Origin of the disease and its symptoms
Sore throat is characterized by acute inflammation of the tonsils. As a rule, it is triggered by various infections and viruses. And favorable factors for the activation of pathogenic microflora are:
- low immunity;
- poor body response;
- hypothermia of the oropharynx;
- vitamin C deficiency.
To be able to suspect a disease, you need to know its main symptoms:
- tonsil irritation;
- redness of the throat;
- body aches;
- headache;
- weakness of the whole body;
- increased body temperature;
- Sometimes purulent inflammations are observed in the throat.
Symptoms of the disease
Symptoms of a disease such as tonsillitis always appear acutely and are quite difficult to ignore. The main signs of the disease include:
- inflammation and redness of the tonsils;
- acute pain in the throat when swallowing;
- significant increase in body temperature;
- fever;
- throbbing headache;
- general weakness and fatigue of the body.
Precautionary measures
Infectious sore throat is transmitted by airborne droplets and through dishes, so a sick person should limit communication with others, and his plate, spoon and mug should be individual for the duration of his illness.
The patient's room must be ventilated several times a day and wet cleaned.
Young children and the elderly especially need to be protected from communicating with the sick, since their immunity is reduced. The rest of the inhabitants of the house in which a person with a sore throat lives should take immunomodulatory drugs, which in this case are necessary for prevention purposes.
If treatment is ignored, tonsillitis can cause serious complications. For an infectious sore throat, the doctor prescribes antibiotics to the patient. As a rule, these are injections, since swallowing tablets for a sore throat is quite problematic.
To determine which antibiotic is best for a particular case, the doctor diagnoses the patient’s general condition.
The causative agents of sore throat in adults and children are usually:
- staphylococci;
- fungi such as Candida;
- streptococci.
It is impossible to determine the type of pathogen based on symptoms alone. Therefore, the patient is prescribed tests; more precisely, a smear is taken from the surface of the mucous membrane of the throat and affected tonsils.
If the cause of tonsillitis is streptococcus, the patient is prescribed antibiotics, which are administered by injection, that is, an injection for a sore throat.
For what forms of sore throat is it advisable to prescribe injections?
Injections for tonsillitis are prescribed for bacterial (necrotizing tonsillitis) or purulent (follicular, fungal) manifestations of tonsillitis. However, it is possible to prescribe injections for other forms if they are characterized by the following symptoms:
- the lymph nodes in the neck and ears have increased significantly in size;
- there is an increased body temperature, up to 39 degrees, which lasts for a long time and is not brought down by pills;
- Sore throat is accompanied by a disease such as purulent sinusitis;
- large-scale inflammatory processes are observed on the surface of the larynx and tonsils;
- the number of lymphocytes in the blood is increased and exceeds the norm;
- the nature of the origin of the disease (fungal, viral or other origin) has not been determined.
The choice of medication, dosage and treatment regimen are determined by the attending physician. No self-appointments are allowed. Sore throat should not be underestimated. This is a serious disease, dangerous with its complications.
What are antibiotics for?
Antibiotics for tonsillitis are taken to prevent the development of complications. This precaution is due to the fact that sore throat of bacterial origin is very aggressive.
In a very short period of time, the infection can spread to other organs. Pus released from the tonsils penetrates into the lungs, causing pneumonia or an abscess. This is precisely why it is dangerous.
There is a high risk of kidney inflammation, from which only antibiotics can protect adults and children. Injections for tonsillitis are given for 5-7 days. But if the disease is acute and severe, the course is extended to 10-12 days.
To defeat bacterial sore throat, penicillin drugs are most often prescribed:
- Benzylpenicillin is a drug that has a wide spectrum of effects on viruses. The medicine is administered intramuscularly, which ensures rapid absorption and resorption.
- Ampicillin is a semi-synthetic penicillin medicine with broad action. It is administered both intravenously and intramuscularly.
