Study of the effectiveness of complex therapy for patients with urogenital chlamydia, mycoplasmosis and ureaplasmosis using the drug sumamed. What tablets should I take to treat mycoplasma? Azithromycin for mycoplasmosis treatment regimen

After identifying mycoplasma, based on the results of the tests, the doctor prescribes appropriate treatment based on his experience and manifestations of the disease in the patient. This disease is caused by one of the smallest microorganisms that infects humans. However, the presence of traces of mycoplasma in the body is not in itself a reason for prescribing appropriate therapy. This microorganism occurs quite often, without causing any harm to its carrier until the immune system is weakened by loads, stress or various inflammatory processes.

After the development of mycoplasmosis, it is necessary to begin treatment. Otherwise, various complications may develop, the treatment of which may require a lot of effort and time. For therapy to be successful, an integrated approach is needed. This requirement is mandatory, since it is important not only to overcome mycoplasmosis, but also to increase immunity, as well as eliminate the negative consequences that microorganisms have on humans during the course of the disease.

The basis of complex treatment is antibacterial therapy. One of the main drugs is azithromycin. Azithromycin in mycoplasmosis, accumulating to a certain level in inflamed tissues, begins to have a bactericidal effect there. The most reasonable course of events is to conduct tests for the sensitivity of microflora to azithromycin. If the pathogen is resistant to erythromycin, then there is no point in prescribing azithromycin; mycoplasma will be insensitive to this antibiotic.

This antibiotic is produced in different forms:

• Tablets in dosage 0.125g and 0.5g;
• Capsules 0.5g;
• Syrup.

Take azithromycin for mycoplasma before or after meals 1 time per day in the dosage prescribed by the doctor, based on the age, gender and body weight of the patient.

The choice of azithromycin as a treatment for mycoplasmosis is the optimal solution in most cases of the disease, which is due to frequent cases of combination of mycoplasma with other pathogenic microflora of the genitourinary system.

However, due to its strong action and ability to accumulate in inflamed areas, this drug is not prescribed during breastfeeding and pregnancy, as well as to persons with severe impairment of the liver and kidneys.

Mycoplasma pneumonia requires an integrated approach to eliminating pathogens. Treatment of atypical pneumonia depends entirely on the results of the diagnosis, the presence of chronic diseases and the general condition of the patient.

• At the first stage, antibacterial drugs are prescribed to destroy the mycoplasma infection. Tetracycline antibiotics are most often used. To determine the most appropriate drug, sputum culture is indicated for sensitivity to antibiotics.
• At the second stage, patients are prescribed expectorants to thin and accelerate the discharge of sputum, that is, to improve the drainage function of the bronchi. Anti-inflammatory and antihistamines are also prescribed to eliminate painful symptoms.
• To speed up recovery, it is recommended to take general strengthening and fortified medications. They increase the protective properties of the immune system. Detoxification therapy is recommended, that is, drinking plenty of fluids to remove metabolic products of viruses and bacteria. In especially severe cases, specific immunotherapy drugs are prescribed.

To improve the patient’s condition, special physiotherapy procedures are prescribed: breathing exercises, vacuum massage, physical exercise, mustard plasters, compresses. There are also non-traditional methods of treatment using medicinal herbs. An integrated approach to treatment allows you to eliminate the disease without severe complications.

Treatment regimens for mycoplasma pneumonia

After the diagnosis, the doctor evaluates the results and draws up a treatment plan. Treatment regimens for mycoplasma pneumonia depend on the neglect and severity of the disease state, the characteristics of the patient’s body and the presence of concomitant pathologies.

The disease requires etiotropic treatment. To eliminate mycoplasmosis, antibiotics from the group of macrolides, fluoroquinolones, and tetracyclines are used, both for oral and intramuscular administration. The average course of treatment is 10-14 days.

Patients may be prescribed the following medications:

• Azithromycin 250 mg once a day.
• Clarithromycin 500 mg 1-2 times a day.
• Erythromycin 500 mg 3-4 times a day.
• Levofloxacin 500 mg once daily.
• Doxycycline 100 mg 1-2 times a day.

The treatment regimen for severe atypical inflammation consists of cephalosporin antibiotics and Levofloxacin.

Determination of sensitivity to antibiotics

When choosing drugs to eliminate Mycoplasma pneumoniae, antibiotic sensitivity testing is indicated. At the initial stage, bacterial culture is carried out to determine the type of pathogen and its concentration in the body. This method has high specificity with the ability to study any biological fluid.

For bacteriological culture, sputum, mucus from the nose and throat are used. The collected material is placed in special media to decipher bacterial cultures. If necessary, microscopy of the resulting material can be performed with staining, assessment of the shape, color and density of bacterial colonies.

After the pathogen has been identified, its sensitivity to antibiotics is determined using intradermal tests, mucus from the nasopharynx, blood and exudate discharged during coughing. The resulting antibiogram takes into account bacterial resistance, that is, resistance to the pathogen. Thanks to this, you can choose the most suitable drug for treatment and its dosage.

Medicines

Drug therapy for mycoplasma pneumonia is carried out from the first days of the disease. The doctor selects medications individually for each patient. Treatment consists of taking the following groups of drugs:

Antibiotics

1. Azithromycin

Broad-spectrum antibacterial agent from the macrolide group. Once in the foci of inflammation, it creates high concentrations, providing a bactericidal effect.

• Indications for use: infections of the upper and lower respiratory tract and ENT organs, scarlet fever, infections of the skin and soft tissues, infections of the genitourinary system, Lyme disease.
• Directions for use: on the first day of therapy 500 mg, on the second 250 mg, and from the third to the fifth 500 mg per day. The course dose, as well as the duration of treatment, is determined by the doctor for each patient individually.
• Side effects: nausea, abdominal pain, vomiting, increased gas formation, increased activity of liver enzymes, allergic skin rashes.
• Contraindications: intolerance to the components of the medication, severe renal and liver dysfunction, pregnancy and lactation. It is prescribed with special caution for patients with a history of allergic reactions.

The drug is available in the form of tablets, capsules and syrup in bottles.

1. Clarithromycin

Macrolide, a semi-synthetic derivative of erythromycin. It has an extended spectrum of antibacterial action, creating maximum concentrations in the affected areas.

• Indications for use: pneumonia (including atypical forms), sinusitis, pharyngitis, bronchitis, tonsillitis, folliculitis, streptoderma, erysipelas, dental infections, local and widespread mycobacterial infections.
• Directions for use: 250 mg twice a day. In especially severe cases, the dosage may be increased. The drug is taken regardless of food, washed down with water. Duration of therapy is 5-14 days.
• Side effects: pain in the epigastric region, nausea and vomiting, changes in taste, fungal infections of the oral mucosa. Headaches and dizziness, increased anxiety, disorders of the cardiovascular system, and allergic skin reactions are also possible.
• Contraindications: hypersensitivity to the components of the drug, patient age under 12 years, first trimester of pregnancy and lactation.
• Overdose: nausea, vomiting, diarrhea. For treatment, gastric lavage and further symptomatic therapy are recommended.

