To effectively treat respiratory tract infection (RTI), it is recommended to use antibiotics with a broad spectrum of antimicrobial activity, including penicillins, macrolides or azalides. The most popular medicines from these groups are Azithromycin, Amoxicillin or Erythromycin.
In an antibiotic resistance, or if a patient has a known hypersensitivity to these medicines, Roxithromycin or Doxycycline may be prescribed as alternative treatments.
These antibiotics are also effective in exacerbations of respiratory infections. Their use helps to significantly reduce the volume of sputum, the intensity of coughing or wheezing. To treat different types of RTI, different dosing regimes for antibiotics are prescribed, for example:
- it is recommended to take approximately 500-1000 mg of Amoxicillin three times a day for pneumonia;
- for antibiotic therapy of whooping cough, patients are prescribed 250 mg -500 mg of Azithromycin for five days, or 1600 mg of Erythromycin in divided doses for two weeks;
- inexacerbation of chronic obstructive pulmonary disease, 500 mg of Amoxicillinantibiotic are prescribed, which have to be taken for five days, three times a day.
Patients with ENT infections, such as sinusitis, otitis media or pharyngitis, are prescribed a ten-day course of Phenoxymethylpenicillin solution or Amoxicillindrops. In a diagnosed hypersensitivity to these antibiotics, they can be replaced with Doxycycline, Erythromycin or Flucloxacillin.
For the treatment of acute diseases that are caused by Pseudomonas aeruginosa, Staphylococcus aureus or pyogenes, patients are prescribed combined antibiotic therapy on Flumethasone with Clioquinol, or Framycetin with Gramicidin and Dexamethasone.