- Bicillin is a natural antibiotic. The prolonged effect of the drug is achieved by retaining the active component in the blood.
But not all patients tolerate penicillin drugs well. For such patients, there are other antibiotics: Lincomycin or Intramycin.
These medications are administered into the body intramuscularly or intravenously using a dropper.
The need to monitor the course of the disease
A patient who is treating tonsillitis with antibiotics must carefully monitor the body's reaction to the drugs and how the disease progresses. It is necessary to adhere to the correct dosage and schedule of taking medications.
The effect of penicillin drugs can be assessed 2-3 days after the start of treatment. If there is no effect from therapy, then the antibiotic was chosen incorrectly and the patient should inform the doctor about this. The doctor will replace the medicine with another one.
Most likely, the antibiotic did not correspond to the etiology of the disease, then it is necessary to conduct additional tests that will help determine the true nature of the sore throat.
In other words, monitoring the course of the disease is no less important than the treatment itself.
Surgical treatment of sore throat in adults and children
Typically, treatment of sore throat with antibiotics is carried out on an outpatient basis. The patient can come to the clinic for injections or get them right at home.
However, if complications occur, the patient must be hospitalized in a hospital.
Surgery involves removing the tonsils. Moreover, this does not just apply to that moment. what doesn't appear. Indications for such an operation are:
- frequent sore throats, recurring from 3 to 6 times a year;
- purulent tissue infection;
- infection resistance to antibiotics.
To prevent the moment when surgical intervention is required, you need to adhere to the basic rules of prevention:
- monitor the condition of the oral cavity;
- treat caries, stomatitis, periodontal disease in a timely manner;
- avoid hypothermia;
- strengthen your immunity.
If sore throat in adults and children is treated promptly and correctly, it does not entail unpleasant consequences. To do this, you need to correctly determine the nature of the virus.
Treatment with injections is prescribed for severe tonsillitis or in cases where severe pain in the throat makes it impossible to take pills.
However, any medicine should only be prescribed by a doctor. Self-medication is strictly prohibited. If the medications prescribed by the doctor do not provide relief, the therapy requires review and the prescription of other medications. Which antibiotics are recommended for angina, we will look at it in detail again in the video in this article.
Sore throat is an acute form of the infectious disease tonsillitis, which affects the mucous tissue of the tonsils and affects the entire human body. Treatment of such a disease involves the use of medications, which are most often available in the form of tablets or sprays, but there are often situations when treatment for sore throat uses injections to fight the infection.
Types of sore throat
The acute form of tonsillitis is divided into three main types: fungal, viral and bacterial. The basis for this division is the reasons that provoked the development of the disease.
Basically, the cause of sore throat is a pathogen, which can be a fungus, virus or bacteria. Their entry into the human body and proliferation lead to the development of one of the types of acute tonsillitis.
An important role, in this case, is played by additional conditions for the occurrence of the disease. These include factors such as high levels of stress, bad habits, and reduced immunity. Under such conditions, the disease progresses with a vengeance and causes greater damage to health.
Treatment
Depending on what type of sore throat is observed in a particular patient, the treatment of the disease will differ. For viral tonsillitis, the basis of treatment is antiviral drugs, for fungal tonsillitis - antifungal drugs.
As for the most aggressive type of sore throat - bacterial, in this case, treatment is provided primarily with antibiotics. Moreover, when complications of the disease are observed, such as the development of otitis media, retropharyngeal infection or inflammation of the oropharynx, antibiotics in the form of injections (injections) can be prescribed for a sore throat to quickly and effectively get rid of the disease.
Injections for complications of tonsillitis are given intramuscularly. The most suitable antibacterial drug for injection is Benzylpenicillin; it effectively suppresses all the vital activity of bacteria in the tissues of the tonsils and destroys their remains in the body.
Such injections for sore throat can be prescribed to both adult patients and children. The difference during the procedure will be a lower dosage for children. For children, injections for sore throat are given in extreme cases of the most advanced conditions of the disease. This happens quite rarely, but is a necessary measure if complications of the disease are suspected.