The medicine is available in enteric-coated tablet form of 250 and 500 mg.

1. Spiramycin

Antibiotic macrolide with bacteriostatic properties. The destruction of pathogenic microorganisms occurs due to the inhibition of intracellular protein synthesis. The medication is active against mycoplasma pneumoniae, but resistant to pseudomonas, spiramycin, enterobacteria.

• Indications for use: atypical pneumonia (associated with legionella, mycoplasma, chlamydial infection), pharyngitis, bronchitis, toxoplasmosis, skin and soft tissue infections, tonsillitis, arthritis, urethritis, otitis, ENT diseases and gynecological infections.
• The method of administration and dosage are determined individually for each patient. Duration of treatment is 10-14 days, prophylactic course is 5 days.
• Side effects: skin rashes, ulceration of the gastrointestinal mucosa, nausea and vomiting, diarrhea, transient paresthesia, angioedema, thrombocytopenia. An overdose is manifested by an increase in the above reactions. There is no antidote, treatment is symptomatic.
• Contraindications: hypersensitivity to the components of the drug, pediatric practice, pregnancy and lactation, G6PD deficiency. It is prescribed with extreme caution for liver failure and bile duct obstruction.

Available in tablets, 10 capsules per package.

If the disease is mild, then oral antibacterial drugs are prescribed: tablets, syrups. In complicated cases, intramuscular injections are indicated.

Nonsteroidal anti-inflammatory drugs

They are used to eliminate severe intoxication syndrome: fever, chills, fever.

1. Ibuprofen

Analgesic, antipyretic and anti-inflammatory agent. Its mechanism of action is based on inhibition of prostaglandin biosynthesis through inhibition of the enzyme cyclooxygenase.

• Indications for use: neuralgia, complex therapy of diseases of the ENT organs, traumatic inflammation of soft tissues and the musculoskeletal system, bursitis, radiculitis, arthritis, adnexitis, osteoarthritis, toothache and headache.
• Directions for use: for pain of moderate intensity, take 400 mg 2-3 times a day. The maximum daily dosage should not exceed 2.4 g.
• Side effects: nausea, vomiting, diarrhea, heartburn and other gastrointestinal disorders. Headaches and sleep disturbances, allergic skin reactions. In rare cases, erosive and ulcerative lesions of the gastrointestinal tract and bronchospasms occur.
• Contraindications: hypersensitivity to the drug, diseases of the optic nerve, severe renal/liver dysfunction, patients under 6 years of age, hematopoietic disorders, “aspirin” triad. Use during pregnancy and lactation is possible only with medical prescription.
• Overdose: abdominal pain, nausea and vomiting, drowsiness, headaches and tinnitus, acute renal failure, respiratory arrest, metabolic acidosis, lethargy. For treatment, gastric lavage and further symptomatic therapy are indicated.

Ibuprofen is available as enteric-coated tablets containing 200 mg of active ingredient per capsule.

1. Paracetamol

Antipyretic, analgesic and anti-inflammatory agent. The mechanism of its action is based on inhibition of the thermoregulation center and inhibition of the synthesis of inflammatory mediators and prostaglandins.

• Indications for use: symptomatic treatment of pain syndromes of various origins, conditions with hyperthermic reactions in infectious and inflammatory pathologies.
• The method of application depends on the form of release of the drug. For example, tablets are taken at 350-500 mg 3-4 times a day. The maximum daily dosage is 3-4 g. The medicine is taken after meals with liquid.
• Side effects: nausea, vomiting, pain in the epigastric region, increased drowsiness, renal colic, anemia, leukopenia, allergic skin reactions, muscle weakness.
• Contraindications: intolerance to the components of the drug, renal and liver failure. It is prescribed with extreme caution during pregnancy and lactation.
• Overdose: increased drowsiness, pale skin, nausea, vomiting and dizziness, toxic effects on the liver.

Paracetamol has the following forms of release: enteric-coated tablets, capsules and syrup for oral use, rectal suppositories.

1. Nimesulide

NSAIDs from the sulfonanilide group. It is used to eliminate pain of various origins, arthralgia and myalgia. The analgesic effect develops within 20 minutes. The medicine is taken 100 mg 3-4 times a day. The maximum daily dose is 400 mg.

• Side effects: increased drowsiness, dizziness and headaches, nausea, vomiting, epigastric pain, allergic skin reactions. Pathological changes in the blood picture are also possible.
• Contraindications: hypersensitivity to the components of the drug, pregnancy and lactation, children under 12 years of age, renal and liver failure. It is prescribed with extreme caution for ulcerative changes in the gastrointestinal tract, heart failure, and arterial hypertension.
• Overdose: nausea, vomiting, abdominal pain, gastrointestinal bleeding, acute renal failure, respiratory depression, increased drowsiness, allergic reactions. Symptomatic therapy is indicated for treatment.

Available in the form of a suspension for the preparation of oral solution, tablets and external gel.

To enhance the antipyretic effect, the above NSAIDs are combined with antispasmodics and antihistamines.

Cough preparations

Antitussives act on the source of inflammation in the lungs. Their mechanism of action is a mucolytic, expectorant and muconitis effect. Medicines inhibit the cough reflex, regulate the function of sputum production and metabolism in the epithelial cells that line the respiratory tract.

1. Bronchicum

A drug with antispasmodic, anti-inflammatory, expectorant and sputum thinning properties. Effectively eliminates painful paroxysmal cough.

Indications for use: paroxysmal cough, acute and chronic lesions of the upper and lower respiratory tract. The method of administration and dosage are individual for each patient. Side effects manifest themselves in the form of irritation of the gastric mucosa. Available in the form of drops and elixir for oral use.

1. Carbocisteine

A mucolytic agent that dilutes bronchial secretions and accelerates their elimination from the body. Normalizes the chemical and physical characteristics of sputum. It is used for diseases of the respiratory system with the release of large viscous secretions. Patients are prescribed 1-2 capsules 2-3 times a day until the desired therapeutic effect is achieved.

Side effects include allergic skin reactions and gastrointestinal disorders. The medicine is contraindicated for ulcerative lesions of the stomach and duodenum. Not prescribed during pregnancy and lactation. Carbocisteine ​​is available in the form of capsules and syrup in vials for oral administration.

1. Bromhexine

A drug that increases the secretion of secretions by the bronchial glands. Reduces the viscosity of sputum and has a pronounced expectorant effect. It is used for acute and chronic inflammatory diseases of the lungs, bronchi and trachea. Prescribed for bronchiectasis, bronchography.

