease in immunity. The yeast-like microorganisms begin to multiply intensively in humans. The symptoms of fungal angina are as follows:

  • Intoxication is poorly expressed;
  • Slight increase in body temperature;
  • Curdy loose coating on the mucous membrane of the larynx, this film is easily removed, beneath it is found the red surface of the inflamed throat.

If the patient has such symptoms, then the otolaryngologist diagnoses "fungal angina". Antibiotics (tablets and suspensions) in this case will not produce an effect. This condition is corrected by antifungal drugs.

Treatment with antibiotics

Antibiotics are medications that should be used only if prescribed by a doctor. An uncontrolled intake of these medications can cause irreparable damage to the human body. Treatment with antibiotics is prescribed only if the patient is diagnosed with "bacterial angina".

It is up to the doctor to determine which medication to prescribe, the dosage and duration of application. He examines the severity of the disease, the age and weight of the patient, the presence of his propensity to allergy or sensitivity to certain types of drugs. Depending on the type of antibiotic treatment course can be from 5 to 10 days.

What is the best medicine?

Many patients are concerned with the question of which is the best antibiotic in angina? Doctors have a clear position on this matter. Undoubtedly, if there are no contraindications, then drugs are prescribed that make up the penicillin series of antibiotics. It is believed that they cause the least damage to the body and at the same time effectively fight bacteria.

There is the following classification of antibiotics :

  • The first series - "Amoxicillin", "Penicillin", "Amosin", "Flemoxin Solutab", "Hikontsil", "Ecobol". It happens that the pathogen shows resistance to this group of drugs. Then the doctor prescribes antibiotics that combine penicillins with clavulanic acid. These include "Flemoklav", "Amoxiclav", "Medoklav", "Augmentin" or "Ecoclave".
  • The second row containing azithromycin. "Azitsid", "Sumamed", "Azitrox", "Zi-Factor", "Zitrolid".

If the prescribed penicillin series of antibiotics is ineffective and the temperature does not decrease within 72 hours, the doctor prescribes a second-line medication. In the absence of an allergic reaction in the patient, these drugs help very effectively.

Why is angina dangerous?

Bacterial angina must necessarily be treated with antibiotics. This disease threatens with serious complications, among which:

  • sinusitis;
  • Glomerulonephritis;
  • encephalitis;
  • otitis;
  • Rheumatic fever;
  • Hemorrhagic vasculitis;
  • Pancarditis;
  • Acute pyelonephritis;
  • myocarditis.

To avoid such serious diseases, you should seek medical help in a timely manner. The otorhinolaryngologist will carefully examine the cause of the disease and prescribe the appropriate treatment.

Usually, if the antibiotic is correctly selected, then the patient's temperature falls on the third or third day of treatment, the general condition is significantly improved. Sometimes a doctor can prescribe a joint intake of antibacterial and antipyretic drugs based on Paracetamol or Ibuprofen. However, it is important to remember the following: at temperatures below 38.5, heat medication is not recommended. At this time, immunity actively fights infection, and lowering temperature means depriving oneself of natural protection.

How correctly to take antibiotics?

There are several rules for accepting the described means. If they are observed, the effectiveness of treatment will be fully achieved.
All these rules are mandatory for execution:

  1. Treatment with antibiotics is prescribed only by a doctor after the performed examinations and visual examination of the patient.
  2. All information about taking medication should be recorded. The name of antibiotics for angina, as well as the way they are taken is very useful information.
  3. Do not insist on prescribing antibiotics if the doctor thinks otherwise. If there is an opportunity to cope with the disease without these medicines, a specialist will certainly recommend this method to you. Especially it is not necessary to ask to appoint antibiotics "stronger". If the pharmacy offers you an analogue, specify the name of the main active substance and its dosage. Before buying, be sure to consult a doctor.
  4. In order to determine the best antibiotic for angina for a particular patient, you should pass a sensitivity test. For this, a smear from the throat is taken and a laboratory culture is performed. Further, a test for sensitivity to various antibiotics is carried out. Based on the results of the study, the patient is prescribed a correct effective antimicrobial drug.
  5. Recommendations for the administration of antibiotics should be strictly followed. It is important to observe the dosage, the time intervals for taking the drug and the duration of the course of treatment. Correct reception of antibiotic will provide its certain concentration, which must be maintained. If the medicine is prescribed to drink 3 times a day, then the interval should be 8 hours, if twice, then 12 hours. The course must be completed to completely destroy harmful bacteria, and avoid recurrence or complications.
  6. Do not adjust the dose of the antibiotic yourself.

Reducing it will result in ineffectiveness of treatment, an increase can harm the body.

  1. If there is no specific indication, antibacterial drugs should be washed with still water. How to combine medication with food is usually indicated in the instructions.
  2. In order to normalize the intestinal microflora, together with antibiotics should take probiotics. They include "Hilak Forte", "Lineks", "Normoflorin", "Narine" and similar preparations. Take them separately from antibiotics, in between the two methods. It is especially effective to drink a probiotic for the night.
  3. In the period of antibiotic therapy, it is worth sticking to a sparing diet and following the principles of healthy eating. As is known, many antibacterial drugs have a negative effect on the liver, so food should be as light as possible and not contain a large amount of fat. During this period, it is necessary to exclude fried, smoked, spicy, fatty (especially animal fats) from the diet, as well as alcohol and sour fruits. It is necessary to include in the diet rich in protein food (lean meat, cottage cheese, eggs), cereal cereals. You also need to eat a lot of fresh vegetables and sweet fruits.

If you comply with all these rules, then treatment will quickly bring the desired result. Do not forget about the strengthening of immunity, to lead a healthy lifestyle, to eat fully and diversely, to observe sleep and wakefulness, to engage in physical education, and then all diseases will bypass you.

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