General rules for the use of antibiotics in sore throat
The question on necessity of use of antibiotics during pregnancy should be decided individually in each case based on the following factors:
The age of the person sick with quinsy;
Type of sore throat is viral (bluetongue) or bacterial (purulent follicular or lacunar);
The nature of the course of angina (benign or with a tendency to complications.
This means that in order to make a decision about the need for antibiotic use during pregnancy should be to ascertain the age of the patient, to determine the type of infection and the nature of its flow.
Establish the age of the patient any problems is not, therefore, elaborate on the other two factors that determine whether to take antibiotics for treatment of sore throat in each case. So, to address the question about the necessity of antibiotics is necessary to determine whether the sore throat viral or bacterial.
The fact that viral sore throat occurs in 80 - 90% of cases and does not require the use of antibiotics. A bacterial sore throat is found only in 10-20% of cases, and it requires treatment with antibiotics. It is therefore very important to be able to distinguish between viral and bacterial sore throat.
Viral tonsillitis is manifested by the following symptoms:
Sore throat combined with nasal congestion, runny nose, sore throat, cough and sometimes ulcers on the mucous membrane of the mouth;
Angina is started without the temperature or the background of its increase not more than 38 ° C;
My throat is red, covered with mucus, but no pus on the tonsils.
Bacterial tonsillitis is manifested by the following symptoms:
The disease began with a sharp rise in temperature to 39 – 40 ° C, simultaneously with which came a sore throat and pus on the tonsils;
At the same time or shortly after the sore throat appeared abdominal pain, nausea and vomiting;
Simultaneously with the throat pain increased cervical lymph nodes;
After a week of sore throat the man began to peel the palms and fingers;
Simultaneously with purulent tonsillitis appeared fine red rash on the skin (in this case people fell ill with scarlet fever, which is also treated with antibiotics as a bacterial sore throat).
That is, viral sore throat combined with other symptoms of SARS such as coughing, runny nose and nasal congestion, and there are never pus on the tonsils. A bacterial sore throat is never combined with a cough or runny nose, but it always has pus on the tonsils.
Because of the explicit characteristics that distinguish viral from bacterial sore throat can be in any condition even without carrying out special laboratory tests. The second important factor, which determines whether to take antibiotics for sore throat in this particular case, is the nature of the disease. In this case, it is necessary to determine whether angina occurs favorable (without complications) or a person has started to develop complications.
The early signs of complications of sore throat requiring antibiotics, the following are the symptoms:
Some time after the beginning of the sore throat pains in the ear;
The condition as the disease gets worse, not better;
Sore throat, as the disease increases; on one side of the throat there is a visible bulge;
Had pain when turning head to side and opening mouth.
After 2 – 3 days antibiotics condition has not improved;
Sore throat and a fever higher than 38оС last longer than 7 – 10 days;
For any day in the course of angina has chest pains, headaches, and pain in one side of the face.
If a person had any of the above symptoms, it indicates the development of complications and, therefore, adversely angina occurs and requires treatment with antibiotics is mandatory. Otherwise, when the angina occurs favorably, antibiotics need not apply. Based on all the above, here is a situation in which you need and do not need to use antibiotics for sore throat people of all ages.
