Medicines for sore throats for adults and children should be selected by a doctor after examination, based on the clinical picture and taking into account age, the presence of concomitant diseases, etc.. It is important to correctly select an effective remedy that will contribute to a quick recovery without the development of purulent and non-purulent complications..

Medicines for the treatment of angina should be prescribed by a doctor Angina, or acute tonsillitis, is an infectious disease based on an acute inflammatory lesion of the parenchyma, lacunar and follicular apparatus of the tonsils. Both an adult and a child from a year and older can get sick with angina..

Causes of the development of pathology The etiology of the disease is very diverse.

The mucous membrane and lymphoid tissue of the pharynx in the body are in contact with pathogenic agents of the environment.. In this regard, bacterial angina is most common.. The disease is often combined with pharyngitis.

Pathogenic bacteria that cause inflammation of the lymphoid tissue: staphylococci, streptococci, Haemophilus influenzae, gonococci, anaerobes, spirochetes, mycoplasmas and chlamydia. A large etiological role is assigned to group A beta-hemolytic streptococcus, or pyogenic streptococcus..

The cause of inflammation of the palatine tonsils can also be a viral infection: rhinoviruses, adenovirus, influenza viruses, parainfluenza, herpes.

In more rare cases, fungal tonsillitis develops, which is caused by yeast-like fungi of the genus Candida..

The causative agent of sore throat can be transmitted in various waysPathogens enter the mucous membrane of the tonsils through food, airborne droplets or direct contact.

Opportunistic flora of the oral cavity can also cause inflammation of the tonsils with a decrease in the overall reactivity of the body and a weakening of local immunity..

Symptoms and diagnosis of angina The severity of symptoms can vary greatly depending on the type of pathogen, the form of the disease.

With angina, signs of intoxication are expressed: fever, muscle and headache, weakness, fatigue, loss of appetite, sleep disturbance.

With angina, the submandibular and cervical lymph nodes increase. Patients complain of pain, itching and discomfort in the throat, which are aggravated by swallowing.. Submandibular, anterior and posterior cervical lymph nodes increase in size, become edematous and painful on palpation.

On examination, hyperemia, edema and infiltration of the mucous membrane of the palatine tonsils, palatine arches, soft palate, posterior pharyngeal wall are determined. Plaque and purulent follicles are determined, which appear through the mucous membrane of the tonsils in the form of yellowish rounded granules.

The manifestations of acute tonsillitis depend on the causative agent of the disease. The diagnosis is established by the doctor after an examination, pharyngoscopy, and obtaining data from laboratory research methods..

As a rule, patients with a runny nose, cough, sore throat, congestion of the pharynx and no fever have a viral infection.. The presence of exudative inflammation of the palatine tonsils, high body temperature, signs of intoxication of the body, cervical lymphadenitis and the absence of cough with a high probability indicate a bacterial etiology of the disease.

Strong antibiotics that act against a large number of pathogens, including pyogenic streptococcus, are drugs with amoxicillin and clavulanic acid: Amoxiclav, Augmentin.

The main method for diagnosing an infectious lesion of the palatine tonsils is a microbiological study.. It is extremely important to identify acute streptococcal tonsillitis, which requires systemic antibiotic therapy..

For express analysis, a test for streptococcal antigen (Streptatest) is used.. This is a universal method that allows you to determine the presence of group A beta-hemolytic streptococcus in 5 minutes and determine the treatment tactics in time. This test does not preclude the need for a bacteriological culture, regardless of the result..

Treatment of angina With the development of acute tonsillitis with severe symptoms of intoxication, hospitalization in an infectious diseases hospital is recommended, and with minor systemic manifestations, the disease can be treated at home, following the treatment regimen prescribed by the doctor.

In the uncomplicated course of the disease, therapy is carried out at home. Also, hospitalization is necessary for a specific infection in order not to spread it among the healthy population..

Bed rest is recommended for 3-4 days, a diet with a predominance of plant and dairy foods rich in vitamins, drinking plenty of water. Strictly no alcohol and smoking.

Features of therapy depending on the type of angina:.

viral: antiviral drugs are prescribed;

bacterial: systemic antibiotic therapy required. It is very important to timely prescribe antibiotics in the presence of angina caused by group A beta-hemolytic streptococcus.;

fungal: treatment includes oral antifungals (Nystatin, Ketoconazole, Fluconazole), ascorbic acid, and antihistamines.

The need to prescribe antibacterial treatment from the first day of the disease is based on the data of numerous reviews of scientific articles: earlier appointment reduces the risk of rheumatic (acute rheumatic fever, rheumatic heart disease, glomerulonephritis) and purulent complications (abscesses, mediastinitis, pyelonephritis, otitis), reduces the severity of symptoms and the duration of the disease.