Bromhexine is taken 4-8 mg 3-4 times a day. For patients under 2 years of age, the medicine is prescribed in syrup form. Side effects include attacks of nausea and vomiting, various dyspeptic disorders and allergic reactions.

There are no absolute contraindications for taking the medication. It is prescribed with extreme caution in cases of hypersensitivity to the drug, gastrointestinal bleeding, early pregnancy and peptic ulcers. The medicine is available in the form of tablets and syrup.

Bronchodilators

This group of drugs is most often prescribed for the treatment of atypical inflammation of the respiratory system in pediatric patients and those with a predisposition to bronchial hyperreactivity.

1. Berodual

Expands the lumen of the bronchi with the help of active ingredients - ipratropium bromide and fenoterol. The interaction of these components is effective in bronchodilator therapy of diseases with increased bronchial muscle tone.

• Indications for use: complex supportive therapy and prevention of respiratory failure in pneumonia, bronchitis, bronchopulmonary diseases, bronchial asthma. Also prescribed for preparing the respiratory tract for aerosol administration of drugs.
• The method of administration and dosage are individual for each patient, as they depend on the severity of the disease state and other characteristics of the patient’s body. To enhance the therapeutic effect, it is recommended to take the drug with corticosteroids.
• Side effects: temporary disturbance of visual perception, tremors of the limbs, dry mouth, rapid heartbeat, increased intraocular pressure.
• Contraindications: hypersensitivity to the components of the drug, first and last trimester of pregnancy. Do not take with xanthine derivatives and non-cardioselective beta-blockers.

Available in the form of an aerosol for inhalation and a solution for inhalation in 20 ml bottles.

1. Eufillin

Relieves spasms of bronchial smooth muscles, relaxing muscle tissue. Reduces pressure in the pulmonary artery system, dilates cardiac vessels. It has a moderate diuretic effect and inhibits platelet aggregation.

• Indications for use: bronchial asthma and bronchospasms, hypertension in the pulmonary circulation, cardiac asthma, breathing disorders. Prescribed to relieve cerebral vascular crises, improves renal blood flow.
• The method of application depends on the form of release of the drug. For acute attacks of bronchial asthma, the medicine is administered intravenously, in other cases orally or intramuscularly. The dosage is determined by the doctor for each patient separately.
• Side effects: digestive disorders, headaches and dizziness, convulsions, rapid heartbeat.
• Contraindications: intolerance to components, low blood pressure, tachycardia, epilepsy, coronary insufficiency, heart rhythm disturbances.

Eufillin has several forms of release: powder for solution, tablets for oral use, ampoules and solution.

1. Fenoterol

Stimulator of bronchial beta-adrenergic receptors. Expands the lumen of the bronchi, effectively relieves bronchospasms of various origins and asthma attacks. Increases the frequency and volume of breathing. The therapeutic effect lasts for 6-8 hours.

• Indications for use: relief of attacks of bronchial asthma, infectious diseases of the lungs with difficulty breathing, emphysema.
• Method of administration: adult patients and children over 6 years of age are prescribed single doses of an aerosol of 0.2 mg. If after a single inhalation the attack of suffocation does not go away, then after 5-7 minutes the inhalation can be repeated.
• Side effects: tremors of the limbs, increased anxiety, rapid heartbeat, fatigue, headache and increased sweating.
• Contraindications: hypersensitivity to the components of the drug, arrhythmia, severe atherosclerosis.

The medicine is intended for inhalation, therefore it is available in 15 ml aerosol cans. Each package contains 300 single doses. There is also a tablet form and ampoules for injection.

Antibiotics for mycoplasma pneumonia

Antibacterial therapy is the main method of eliminating pathogens. Antibiotics for mycoplasma pneumonia are selected by the doctor individually for each patient. When choosing a drug, the severity of the disease, the presence of chronic pathologies and other characteristics of the patient’s body are taken into account.

Let's look at the main types of antibiotics used to kill Mycoplasma pneumoniae:

Tetracyclines

1. Doxibene

Antimicrobial agent with bacteriostatic properties. Contains the active ingredient – ​​doxycycline. Its mechanism of action is based on inhibition of protein synthesis in the cells of pathogenic microorganisms. The drug is active against most gram-positive and gram-negative microorganisms.

• Indications for use: infectious diseases caused by viruses and bacteria sensitive to the drug. Prescribed for atypical forms of pneumonia, typhus, bacterial conjunctivitis, Lyme disease. Effective in otolaryngological, urological, venereological and gynecological practice.
• Directions for use: for patients weighing more than 70 kg, 200 mg per day is prescribed at a time or divided into two doses. For patients weighing from 50 to 70 kg, 200 mg on the first day of therapy, followed by a dosage of 100 mg per day. For patients less than 50 kg, 4 mg/kg body weight. The course of treatment is 7-14 days.
• Side effects: disorders of the cardiovascular system, decreased visual acuity, leukopenia, leukocytosis, paresthesia, convulsions, increased blood pressure and excitability. Disorders of the urinary system, skin allergic reactions, muscle pain, and candidiasis are also possible.
• Contraindications: intolerance to the drug components, severe liver and kidney dysfunction, patients under 8 years of age, pregnancy and lactation. It is prescribed with extreme caution for arrhythmia, for patients exposed to excessive ultraviolet radiation.
• Overdose: dysfunction of the liver and gastrointestinal tract. There is no specific antidote; gastric lavage and further symptomatic therapy are indicated.

Doxibene is available in the form of capsules for oral administration of 100 and 200 mg of the active ingredient.

1. Doxycycline

Semi-synthetic broad-spectrum antibiotic with bacteriostatic properties. Active against gram-positive microorganisms, aerobic and anaerobic cocci, aerobic and anaerobic spore-forming bacteria, as well as Mycoplasma pneumoniae.

• Indications for use: acute bronchitis, pneumonia, pleurisy, pleural empyema, infections of the gastrointestinal tract and ENT organs, urinary tract. Effective for inflammatory diseases of the pelvic organs, purulent infections of soft tissues. Also used in the prevention of surgical infections.
• Directions for use: the drug is taken orally after meals with water to reduce irritation of the esophagus. The medicine is taken in doses of 100-200 mg, depending on the severity of the disease. The course of treatment is 10-14 days.
• Side effects: nausea, vomiting, abdominal pain, bowel movements, allergic skin reactions, rashes, increased sweating, headaches and dizziness.
• Contraindications: intolerance to the drug components, last trimesters of pregnancy and lactation, patients under 9 years of age. Leukopenia, severe renal failure, porphyria.

The drug is available in capsule form for oral use.

1. Minocycline

An antibacterial agent that stops the proliferation of bacteria and has a wide spectrum of action. Active against most pathogenic microorganisms.

