Sinusitis is an inflammatory disease of the mucous membrane of the paranasal sinuses, or sinuses. Sinusitis is a frequent complication of the common cold and flu, so the incidence is usually seasonal and increases during the cold season. Amoxil is used as an effective medicine able to cope with the inflammation. Find out what a sinus infection is and how exactly Amoxicillin can help you to treat sinus infection.
Among the types of sinusitis, there are such as:
• sinusitis - inflammation of the mucous membrane of the maxillary (maxillary) sinus,
• frontal - inflammation of the frontal sinus,
• etmoiditis - inflammation of the trellis labyrinth,
• sphenoiditis - an inflammation of the sinuses of the sphenoid bone.
The duration of symptoms is:
• acute sinusitis - less than 8 weeks or less than 4 episodes a year,
• acute recurrent sinusitis - from 2 to 4 episodes of sinusitis per year with complete disappearance of symptoms,
• chronic sinusitis - more than 8 weeks or more 4 episodes a year.
Acute sinusitis, as well as exacerbations of chronic sinusitis are accompanied by mucopurulent discharge from the nose and / or stuffy nose, headache and fever. In addition, acute sinusitis is characterized by pain or tension in the cheek, soreness when touched to the cheek on the affected side, a sense of smell, a feeling of pressure on the eyes, photophobia and lacrimation.
A characteristic manifestation of acute frontitis is pain in the forehead, especially strong in the morning. The headache subsides after the emptying of the sinus and resumes as the outflow obstructs. With an acute front, the color of the skin above the sinuses can change, swelling and swelling in the forehead and upper eyelids are noted.
Symptoms of acute etmoiditis are similar to those of sinusitis. In addition, etmoiditis is characterized by pressing pain in the root of the nose. Acute sphenoiditis occurs rarely and is usually combined with etmoidite. The presence of sphenoiditis is manifested with a headache in the vertex, occiput, orbit.
Chronic sinusitis is usually manifested by a feeling of heaviness in the head, rapid fatigue, a violation of nasal breathing, especially in prone position, mucous or purulent discharge from the nose, perspiration and soreness in the throat. Sometimes chronic sinusitis is asymptomatic and only manifests itself in the period of exacerbations.
In the absence of adequate treatment, acute sinusitis can transform into a chronic form, the treatment of which is a difficult task. Patients with chronic sinusitis often suffer from such diseases as bronchitis and pneumonia. In addition, sinusitis can cause complications from the internal organs - the heart, kidneys, liver, and also contribute to the development of otitis media, brain abscess, meningitis, etc.
In acute and exacerbation of chronic sinusitis, the main goal of therapy is eradication of infection and restoration of sterility of the sinus, therefore the main place in it is occupied by antibiotics. In addition, according to the indications, puncture of the sinuses and other special methods of treatment are applied.
The choice of the drug for acute processes in the vast majority of cases is carried out empirically, based on available data on prevailing pathogens and their resistance in the region, and also taking into account the severity of the condition. In chronic processes before the prescription of an antibiotic, it is especially important to conduct a microbiological study of the contents of the sinuses.
With easy flow, in the first days of the disease, when the viral etiology is most likely, antibiotics are not required. If, despite the ongoing symptomatic treatment, the symptoms persist without improvement for more than 10 days or progress, which indirectly indicates the attachment of a bacterial infection, it is advisable to prescribe antibacterial therapy. In this case, the choice of the drug is made, as in the case of moderate-to-moderate flow.
At an average flow of a disease, you should use Amoxicillin. This is a semi-synthetic antibiotic of a broad-spectrum penicillin group. It is active in relation to gram-negative and gram-positive microbes. The drug violates the synthesis of the protein of the bacterial wall, thereby causing the death of the microorganism. During ingestion, the antibiotic is rapidly and almost completely absorbed in the gastrointestinal tract. And since it is acid-fast, it does not undergo destruction under the influence of the acidic environment of the stomach.
Amoxicillin can disintegrate under the influence of special enzymes of bacteria (β-lactamases), so microorganisms that release these enzymes are insensitive to this antibiotic. The drug is acid-fast and widely used in the treatment of otorhinolaryngological infections (acute sinusitis, otitis media, pharyngitis, etc.).
• As a rule, the course of treatment depends on the form and severity. In acute sinusitis, antibiotic therapy usually lasts for 7-10 days, with exacerbation of chronic form- up to 3 weeks.
• The prescription of an accurate dosage is individual for each person. Different biometric parameters, such as body weight, age, sex, predisposition to allergies and side effects affect the effectiveness of the drug.
• Given all these factors, the doctor chooses the best option. Self-determination of dosage may not have the desired effect or lead to complications.
• Amoxicillin can be used in pregnant women, if the expected result does not exceed the risk for the baby. During the use of the drug, breastfeeding women should interrupt feeding, as amoxicillin penetrates into breast milk and can cause the development of allergic reactions in the child.
• The drug is taken with food to minimize the likelihood of developing adverse reactions from the digestive system;
• Patients with impaired renal function may need to adjust the dose and the interval between taking the drug.
Amoxicillin during maxillary sinusitis shows high efficiency and has an impact on a number of microorganisms, which in most cases cause the development of a pathological process in the maxillary sinuses.
• Children from 10 years and adults: On average, with maxillary sinusitis daily dose of amoxicillin for adults and children from 10 years is 1500 mg per day, divided into a triple reception. Amoxicillin 500 mg is taken 1 tablet three times a day or you can replace one 500 mg tablet with two 250 mg each.
• Children aged 5 to 10 years: The recommended dosage is one 250 mg tablet 3 times a day, every 8 hours. The full course of therapy takes about 5-7 days. During this time, the doctor has time to evaluate the effectiveness of the selected drug and, if necessary, replace it with another. With positive dynamics, treatment can last up to 10-12 days.
• Children from 2 to 5 years: For children younger than 5 years with a sinusitis, a suspension is used. It is a powder with a fruity smell, which is bred in boiled chilled water. The daily dose should not exceed 375 mg (this is 7.5 ml of 5% or 15 ml of 2.5% of the finished suspension) and be divided into three doses per day.