At the same time, prophylactic antibiotic treatment of the patient's family members is not justified..

List of antibacterial drugs for the treatment of streptococcal angina:.

Phenoxymethylpenicillin;

Amoxicillin/clavulanate;

Ceftriaxone;

Ceftazidime.

Phenoxymethylpenicillin has a high bactericidal activity against group A beta-hemolytic streptococcus. It is well tolerated, has a narrow and targeted spectrum of action, minimally affects the microflora of the gastrointestinal tract.. The advantage of this drug is also a low price..

Amoxiclav is an antibacterial drug that acts on pyogenic streptococcus Strong antibiotics that act against a large number of pathogens, including pyogenic streptococcus, are drugs with amoxicillin and clavulanic acid: Amoxiclav, Augmentin.

It is important to observe the frequency of administration and the recommended dosage of the drug.. It is selected by the doctor depending on the severity of the clinical manifestations of the disease..

Alternative medicines for angina:.

Azithromycin;

Clarithromycin;

Cefuroxime;

Lincomycin.

Macrolides (Azithromycin, Clarithromycin) are prescribed for intolerance to penicillins. They also give a high percentage of eradication of the pathogen..

Cephalosporins (Ceftriaxone, Cefuroxime) have a wider spectrum of action, which negatively affects the microflora of the gastrointestinal tract.

As a rule, patients with a runny nose, cough, sore throat, congestion of the pharynx and no fever have a viral infection..

When taking antibiotics, you must follow the basic principles: the optimal course of treatment is 7-10 days; it is necessary to take the drug strictly following the instructions or recommendations of the attending physician; you can not independently reduce the dosage of the drug. Due to the large number of complications and adverse reactions, the selection or replacement of an antibacterial agent is carried out strictly by the attending physician..

Parenteral administration of antibiotics is indicated for severe clinical symptoms, intoxication and is carried out in a hospital setting..

Symptomatic therapy is aimed at eliminating pain and lowering body temperature.. For these purposes, non-steroidal anti-inflammatory drugs are prescribed: Paracetamol, Ibuprofen.

In acute specific tonsillitis, treatment is carried out as part of the treatment of the underlying disease..

Local therapyThe main request of patients with acute tonsillitis is the need to eliminate sore throats.. One of the most significant, effective and safe directions in therapy is the use of topical drugs for angina..

The advantages of local treatment lie in the direct effect on the site of inflammation through targeted delivery of the drug, reducing the risk of the emergence of resistant strains of normal microflora, minimal systemic effects and the impact on the human microbiota..

Warm gargles are prescribed with a solution of Furacilin, Miramistin, calendula tincture or chamomile decoction.

For local treatment of tonsillitis, Grammidin is often used. The drug is also available in the form of a spray.. It is recommended for bacterial and fungal infections of the palatine tonsils and is considered one of the best remedies for sore throats..

The active ingredient of Grammidin is gramicidin C, an antibiotic of the tyrothricin group.. It is practically not absorbed from the gastrointestinal tract and does not penetrate into the systemic circulation.. Gramicidin C has a bacteriostatic and bactericidal effect on pathogenic staphylococci, streptococci, anaerobic microorganisms.

The anesthetic oxybuprocaine, which is part of Grammidin Neo with an anesthetic, has its own bacteriostatic and bactericidal effect.. It, in comparison with lidocaine, is characterized by low toxicity and allergenicity.. The drug helps to get rid of pain and discomfort in the throat.

When using Grammidin in the form of a spray, hard-to-reach places of the mucous membrane are irrigated: tonsil lacunae, lateral ridges, posterior pharyngeal wall. The drug is used in a course of up to 7 days.

Lysobact is effective against viruses, bacteria and fungi. An effective remedy for angina is Lysobact. This antiseptic drug is available in the form of lozenges.. The active substances in its composition are lysozyme and pyridoxine..

Lysozyme is an enzyme that has a direct effect on Gram-positive and Gram-negative bacteria, as well as fungi and viruses.. It takes part in the regulation of local nonspecific immunity.

Bed rest is recommended for 3-4 days, a diet with a predominance of plant and dairy foods rich in vitamins, drinking plenty of water. Strictly no alcohol and smoking.

Streptocid is an inexpensive, good antimicrobial drug that comes in powder and ointment form.. It can be used in the treatment of purulent tonsillitis.

At home, in addition to the main treatment and in agreement with the doctor, you can do an alcohol compress on the anterior cervical region, hot foot baths, steam inhalations and drink milk with honey.

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