• Indications for use: infections of the upper and lower respiratory tract, psittacosis, infectious-allergic disease, inflammation of the urinary tract, conjunctivitis, trachoma, inflammation of the inguinal lymph nodes, brucellosis, skin and soft tissue infections, meningococcal infection.
• Directions for use: dosage is 200 mg on the first day of treatment and 100 mg thereafter. Duration of treatment is 5-12 days.
• Side effects: disturbances of appetite and stool, nausea, vomiting, increased activity of liver enzymes, allergic skin reactions, joint and muscle pain.
• Contraindications: hypersensitivity to drugs from the tetracycline group, pregnancy and lactation, patients under 8 years of age.

The medicine is available in tablet form in packs of 50 and 100 pieces. There is also a suspension for oral administration in 5 ml bottles.

Macrolides

1. Azicine

Broad-spectrum antimicrobial agent. Contains the active ingredient – ​​azithromycin. Has high acid resistance. Inhibits the growth and reproduction of pathogenic microorganisms.

• Indications for use: pulmonary mycoplasmosis and other diseases of the respiratory system, infections of soft tissues and skin, urethritis, colpitis, bacterial prostatitis, ulcerative lesions of the gastrointestinal tract, initial stages of Lyme disease.
• Directions for use: The medicine is taken on an empty stomach with plenty of liquid. For infectious pathologies of the respiratory tract, 500 mg is prescribed for three days. The total course dose is 1500 mg. For children, the drug is prescribed at a dosage of 10 mg/kg body weight once a day, duration of therapy is 3 days.
• Side effects: dizziness and headaches, insomnia, increased excitability, tremors of the limbs. Tachycardia, neutropenia, gastrointestinal and liver disorders, conjunctivitis, allergic skin reactions.
• Contraindications: intolerance to the drug components, patient age under 3 years, pregnancy and lactation, severe liver dysfunction.
• Overdose: nausea, vomiting, diarrhea, headaches, temporary hearing impairment, hepatitis. There is no specific antidote; gastric lavage and enterosorbents are taken.

The medicine is available in tablet form, 3 capsules in a blister, 1 blister per package.

1. Macropen

Macrolide antibiotic with active substance – midecamycin. Has a wide spectrum of action. After oral administration, it is quickly and completely absorbed from the gastrointestinal tract, reaching maximum concentration after 1-2 hours. Increased levels of the drug are observed in areas of inflammation, in bronchial secretions and skin.

• Indications for use: infections of the respiratory tract, mucous membranes and skin, genitourinary system, diphtheria, whooping cough and other infectious pathologies caused by microorganisms sensitive to the drug.
• The method of administration and dosage is calculated individually for each patient. This takes into account the age of the infected person and the severity of the disease state. The course of treatment does not exceed 7-12 days.
• Side effects: appetite disturbances, nausea and vomiting, allergic skin reactions, increased levels of liver enzymes.
• Contraindications: intolerance to the components of the drug, severe liver failure. The medicine is taken during pregnancy when the potential benefit to the mother is greater than the risk to the fetus.
• Overdose: nausea and vomiting. There is no specific antidote. The use of sorbents is indicated to accelerate the removal of the drug from the body.

Macropen is available in the form of tablets of 400 mg of active ingredient each and in the form of granules for the preparation of suspension.

1. Roxithromycin

Semi-synthetic antibacterial agent. It has a wide spectrum of action against most pathogenic microorganisms.

• Indications for use: infections of the upper and lower respiratory tract, including atypical forms. Infections of the skin and soft tissues, the genitourinary tract. Prevention of meningococcal meningitis.
• Directions for use: adult patients are prescribed 150 mg twice a day before meals. In especially severe cases, the dosage may be increased.
• Side effects: nausea, vomiting, abdominal pain, allergic skin reactions, transient increase in the level of alkaline phosphatase and transaminases.

Contraindications: hypersensitivity to the components of the drug, pregnancy and lactation. Prescribed with caution for patients with a history of allergic reactions.

Roxithromycin is available in tablet form with different dosages.

Fluoroquinolones

1. Gatispan

Antibacterial agent with a wide spectrum of action. After oral administration, it is quickly absorbed from the gastrointestinal tract. Absolute bioavailability is more than 96%. The maximum concentration in blood plasma is achieved within 2-3 hours after administration. Plasma protein binding is about 20%. Excreted in the form of metabolites in urine and feces.

• Indications for use: pneumonia, bronchitis, COPD, cystic fibrosis, lung abscess, sinusitis. Infections of the urinary system, skin and soft tissues, chronic infections of the urinary tract, bones and joints, STDs.
• Directions for use: the medicine is taken in a dose of 200-400 mg 1 time per day. The course of treatment depends on medical indications, the severity of the disease and the characteristics of the patient’s body.
• Side effects: nausea, vomiting, abdominal pain, disturbances of appetite and stool, flatulence, gastritis, stomatitis, bleeding from the gastrointestinal tract. Sleep disturbances, increased anxiety, headaches and dizziness, muscle cramps. Arterial hypertension, bone pain, bronchospasms, swelling of the face and mucous membranes, allergic reactions.
• Contraindications: patients under 18 years of age, pregnancy and lactation, individual intolerance to the components of the drug.
• Overdose is manifested by more pronounced adverse reactions. To improve the patient's condition, gastric lavage and further symptomatic therapy are recommended.

Gatispan is available in the form of enteric-coated tablets of 200 and 400 mg of active substance each.

1. Zoflox

A drug with a fluoroquinolone derivative and a bactericidal effect. It has a wide spectrum of action, but is especially active against mycobacteria atypical pneumonia and beta-lactamases.

• Indications for use: pneumonia, bronchitis, orchitis, sinusitis, urethritis, soft tissue infections and infectious dermatological lesions, pyelonephritis, joint infections. Used to prevent infectious complications in immunodeficiency states.
• Directions for use: tablets are taken orally, and the solution is taken intravenously as an infusion. Standard dosage is 200-600 mg/day, course of treatment is 8-10 days.
• Side effects: allergic skin reactions, various disorders of the gastrointestinal tract and central nervous system, pain in the abdominal area, tremors of the limbs, paresthesia and more.
• Contraindications: hypersensitivity to the components of the drug, recent traumatic brain injury, history of epilepsy and stroke, inflammation in the central nervous system, pediatric practice, pregnancy and lactation. It is prescribed with extreme caution for cerebral circulation disorders.
• Overdose: symptoms of central nervous system depression, nausea and vomiting. Treatment is symptomatic, gastric lavage. Hemodialysis is ineffective.

Zoflox is available in tablets and in the form of a solution for infusion.

1. Faktiv

Broad-spectrum antibiotic. It is used for many infectious diseases, including atypical pneumonia.