In addition to Benzylpenicillin, injections of drugs such as Oxacillin, Methicillin, Erythromycin, and Oleandomycin can be used for angina. These medications support the treatment process at the proper level, preventing the disease from spreading deep into the body.
The course of treatment for sore throat with antibiotics in any form (tablets, injections) usually lasts five to seven days. However, if serious complications are observed, taking antibacterial drugs in the form of injections for a sore throat can last for ten to twelve days. It is important to remember that the prescription of this or that type of drug can only be carried out by a doctor based on the results of an examination and analysis of a smear of throat tissue. Self-treatment can lead to significant deterioration in health, which, especially in the case of a child, is unforgivable. Therefore, in order to avoid complications that can complicate the patient’s life for many years, at the first signs of the disease, you should immediately consult a doctor.
Sore throat is a disease that affects the mucous membrane of the tonsils and affects the general condition of the body. Most often, this disease is treated with antibiotics in tablet or injection forms. A specialist will tell you what is the best way to fight the infection.
Antibiotic injections are prescribed only for sore throat caused by bacterial microorganisms. Most often, it is very difficult to distinguish between bacterial and viral forms of tonsillitis.
The bacterial form of sore throat is distinguished by the following symptoms:
- exudate is released from microcracks in the vessels passing through the tonsils;
- a person develops a fever that is difficult to stop. The temperature rises to 39-40 degrees;
- the number of leukocytes in the blood increases sharply.
If tonsillitis appeared about two days ago, and the specialist prescribed antibiotics without donating blood for analysis and additional studies, then most likely the treatment was prescribed incorrectly.
Only when the above symptoms appear can you safely start taking medications as prescribed by your doctor.
What antiviral and antifungal injections are given for a sore throat in an adult?
If a patient has tonsillitis of viral origin, then prescribing antibiotics in the form of tablets or injections is ineffective. Therefore, for viral sore throat, antibiotics are not prescribed; they can only lead to a worsening of the situation.
However, the following injections are prescribed:
- Neovir;
- Altevir;
- Aktipol.
For pronounced and difficult to treat fungal tonsillitis, Fluconazole is given intravenously.
Amphotericin is a strong antifungal agent, given only in extreme cases, for example, in patients with HIV infection.
What are antibiotics for?
Treatment with antibiotics allows a person to get rid of the following symptoms of the disease:
- stop the development of fever. When taking antibiotics, the body temperature decreases and the fever subsides;
- When taking antibiotics, the development of purulent inflammation is prevented. This avoids the formation of abscesses and, as a result, surgical interventions;
- the manifestations of symptoms of sore throat also decrease: the sore throat disappears, it becomes easier to breathe;
- when a sick person takes medications, the risk of infecting others is significantly reduced;
- in addition, the possibility of complications, especially cardiac ones, is significantly reduced (most often they appear during chronic angina).
When are injections required?
Today, antibiotics in the form of injections can only be injected in the following cases:
- when the patient is unable to take the medicine on his own: he is unconscious, disabled or is suffering from severe vomiting;
- oral forms of the drug cannot be found: on expeditions, hikes, during natural disasters and other similar situations. An emergency kit usually contains injection solutions;
- for the prevention of rheumatism with angina, only injectable intramuscular drugs are used (for example, Bicillin);
- if there is a need to use the drug without the will of the patient (in psychiatric clinics, correctional institutions).
In all other cases, no injection is required. A specialist can select products in tablet form that can give an effective result.
Also, some injection forms are outdated and have no effect, as they have developed resistance to the strains of pathogenic microorganisms that cause tonsillitis. Antibiotics with this effect include the group of sulfonamides.
In addition, there are drugs that should not be used in injection form for angina:
- Lincomycin. It causes dysbiosis in the gastrointestinal tract;
- group of tetracyclines. The pathogenic microorganisms that cause tonsillitis have developed powerful resistance to this group, since tetracyclines have existed for quite a long time;
- groups of aminoglycosides and chloramphenicol. When taking them, severe side effects occur.
