Sore throat, cough, otitis, inflammation of the sinuses, urinary tract infection … What the antibiotic is necessary and when it is considered harmful or ineffective?
In all conferences, experts do not stop repeating that the antibiotics are not appropriate without good reason. Unfortunately in Greece statistics prove that antibiotics consumption is higher than in other European countries. Especially in the case of children, as the Mr Andreas Konstantopoulos, Professor of Pediatrics School of Medicine University / University of Athens: ” 2 out of 10 parents are accustomed to the slightest allowance child resorting to antibiotics, without consulting a doctor! However, their use is only justified in treating a disease caused by the virus “.
Pain in the ear:
“Yes,” if it is “otitis media”
Your ear is swollen, painful to the touch or is clogged? This is probably otitis externa (on the auditory canal), which recommends abstaining from water for a few days without needing antibiotics.
You need antibiotics if the otitis to the drum. Ie the so-called “otitis media” -phlegmon inside part of action-, which is accompanied by fever. However, because the inflammation is caused by microorganisms (such as beta-hemolytic streptococci, staphylococci, pneumococci), require antibiotics, but only after the doctor takes a sample to culture from the ear to provide the appropriate antibiotic.
Prevention: If you are prone to otitis externa or suffer from allergic rhinitis, it is good if you are going to subscribe to swimming, visit to the audiologist for specific instructions.
Inflammation of the sinuses:
In antibiotic “yes” and “no”
Spent a cold that lasted 5-7 days and over that your condition began to improve, you’re worse. Do you feel more “stuffy”, fatigue, headaches and pain in the face, around the nose, eyes, or the upper teeth? Once you hit the door a sinusitis (inflammation of the sinuses).
You will take antibiotics if the infection in the sinuses caused by bacteria, such as streptococci, Haemophilus and Moraxella, when accompanied by a continuous purulent nasal discharge – typically yellow-green. Conversely, if the catch at the stage of the common cold, the treating is with decongestants, mucolytics locally in the nose or antihistamines (especially allergic rhinitis coexists) and washes with saline, so can avoid antibiotics.
Prevention: When colds, make sure your nose remains open to facilitate your breath and aerated sinuses correctly.
Antibiotic only on antimicrobial
Breakfast tsigarovichas has evolved into a more serious condition, chronic bronchitis which, whether viral or bacterial, attacks the lungs and in particular in the bronchi, causing coughing and inflammation in the thorax. A cough is initially dry and then becomes productive, and secretions are of white-yellowish.
You need antibiotics if it is bacterial bronchitis. Ie, cough, usually productive, accompanied by purulent mucus, smelling nasty and have yellow or greenish. But not require antibiotics if a cough -even if accompanied by fever, sore throat, stuffy nose and Pono kef Alo- found that due to a virus and not a microbe (the doctor will prescribe a cough suppressant or expectorant syrup and analgesics). In the case of chronic bronchitis will recommend special treatment with inhaled bronchodilators drugs.
Prevention: The best prevention is quitting cigarette. Smokers should know that besides the risk of chronic bronchitis at much more than others and the risk of acute.
Urinary tract infection:
The doctor will give antibiotics
Feeling pain combined with a feeling of “burning” and difficulty with urination (dysuria). The disturbances are usually an indication of a urinary tract infection.
You need antibiotics if, though, after the first appearance of troublesome symptoms started to drink plenty of fluids, intense bladder problems do not subside. Then you should consult a physician or a urologist, who will recommend you probably urine culture to detect the type of microbe that you have, and then prescribe the appropriate antibiotics. The important thing is not to take the antibiotics for less time than is required (for cystitis usually need 7 days).
Prevention: Drink daily a large amount of water to empty the bladder at regular intervals. Also, although there is no conclusive scientific evidence to confirm the preventive effect of cranberry juice, many doctors and patients in Greece and abroad believe that it helps in recurrent cystitis.
A sore throat:
Not necessarily antibiotics!
Your child shows diffuse redness in the throat, with pain and difficulty swallowing. It should be noted that other is the redness of the throat and other acute tonsillitis.
You need antibiotics if the diagnosis is acute tonsillitis, meaning attack tonsils of germ (the most common is Streptococcus). Instead, the flushing of the neck (caused by the virus), even if accompanied by fever, no need antibiotic therapy. In the simple sore throat, if there is fever, an antipyretic administered.
Prevention: In the first tickle in the throat, the warm milk with honey is an old recipe that effectively relieves. Will relieve sore throats and hot drinks mint, sage, althea, linden and chamomile. Avoid giving your child citrus juices (lemonade, orangeade) to “tingle” the already irritated throat.