• Indications for use: diseases caused by microorganisms sensitive to the drug, community-acquired pneumonia, chronic bronchitis, sinusitis in the acute stage.

• Directions for use: tablets are taken orally, regardless of food, without chewing. Daily dosage 320 mg, course of treatment 7-10 days. In case of severe renal impairment, the dose should be reduced to 160 mg.

• Side effects: allergic skin reactions, digestive system disorders, flatulence. In rare cases, the drug causes malignant exudative erythema, appetite disturbances, and increased activity of liver enzymes. An overdose is manifested by an increase in the above reactions. Treatment is symptomatic.

• Contraindications: allergy to drug components and other fluoroquinolones. Prolonged QT interval and tendon pathologies. The medicine is not used in pediatric practice. It is prescribed with special caution for patients with epilepsy, with a tendency to seizures, arrhythmia. Not prescribed during pregnancy and lactation.

Faktiv is available in the form of enteric-coated tablets of 160 and 360 mg of active substance. One package may contain 5 or 7 tablets of the drug.

Vilprafen

Antibacterial agent from the macrolide group. Vilprafen has bacteriostatic properties, which are caused by inhibition of protein synthesis by bacteria. Highly active against most intracellular pathogens, including mycoplasma pneumonia.

After oral administration, it is well absorbed from the gastrointestinal tract, the maximum concentration in the blood plasma is observed 1-2 hours after oral administration. Binding to plasma proteins is at the level of 15%. The active component, josamycin, penetrates well through biological membranes and accumulates in tissues. Particularly high concentrations are determined in the lungs, saliva, sweat, and tears. Absorbed in the liver, excreted in bile and urine in the form of active metabolites.

• Indications for use: atypical form of pneumonia, pharyngitis, tonsillitis, otitis media, sinusitis, diphtheria, scarlet fever, bronchitis, whooping cough, gingivitis, skin and soft tissue infections, urethritis, gonorrhea, prostatitis. The medication is effective for mycoplasma, ureaplasma, chlamydial and mixed infections of the genitourinary system.
• The method of administration and dosage depend on the age of the patient. For patients over 14 years of age, 500 mg is prescribed 2-4 times a day. It is recommended to take the tablets between meals with water. For patients under 14 years of age and infants, the medicine is prescribed in the form of a suspension. The daily dosage is 30 mg/kg body weight in three doses. The course of treatment is 5-10 days.
• Side effects: appetite disturbances, nausea, vomiting, dysbacteriosis, impaired bile outflow, allergic reactions, hearing impairment, candidiasis. An overdose manifests itself with the same symptoms. Treatment is symptomatic.
• Contraindications: individual intolerance to the components of the drug, severe liver dysfunction. The use of antibiotics during pregnancy and lactation is possible only with medical prescription, taking into account the risks to the fetus.

Vilprafen is available in the form of tablets and suspension for oral administration.

Klacid

A semi-synthetic macrolide antibiotic with the active substance – clarithromycin. It has antibacterial properties and inhibits the synthesis of bacterial proteins. The tablets are a homogeneous crystalline mass. The active component is released when passing through the gastrointestinal tract and has a broad antibacterial effect.

• Indications for use: pneumonia, bronchitis, polysinusitis, pharyngitis, monosinusitis, skin and soft tissue infections, chlamydial infections of the urogenital tract, stomach and duodenal ulcers.
• Directions for use: one capsule at a dosage of 500 mg 1-2 times a day. The tablets should be taken with meals, swallowed whole, that is, without breaking or chewing.
• Side effects: ventricular arrhythmia and tachycardia, abdominal pain, diarrhea, vomiting, stomatitis and pancreatitis, oral candidiasis. Headaches and dizziness, increased anxiety, insomnia, noise and ringing in the ears, convulsions, temporary hearing impairment and allergic skin reactions may also occur. Treatment is symptomatic.
• Contraindications: hypersensitivity to active components, severe renal failure, porphyria, pregnancy and lactation.
• Overdose: decreased potassium in the body and decreased oxygen levels in the blood, abdominal pain, nausea and vomiting. For treatment, gastric lavage with further maintenance therapy is indicated.

Klacid is available in the form of tablets of 500 mg in blister packs of 5, 10 and 14 pieces, 1-2 blisters per package.

Sumamed

Broad-spectrum antibiotic from the macrolide group. Once at the site of inflammation, it creates high concentrations, providing a bactericidal effect. Sumamed is active against gram-positive cocci, streptococci, gram-negative bacteria, anaerobic microorganisms, including Mycoplasma pneumoniae.

When administered orally, it is quickly absorbed from the gastrointestinal tract, as it is resistant to acidic environments and is lipophilic. The maximum concentration in blood plasma is achieved after 2-3 hours, bioavailability is 35%. The active components of the drugs are quickly distributed throughout the body, penetrating the respiratory tract, organs and tissues of the urogenital tract, skin and soft tissues.

The concentration of the active substance in foci of infection is 25% higher than in healthy tissues.

The main feature of Sumamed is that its bactericidal concentrations remain at the site of inflammation for 5-7 days, which allows for short courses of treatment.

• Indications for use: infectious pathologies caused by drug-sensitive pathogens. The medicine is prescribed for infections of the upper respiratory tract and ENT organs, lower respiratory tract infections, atypical pneumonia, skin and soft tissue infections, genitourinary tract infections, Lyme disease.
• Directions for use: the drug is taken once a day an hour before meals or 2-3 hours after meals. For pneumonia, adult patients are prescribed 500 mg, and for children 10 mg/kg for 3 days.
• Side effects: nausea, vomiting, stool disorders, increased gas formation, transient increase in the activity of liver enzymes, skin rashes. Treatment is symptomatic.
• Contraindications: hypersensitivity to the components of the drug and macrolides. It is prescribed with caution in case of severe impairment of renal and liver function, as well as in case of a history of allergic reactions to the drug. The use of Sumamed during pregnancy is possible only according to medical prescription, when the potential benefits outweigh the possible risks.
• Overdose: nausea, vomiting, diarrhea, temporary hearing impairment. For treatment, gastric lavage and further symptomatic therapy are indicated.

Available in the form of tablets for oral administration of 125, 250 and 500 mg, as well as in the form of capsules for oral administration of 250 mg. Children's release form - bottles with powder for preparing a suspension. Dispensed from pharmacies with a doctor's prescription.

Vitamins

Atypical pneumonia, like any other disease, requires an integrated approach to treatment. Vitamins are necessary to normalize metabolism and improve the body's tolerance to antibacterial drugs. Nutrients not only promote recovery, but also increase the protective properties of the immune system.