Injectable forms do not have any advantages over tablet forms, capsules, suspensions or internal solutions. In modern medical practice, injections are used as an exception. After a sore throat, antibiotic injections can make a difference.
When are antibiotics required?
Since intramuscular injections are fraught with serious consequences for a person, injections are given for sore throat only if there are good reasons for this. Similar methods are more often used for bacterial or purulent tonsillitis , which is accompanied by the following symptoms:
- an increase in temperature above 39 degrees with the inability to solve the problem with antipyretic drugs;
- the presence of extensive inflammatory processes in the area of the tonsils and the surface of the larynx;
- development of sore throat in combination with purulent sinusitis;
- inflammation and significant increase in the size of the lymph nodes in the neck and ears.
When deciding whether to administer intramuscular antibiotics for a sore throat, a study is conducted and all options are considered in search of an alternative.
As treatment progresses, correction is also possible, in which injections are replaced with drugs in tablets. The course of therapy necessarily includes injections with vitamins C and E.
Important. There are cases when injections become the only possible way to carry out treatment. This occurs when the patient is unable to take medications due to paralysis, severe vomiting, or being unconscious.
A similar method is used in psychiatric clinics when treatment is not carried out at the request of the patient. Treatment of tonsillitis with injections is justified when it is not possible to find an alternative.
What are the consequences of prescribing antibiotic injections?
The injectable form of antibiotics has the following disadvantages:
- injections are very painful (some people have a panic fear of a syringe);
- external damage to the skin often appears, abscesses and infiltrates can form;
- if injections are prescribed to a child, then he may experience psychological trauma for life (a phobia reflecting the fear of doctors and injections, the type of syringe, blood);
- the patient will be tied to the clinic, since most of the population cannot give injections on their own, which is very inconvenient.
Modern oral medications for angina work even somewhat better than injectable forms. You should not believe doctors who claim that injected antibiotics are more effective than, for example, tablet forms.
Modern oral antibiotics have very high absorption in the stomach. They accumulate in the most affected areas of tissue and act quite quickly. In this case, psychological trauma, abscesses and other complications do not occur.
Thus, there is no difference between the tablet and injectable forms (except for the sulfonamide and tetracycline groups). But if a doctor prescribes injections for no apparent reason, then most likely he is pursuing his own selfish interests or does not have sufficient competence in this area.
What antibiotic injections can be prescribed for sore throat
Most often, sore throat is of bacterial origin, caused by two types of microorganisms - streptococci and staphylococci. To treat tonsillitis of this origin, antibacterial drug therapy is used. In addition to antibiotics, other drugs are prescribed that reduce the intensity of negative symptoms and stabilize the patient’s condition. But treatment occurs exclusively with antibiotics.
In fact, treating a sore throat is very simple and does not require expensive medications. As a rule, pediatricians and therapists prescribe quite affordable drugs. It is important to follow the regimen prescribed by the doctor and not interrupt the course even when it seems that the disease has already subsided.
Injections for sore throat, especially in adults, are usually prescribed from three main groups of antibiotics. These are groups such as:
- penicillin antibiotics, for example, Amoxicillin, Augmentin or Ampicillin;
- cephalosporin antibiotics;
- macrolides.
If the antibiotic turns out to be ineffective when given by injection for three days, the doctor must prescribe another medicine or adjust the dosage of the drug.
Penicillin
Penicillins are the most popular antibiotic drugs used to treat sore throat. There are more than a dozen varieties of penicillin medicinal formulations that have a similar mechanism of action. The only difference is the name and price. For example, there is an antibiotic such as benzylpenicillin (sodium salt of benzylpenicillin). It helps with the fungal type of tonsillitis. This drug can be used no more than four times in one day.
Does it make sense to inject antibiotics?
