When a woman becomes pregnant, her body undergoes serious changes. Many of the processes occurring in the body are different, the basic bodies work with dual load. In this period the expectant mother is very vulnerable. Her immune system is weakened and therefore it can carry many diseases harder than any other girl. Antibiotic treatment is assigned at the very least, when without them anymore. The antibiotic is used in pyelonephritis, infectious diseases, sexually transmitted diseases, pneumonia and many others.
Antibiotics are allowed in pregnancy.
In European countries for over thirty years conducted research showing that there are a number of drugs that will have bad effects on the fetus or have to a small degree. It is known that the antibiotic penicillin does not have toxic effects on the fetus as in the early stages, and late term in the pregnancy. In turn, cephalosporins, should be taken only in cases of extreme necessity in the second and third trimester.
Antibiotics are harmful during pregnancy:
Other antibiotics are not recommended to take or not to take in cases of extreme need. Apart from the fact that many drugs can harm your fetus, they can be useful in the treatment of specific diseases. Most often, the antibiotics are aimed at treating a particular disease, in other cases their use will not give the desired results.
When the antibiotics doesn’t work:
We must remember that the antibiotic is indicated for the relief of infections of bacterial etiology, therefore, in viral infections, SARS or the flu, the drug won’t work. Do not use antibiotics for asymptomatic elevated temperature, since the origin of it is unknown. Also exclude the entry of drugs of this type when you cough and intestinal disorders.
What all pregnant women must know:
– Unnecessarily antibiotics are not accepted until the fifth month of pregnancy, as this period is the formation of major organs in the child.
– If you use any medications prescribed by your doctor, you need to follow straightforward instructions and be able to withstand an entire course to the last reception.
– When allergies need to temporarily or completely stop your antibiotics and contact the doctor watching you.
What antibiotics better
In the treatment of infectious diseases, including sepsis, often modern medicines are the most effective, so their cost is high. However, the effectiveness of antibiotic therapy is determined primarily not by the cost of antibacterial drugs, and the quality of its action on those or other pathogens. This refers to the ability of the drug “targeted” to destroy sensitive infectious diseases. And of course, the success of the application of any antimicrobial drug depends on properly selected dose and duration of treatment.
How to choose the right antibiotic
Remember, if within 3 days of the assigned antibiotic therapy has not helped, in particular the body temperature of the patient is not normal, you should choose a different drug. It is rational to replace one antibiotic will also help others as a result of bacteriological examination, which, if necessary, should be repeated. However, in no case, the patient’s condition and the dynamics of the disease should be assessed not only on the level of body temperature. In any case, treat the patient, not the temperature. Prescribe those drugs which can be as efficient as possible. If the patient will tell you not to buy them, try to make a rational replacement. This procedure record in the case record, an out-patient card and the like. Life brings adjustments to the treatment process, but the doctor must always remain a doctor.
To such antibiotics are those drugs that are kept in reserve. When flora vysokopitatelny and other antibiotics do not help are carbapenem. Imipenem (available in drug with cilastatin and Meropenem). Activity: broadest spectrum of all antibiotics; active against many gram-positive, gram-negative bacteria (including those that form ESBL) and anaerobic. Doripenem is a broad spectrum of action, but narrower indications than for imipenem and Meropenem. Ertapenem is active against Enterobacteriaceae rods, inactive against P. aeruginosa and Acinetobacter spp. Reserve these for treatment of infections by bacteria resistant to other groups of antibiotics. Inactive against strains that form carbapenemase some strains of P. aerugionsa and Acinetobacter baumanii resistant to ampicillin Enterococcus, methicillin-resistant staphylococci (MRSA, MRCNS), Enterococcus faecium, C. difficile, Bacillus of the genus Stenotrophomonas and Burkholderia.
Antibiotics on all occasions
Sometimes there is no time for consultation with a physician and have the infection. In such cases, there is a list of generic antibiotics, which is better to use on prescription.
- 1. Macrolides: erythromycin, roxithromycin, clarithromycin and spiramycin.
- 2. The azalides: azithromycin.
Activity (depends on the type of antibiotic): aerobic gram-positive cocci (does not apply to Enterococcus), gram-negative bacilli, demanding to growing conditions (H. influenzae, Bordetella pertussis, Pasteurella), atypical bacteria (Mycoplasma pneumoniae, Chlamydia trachomatis, Ureaplasma , Chlamydophila pneumoniae, Legionella), spirochetes (Borrelia burgdorferi), as well as some bacteria responsible for gastrointestinal infections (Campylobacter, Helicobacter pylori [clarithromycin in combination therapy], Vibrio) and protozoa (T. gondii → spiramycin); atypical Mycobacterium from the group of Mycobacterium avium intracellularae (MAC → clarithromycin or azithromycin).
Active against gram-positive cocci clarithromycin is next in line – erythromycin. Azithromycin is active among all macrolides against H. influenzae (mean response, to other macrolides is low).
Strains of gram-positive cocci that are resistant to macrolides in the mechanism MLSB, at the same time resistant to lincosamides and streptogramin (cross-resistance). Given the rapid rise of resistance to macrolides in S. pyogenes, S. agalactiae and S. pneumoniae, limit their use in the treatment of infections of the respiratory system to situations when it is necessary (hypersensitivity to b-lactams, atypical bacteria). Because of frequent resistance of H. pylori to macrolides in prescribe eradication therapy amoxicillin, and metronidazole.
And most importantly, dear women, what you must remember: all antibiotics should be taken only under the cover of preparations of the normal flora (Linex, probifor, Florin Forte, Bifidumbacterin, Lactobacterin)