Most often, patients are prescribed the following vitamins:

• A, C, E - reduce the degree of damage to vascular membranes and improve their condition.
• B1 – reduces the accumulation of metabolic products of pathogenic microorganisms. Normalizes liver and heart metabolism.
• B2 – improves the condition of the mucous membranes of internal organs and skin, activates metabolic processes.
• B6 – enhances metabolic processes, regulates the functioning of the central nervous system.
• B12 – regulates hematopoiesis and metabolic processes, improves the functioning of the central nervous system, liver and other organs.

Multivitamin complexes have a complex effect: Multi-tabs, Vitrum, Neurovitan, Duovit and others. Along with vitamins and minerals, to improve well-being and prevent infectious processes, you should adhere to a balanced diet.

Physiotherapeutic treatment

To speed up recovery and minimize the risk of developing severe complications of pneumonia, physical therapy is recommended. Physiotherapeutic treatment has a desensitizing and bacteriostatic effect and helps strengthen the immune system.

For mycoplasma pneumonia, the following methods may be prescribed:

• Inductothermy - the lesion is exposed to a high-frequency magnetic field. This enhances microcirculation and lymph flow, reduces bronchospasms, increases metabolism and improves sputum discharge. Physiotherapy promotes muscle relaxation and relieves inflammatory processes.
• UHF electromagnetic field is used for acute inflammation. The electric field reduces tissue swelling and the exudation process, and restores microcirculation.
• Ultraviolet irradiation - has anti-inflammatory properties and promotes the resorption of infiltrates, activates local blood circulation. The effect of irradiation is directed to the anterior and posterior surfaces of the chest.
• Electrophoresis - this method is very often combined with an UHF electromagnetic field. The procedure is based on the effect of a drug on the body through which an electric current is passed. Has anti-inflammatory and analgesic properties.
• Decimeter wave treatment – ​​has an anti-inflammatory effect, improves tissue metabolism and increases blood circulation in the lungs. The procedure has pronounced anti-inflammatory properties.
• Magnetotherapy is prescribed for severe intoxication processes. Relieves swelling, improves metabolic processes and capillary circulation.
• Heat applications are prescribed to eliminate residual symptoms of the disease. Applications of mud, paraffin and other active ingredients are applied to the chest.
• Inhalations are the most affordable, but at the same time effective physiotherapy. The method improves the functioning of upper breathing and has a bacteriostatic effect. The impact on the affected mucous membranes occurs through inhalation of medications.

Physiotherapeutic treatment is carried out only according to medical prescription, as it has certain contraindications: high body temperature, bleeding, heart or pulmonary failure of 2-3 degrees, severe disorders of the cardiovascular system, bullous emphysema, neoplasms, blood diseases. The duration of therapy and the frequency of treatment procedures are individual for each patient.

Traditional treatment

One of the unconventional, but quite popular methods of eliminating atypical pneumonia is traditional treatment. Most often, the following recipes are used for mycoplasma respiratory tract infections:

• Dissolve a teaspoon of honey in a glass of warm water and add a couple of drops of lemon juice. Drink the drink 3-4 times a day during the entire course of treatment and after it.
• Pour a glass of milk over 2 figs and simmer over low heat for 15-20 minutes. Take ½ cup 2 times a day.
• Take 50 g of walnuts and pour 500 ml of red wine over them. Boil the product over low heat for 20-30 minutes. Take a tablespoon for 2-3 months.
• Carefully grind a couple of aloe leaves and mix with a glass of honey. Add 500 ml of warm water to the mixture and simmer for 1-2 hours over low heat. The finished medicine should be consumed 1-2 tablespoons 2-3 times a day. The product can be stored in the refrigerator.
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• Pour 1 liter of purified water into 2 parts of St. John's wort, 3 parts of black elderberry and 4 parts of herbaceous elderberry roots. Boil the product for 20-30 minutes, strain and consume throughout the day.
• Take equal parts of wintergreen, queen bean and wintergreen. Pour the mixture with 750 ml of boiling water and leave until it cools. Strain and take 100 ml 3-4 times a day. The course of treatment is 28 days.
• Blue cornflower has pronounced medicinal properties. Pour 500 ml of boiling water over two tablespoons of dried flowers and wrap thoroughly. After cooling, strain and take ½ glass 3-4 times a day.
• Herbal inhalations have healing properties. Mix the following herbs in equal proportions: chamomile, St. John's wort, calendula, celandine, pine needles, eucalyptus. Pour boiling water over the raw materials. Inhalations should last 10-20 minutes, procedures should be carried out daily. The infusion can be used to rinse the sinuses and gargle.
• A medicinal collection of mint, lemon balm, chestnut blossom and fireweed has immunomodulatory properties. Take 5 tablespoons of the mixture and pour 1 liter of boiling water. It is better to infuse the product in a thermos. After 2-3 hours, strain and take 150 ml 3-4 times a day.

Before using herbal treatments, you should consult with your doctor, as some herbal components can cause allergic reactions and other adverse reactions.

Homeopathy

Treatment of atypical pneumonia requires a comprehensive, comprehensive approach. Homeopathy refers to alternative methods of therapy. To eliminate the infectious process, the following drugs are used:

• Aconite - prescribed at the initial stage of the disease, can be replaced by Bryonia or Belladonna.
• Phosphorus, Ipecac - used for sputum with bloody clots.
• Sanguinaria - the secreted exudate has a rusty tint.
• Antimonium Tartaricum - the disease occurs with moist wheezing, heavy breathing and poor sputum discharge.
• Veratrum Viride, Camphor – pneumonia with severe cardiovascular insufficiency.
• Iodum, Kalium Yodatum - paroxysmal cough with severe chest pain, fever.

If antibacterial therapy is ineffective in eliminating the infection, then homeo-medicines can be prescribed: Sulfur, Arsenicum Album, Iodatum and others. All medicines are used only as prescribed by a homeopath, who selects the dosage and determines the duration of treatment.

Surgery

Drug therapy is indicated to eliminate Mycoplasma pneumoniae. Surgical treatment is performed only in the presence of serious complications, such as:

1. Lung abscess is an inflammation of the lung tissue with the formation and melting of purulent-necrotic cavities. For treatment, bronchoscopy is performed with aspiration and washing of the cavities with antiseptic solutions. If the lesion is large, then transthoracic puncture is indicated. In especially severe cases, resection is performed, that is, removal of part of the organ.
2. Pleural empyema is an accumulation of pus in the anatomical cavities of the lung. Treatment is aimed at removing purulent exudate, straightening the organ tissues and reducing signs of intoxication. To do this, a thoracostomy is performed, that is, open drainage. Pleurectomy, pulmonary resection, intrapleural thoracoplasty and closure of bronchopleural fistula are also possible.
3. Synpneumonic pleurisy is a purulent complication caused by an infectious pathogen. For treatment, intrapleural administration of antibiotics and lung drainage are indicated. During drainage, an underwater valve is installed with the help of which the amount of sputum is noted. The drainage is removed after the exudation process has stopped.
4. Pyopneumothorax is a breakthrough of the contents of the pulmonary cavity into the pleural cavity. Treatment consists of draining the purulent cavity and eliminating painful symptoms. In case of tension pneumothorax, emergency decompression is performed, that is, installation of drainage.
5. Cancer – oncological complications of mycoplasma pneumonia occur extremely rarely. Surgical treatment is the main treatment method, in combination with chemotherapy. The operation is aimed at removing the tumor formation from the affected part of the organ.