Official treatment protocols state that tablet forms of antibiotics should be prescribed first. However, doctors often prescribe injectable cephalosporins. These drugs include Ceftriaxone: a domestic parenteral antibiotic that is most often prescribed by doctors. This indicates their incompetence, since the drug was released quite a long time ago, and the pathogenic microorganisms that cause sore throat are resistant to its action. Of course, it is able to cope with tonsillitis, but is there a need for injectable forms of drugs for this disease?
Many foreign scientists and specialists believe that there is no need to treat sore throat with injectable forms of antibiotics. This is due to the fact that at the moment there are many tablet forms of penicillin and lincosamide groups. They have a wide spectrum of action and high bioavailability. You can also use Amoxicillin with clavulanic acid for sore throat. This combination of drugs is safe and has a powerful antibacterial effect. Used in the treatment of purulent or follicular tonsillitis, as well as abscesses.
That is why, before purchasing injection solutions and syringes, you should consult with a highly qualified specialist. Modern pharmaceuticals offer many worthy alternatives in tablets, suspensions and other oral forms of antibiotics. In this case, traumatic consequences can be avoided.
Not really
The reason for prescribing intramuscular injections is severe tonsillitis, accompanied by the following symptoms:
- Temperature rises to 39 °C.
- Suspicion of the purulent nature of the process.
- Extensive inflammatory changes in the area and pharynx.
- Significant enlargement of the postauricular and cervical lymph nodes, which indicates high activity of the pathological process.
Intramuscular injections are also prescribed in cases where long-term treatment with other drugs does not give a positive result. The final decision on whether to prescribe injections is made by the patient's attending physician. Only he can sensibly assess the characteristics of the course of the disease and determine the need for enhanced therapy.
Contraindications to the use of intramuscular agents depend on which specific drugs are prescribed. The most common prohibitions in the use of antibiotics are hypersensitivity to the components of the drug, the presence of bronchial asthma or disorders in the digestive system.
Advantages and disadvantages
The use of injections for sore throat in adults has a number of advantages over the use of tablet drugs. These include:
- High bioavailability of the product.
- Rapid achievement of the effect of the drug.
- Relief of symptoms of even the most severe forms of a disease such as tonsillitis.
However, injections for sore throats also have a number of disadvantages. These include primarily inconvenience for the patient:
- Pain during injection.
- The need to visit a clinic to get an injection.
- The child may have an irrational fear (phobia), fear of injections.
In very rare cases, when injecting yourself, the syringe or drug may become contaminated, which can lead to an infection in the wound that remains after the injection. Therefore, it is recommended to entrust the procedure to a professional or experienced person who knows how to do intramuscular injections.
Cons of injections
Injections for sore throat in adults are prescribed only in extreme cases, since this method of administering medications has its drawbacks.
- Injections damage the integrity of the skin. Even such a small abrasion can become an entry point for pathogenic bacteria, which will lead to an inflammatory process.
- If a healthcare worker does not follow the rules of antiseptics, then even a medical needle can become a source of infection. In this case, an abscess develops at the injection site.
- Although intramuscular injections are easy to give, you will still have to contact a specially trained nurse. But oral administration of medications does not require the involvement of additional people.
- Many injectable antibacterial drugs are very painful. They are recommended to be done with Novocaine or Lidocaine, but even in this case, the patient experiences severe pain for the first few minutes.
In addition, do not forget that many people are terrified of injections even in adulthood. That is why such manipulations are considered huge stress for both children and adults.
A small child should be told how the medication is administered and explained that it may hurt a little. Don't laugh at your child's fears.
What injections for sore throat are prescribed to patients?
The drug of choice is antibiotics. They prevent the proliferation of pathogenic bacteria, thereby reducing disease activity.
The most commonly used drugs are:
- Ceftriaxone.