The detection of mycoplasma in a patient in itself is not a reason for treatment, therefore sumamed for mycoplasmosis, like other broad-spectrum antibiotics, is prescribed only if diseases such as pyelonephritis, inflammation of the appendages and uterus, gardnerellosis, urethritis and other causes hidden in the pathogenic microflora in the form of this bacterium. Of course, mycoplasma does not always lead to the occurrence of such diseases, but this possibility should not be dismissed.

Treatment of mycoplasma with sumamed, today, is one of the most common methods of treating this microflora. This drug belongs to the subgroup of macrolide antibiotics, the peculiarity of which is to provide a bactericidal effect when they accumulate in high concentrations in inflamed tissues.

Sumamed can be produced in five different forms - in tablets of 500 and 125 mg, 1 type in capsules of 250 mg and 2 types in bottles of 100 and 200 mg. When treating mycoplasmosis, all forms of release are used depending on the degree of development of the disease, gender and weight of the patient.

After taking the tablets, the active component is quickly absorbed into the gastrointestinal tract and enters the blood, where its maximum concentration is reached by the end of the third hour after taking the drug. Then the quantitative indicator of sumamed in the blood decreases, being absorbed into the tissues and cells of the body. Due to its composition, the concentration of the antibiotic at the location of the mycoplasma, where the tissues are inflamed, exceeds the same figure in healthy organs by 1/4. The absorbed medicine accumulates in the tissues within five days, so therapeutic courses are prescribed no more than once every 3 days.

Sumamed is not prescribed for mycoplasma if the type of mycoplasma is resistant to erythromycin or the patient has serious damage to the kidneys, liver, cardiac arrhythmia, the patient is a nursing mother, or a pregnant woman.

If sumamed for mycoplasmosis is taken together with other antacid medications, then a minimum break of 2 hours must be taken between drugs. The same period of time is maintained between taking the medicine and eating food.

Long-term use of the drug may lead to side effects such as abdominal pain, diarrhea, nausea, flatulence or vomiting; in some cases, skin rashes may occur. If side effects occur, you should consult a doctor to adjust your treatment regimen.

In modern medical practice, various diseases transmitted from person to person through sexual contact are widespread. One of these diseases is mycoplasmosis.

Anyone can encounter the disease during their lifetime. And, of course, if it was not possible to avoid a collision, you need to undergo treatment under medical supervision.

How soon, if mycoplasmosis has developed, is it recommended to start treatment, patients ask, and what drugs are best to use. Are there differences in recommendations for different groups of patients, and how to evaluate the effectiveness of therapy?

Mycoplasmosis is a disease caused by mycoplasmas. These are opportunistic microorganisms, among which there are several species that can cause unpleasant symptoms in humans.

If ingested, the following are dangerous:

• hominis;
• genitalium;
• pneumonia.

Moreover, the first two pathogens provoke damage to the genital organs. The latter causes pathologies of the bronchopulmonary system.

In total, there are more than 20 varieties of mycoplasmas that do not pose a threat to humans. The disease is called opportunistic due to the fact that the microorganism does not always cause negative changes in the body. In some cases, the bacterium can live on the genitals for years, or even decades, without showing itself in any way.

In order for the disease to remind itself, the body must be exposed to factors that reduce immunity.

Among them:

• contact with other pathogenic microorganisms, viruses, fungi;
• exposure of the body to too cold or, conversely, too hot temperatures;
• period of pregnancy and childbirth, as well as breastfeeding;
• congenital defects of the immune system, etc.

Under the influence of any of these pathogenic factors, mycoplasma found in the body can begin to actively reproduce. This will inevitably lead to the appearance of unpleasant symptoms that will require treatment. Transmission of mycoplasmosis occurs mainly through sexual contact.

However, in some cases, infection is possible through common household items, such as towels, linen, and washcloths. The infection can also enter the child's body during childbirth. Due to the fact that there is direct contact of the child’s body with infected mucous membranes.

Is therapy always required?

Today, doctors still have no consensus as to whether treatment for mycoplasmosis is always necessary. If so, what principles should you follow to achieve success? Because of this, both patients and doctors face a number of difficulties.

First of all, it is recommended to focus on the test results. The normal content of mycoplasma in the body is considered to be not more than 10 to 4 CFU/ml. If there are more bacteria in the body, it is recommended to consider the need for therapy. It would seem that everything is simple - I took the test, got the result, and started treatment.

However, in reality this is not the case.

Many doctors refuse to prescribe therapy if there are more bacteria in the body, but this does not manifest itself as any alarming symptoms. However, treatment can be prescribed if the number of bacteria is less than 10 to 4 degrees CFU/ml. But there are unpleasant symptoms that affect a person’s quality of life.

The patient may complain of:

• the appearance of transparent or slightly whitish discharge from the urethra, vagina (in men, discharge is especially intense in the morning);
• itching in the genital area, burning, and other unpleasant sensations;
• the appearance of a rash on the genitals that may itch;
• the appearance of pain in the lower abdomen;
• unpleasant sensations such as pain, pain when trying to empty the bladder;
• the appearance of unpleasant feelings during sexual intercourse or immediately after it.

In men, the bacterium can migrate to the testicular or prostate area, causing the development of orchitis, epididymitis or prostatitis.

In rare cases, mycoplasma can affect joints, causing symptoms of arthritis. Also, if a person does not pay attention to therapy, the development of autoimmune complications, pyelonephritis and other negative reactions is possible.

The decision on the need for therapy in each case is made individually.

The detection of mycoplasma in tests does not always indicate that this particular microorganism caused inflammatory reactions that require correction. The patient needs to remember that any therapy can be used only after the diagnosis has been confirmed. And for this you will have to undergo a full examination under medical supervision.

Principles of treatment in women

If mycoplasmosis develops in women, treatment is selected only by a doctor.

A dermatovenerologist evaluates test results and the severity of symptoms, and then selects the optimal treatment regimen. First of all, antibacterial drugs are selected for a woman.

Can be used for oral administration:

• Josamycin, administered 500 mg once every 24 hours for 3-5 days;
• Doxycycline, used 100 mg once every 24 hours for a course of 3-5 days, etc.