The medicine belongs to the group of cephalosporins. The drug is usually administered intramuscularly or intravenously. Can be prescribed to adults and children even at an early age. During pregnancy, use with caution, only from the second trimester if other drugs are ineffective. - Semi-synthetic penicillins.
This group includes Amoxicillin and Amoxiclav. Medicines are classic drugs to combat. However, many people are intolerant to penicillin antibiotics. The drug is used in both adults and children; it is dispensed to pregnant women strictly according to indications in the presence of a severe pathological process. - Cefazolin.
The medicine is also a cephalosporin and has a wide spectrum of action against pathogenic microorganisms that cause sore throat. Most often the drug is administered intramuscularly, less often – intravenously. It is not recommended to use the drug in an adult patient with kidney and liver diseases. The use of Cefazolin during pregnancy is contraindicated. - Bicillin.
The drug is available in powder form, which must be diluted with saline or sterile water. The medicine can be used in both adults and children. It can be used to prevent relapse. To do this, after completion of treatment, a minimum dosage of the drug is prescribed, which is administered in injections once every 2 weeks. During pregnancy, the drug should be used with caution.
Injections with antibiotics for sore throat in children
Less active and “aggressive” antibiotics are selected for children , since antibiotics prescribed to adults can cause allergic reactions in a fragile child’s body.
One of the common remedies for angina in children is the drug for intramuscular injections panzef . The drug contains the antibacterial component cefixime, which is a third-generation cephalosporin.
This is a bactericidal agent that not only destroys pathogenic microflora, but also prevents its re-production and spread .
The following tonsillitis pathogens exhibit sensitivity to this remedy:
- shigella;
- Klebsiella;
- streptococci;
- salmonella;
- Morcasella;
- Haemophilus influenzae.
When affected by staphylococci and enterococci, the drug is not effective.
The drug is contraindicated if there is a likelihood of developing allergic reactions to its components, as well as with impaired renal function and under the age of 12 years.
In such cases, children are prescribed the same drug, but in the form of a suspension or tablets.
- hemolytic anemia;
- disruption of the stomach (mainly manifested in the form of diarrhea);
- interstitial nephritis;
- reduced number of platelets, neutrophils and leukocytes in the blood.
When prescribing a drug, its dosage is calculated based on the patient’s age and body weight. For children over 12 years old and weighing more than 50 kilograms, two hundred milligrams are administered every 12 hours.
For smaller weights, depending on the severity of the disease, 3-9 milligrams of pancef are used for each kilogram of weight.
Another popular drug for the treatment of sore throat in children is ceftriaxone .
Children over 12 years of age and weighing over 50 kilograms are administered one gram of medication twice a day.
With less weight and at a younger age, the dosage should be 40-100 milligrams of the drug per kilogram of the child’s weight (injections are also performed twice a day when this dosage is divided into two parts).
Ceftriaxone has the following contraindications :
- prematurity;
- hepatitis;
- cholelithiasis;
- intolerance to beta-lactam drugs (manifests individually);
- intestinal inflammation and diarrhea that occurs when taking antibiotics;
- severe dysfunction of the liver and kidneys;
- ulcerative nonspecific colitis.
How to give injections correctly?
At home, only intramuscular injections are given; intravenous drugs are used in hospitals.
To carry out the injection, you need to prepare the necessary materials - an antiseptic, a syringe, an ampoule or a bottle of the drug. Next, you need to follow the algorithm:
- put the patient on his back, ask him to relax his buttock muscles as much as possible;
- treat the injection site - the upper part of the buttock;
- open the ampoule, draw its contents into a syringe;
- make sure that no air bubbles get into it;
- sharply insert the needle at a right angle into the upper right part of the buttock;
- slowly pressing the piston, inject the medicine;
- pull out the needle, wipe the injection area with an antiseptic.
By following these rules, the risk of complications during injections is significantly reduced.
Thus, injection is a treatment method that involves intramuscular administration of antibiotics to fight infection. Such treatment is carried out only under the supervision of a doctor in severe cases of the disease.