Additionally, Trichopolum can be used in therapy. The drug acts not only on mycoplasma, but also on chlamydia, trichomonas and other pathogenic microorganisms that affect the female genital organs. To increase efficiency, it is better to use it in combination with other antibiotics.

The doctor can also supplement the therapy with Metrogyl, available in gel form. The gel is applied to the woman’s genitals. This helps to quickly defeat pathogenic microorganisms located on the surface of the mucous membranes. The gel can be used not only in the treatment of women, but also in the treatment of men.

Representatives of the fair sex, due to the peculiar structure of the genital organs, are recommended to prescribe suppositories with antibiotics.

Metronidazole, Gravagin can be used. These agents quickly increase the local concentration of the antibacterial drug, which reduces the duration of treatment for the disease. After treatment with antibiotics, women are recommended to undergo a course of restorative therapy with drugs containing lactic acid bacteria. This is necessary so that the vaginal microflora is restored faster and better.

Additionally, representatives of the fair sex are required to be prescribed immunostimulants (Interferons, Viferon, etc.).

Their task is to strengthen their own immunity, which helps to quickly defeat the disease.

Vitamin complexes are also an obligatory part of therapy. Due to the structural features of the female genital organs, it is possible to use local antiseptics. Chlorhexidine and Miramistin are used. With their help, accessible mucous membranes are processed. To destroy those mycoplasmas that have not yet managed to penetrate into the deeper layers. Thanks to local treatment, it is possible to prevent infection by other pathogenic microorganisms.

If mycoplasma develops in men, treatment is recommended to begin as early as possible.

Representatives of the stronger sex are often diagnosed with a urogenital form of infection, which developed under the influence of a variety of hominis or genitalia. Antibiotics occupy a dominant position in the treatment of the disease. Drugs in this group destroy the pathogen directly, that is, they act on the very cause of the disease, and not on the symptoms.

Can be used, for example:

• Clarithromycin, used 250 mg once daily for 3-5 days;
• Levofloxacin, which is taken for three days, 250 mg once every 24 hours, etc.

Naturally, those antibacterial drugs that are used by women are also suitable for the stronger sex to take orally.

• antifungal agents such as Fluconazole to prevent the development of fungal infections while using antibiotics;
• probiotic preparations that help the intestines recover from the negative effects of antibiotics;
• vitamin complexes;
• immunostimulants, which will enhance the effect of antibiotics, will help the body fight infection.

For men, due to the peculiar structure of the genital organs, simple rinsing will not help. Representatives of the stronger sex need to instill antiseptic solutions into the urethra. Procedures are performed mainly in a doctor’s office, if necessary. Naturally, the dosage of each medication and the duration of use are selected by the doctor. In this case, the doctor takes into account the severity of the disease, symptoms, and individual characteristics of the patient.

General principles of antibiotic use

Antibiotics are the main drugs used in the treatment of mycoplasmosis. Without them, today it is impossible to get rid of the disease. Since only these medications act directly on the cause of the disease, destroying it.

Antibacterial drugs are serious medications that require careful use. When undergoing a course of therapy with their help, you should follow several rules.

• take only those antibiotics that are recommended by your doctor;
• strictly observe not only the dosage of the recommended drug, but also the duration of its use;
• refuse to self-prescribe antibacterial agents without authorization, as this can only worsen the situation;
• during the period of antibacterial therapy, refuse sexual intercourse, even with the use of condoms;
• undergo treatment not alone, but together with a sexual partner (after all, if one partner gets rid of mycoplasmosis, but the other does not, re-infection of a healthy person will become inevitable);
• It is strictly prohibited to independently change the dosage of the drug up or down, or stop its use ahead of time.

If you do not forget about these basic rules when using antibiotic therapy, getting rid of mycoplasmosis becomes not so difficult.

Use of drugs in children

Treatment of mycoplasma in children is also carried out using antibacterial drugs. True, doctors note that children practically do not suffer from the urogenital form of infection. More often they are diagnosed with mycoplasma, which causes negative reactions in the bronchopulmonary system.

For correction use:

• antibiotics (preference is given to Azithromycin as the safest remedy, but in severe forms it is possible to use Tetracycline, Erythromycin, etc.);

• drugs with an antipyretic effect (preference is given to Paracetamol, since if you do not exceed the recommended dosage, this drug is recognized as the safest);
• drugs with an expectorant effect (for example, Omnitus);
• immunostimulating agents (echinacea, interferons, etc.).

Among children, little girls have a higher risk of contracting urogenital mycoplasmosis from a sick mother.

This is explained by the structural features of their genitourinary system. If it was not possible to prevent a child from contracting a urogenital form of infection, mandatory medical supervision of treatment is necessary.

The principles of therapy are the same.

They use antibacterial agents, immunomodulators, local treatment of the genitals, and vitamin complexes. In children, the risk of developing complications is higher than in adults. Therefore, only a doctor should select specific medications, as well as the duration of their use and dosage.

Help for pregnant women

Mycoplasmosis is a disease to which doctors specializing in obstetrics and gynecology have ambivalent attitudes. The fact is that the infection is perceived as conditionally dangerous for a woman during pregnancy. However, there is not a single confirmed case of mycoplasma directly affecting the development of the fetus. Although, of course, the inflammatory process in the genitals has an adverse effect on the gestation process.

Attitudes towards the need for treatment are also ambiguous. If a pregnant woman suffers from symptoms of mycoplasmosis, therapy is mandatory. Includes antibacterial agents. Preference is given to drugs from the macrolide group (for example, Erythromycin).

Drugs in this group are taken in a short course and have minimal negative effects on the fetus during pregnancy. However, even when using Erythromycin, therapy is prescribed no earlier than 12 weeks of pregnancy.

In addition to antibiotics, the use of immunomodulators and biological supplements with vitamins is indicated to increase the effectiveness of therapy.

Recovery control

In order to properly evaluate the results of treatment, it will be necessary to retake the tests.

The fact is that the absence of symptoms of inflammation does not mean that the inflammatory process has stopped. And the number of microorganisms returned to acceptable levels.

The goal of treatment is not to completely destroy the opportunistic microorganism, but to stop the inflammation. If, according to the test results, the amount of the microorganism has returned to normal, but the patient still complains of symptoms, therapy must be continued. If the symptoms disappear and the amount of mycoplasma becomes normal, therapy can be discontinued. The disease is believed to be defeated.

If therapy is ineffective, the doctor can go in two ways. The course of use of the selected antibiotic is increased (up to a maximum of 7 days). Or an alternative drug is selected that can rid a person of the pathogenic microorganism. In 95% of cases this is enough to achieve recovery.

Mycoplasmosis is an unpleasant disease that can cause a number of complications if ignored.

The appearance of symptoms of an illness is a reason to visit a doctor and get recommendations for treatment!