Antibiotic treatment for cholecystitis

Antibiotic treatment for cholecystitis

According to its localization, anatomical and functional connections, the gallbladder is affected by inflammation from the intestines, liver, and stomach through contact. Possible infection from distant foci with blood in chronic tonsillitis, carious teeth, sinusitis. The cause of cholecystitis is most often bacteria, less commonly fungi, viruses. The activation of the conditionally pathogenic flora deserves special attention.

Antibiotics for cholecystitis are included in the mandatory treatment regimen. Preparations of this group are prescribed by a doctor depending on the type of pathogen, the severity of the patient’s condition. The possibility of complications, the transition of the inflammatory process from acute to chronic, depends on what antibacterial agents are used in the treatment.

What cholecystitis is not indicated for antibiotics?

In recognizing the causes of gallbladder inflammation, the state of the pancreas must be taken into account. The fact is that in chronic pancreatitis, a violation of the production of enzymes leads to insufficient closure of the sphincter of Oddi and an increase in pressure in the duodenum.

Under such conditions, duodenobiliary reflux forms (throwing the contents of the duodenum into the gallbladder). Activated pancreatic enzymes cause non-bacterial inflammation, “enzymatic cholecystitis.” This option does not require a mandatory course of antibiotics.

How are indications for antibiotic administration determined?

Indications for the use of antibiotics are clarified starting with the questioning and examination of the patient. Usually the patient is worried:

  • intermittent, but rather intense pain in the hypochondrium on the right;
  • colic along the intestines;
  • frequent loose stools;
  • nausea, vomiting is possible;
  • temperature increased over 38 degrees.

On examination, the doctor finds pain in the right hypochondrium, sometimes an enlarged gall bladder palpates.

In blood tests reveal:

  • leukocytosis with a shift in the formula to the left;
  • ESR growth.

The decision on the advisability of using antibiotics, the selection of the dosage and route of administration of the medicine is made only by the doctor. We draw attention to the great harm of self-medication.

Antibiotic treatment rules

In his choice, the doctor is guided by certain requirements for antibiotic treatment.

1. It is best to prescribe a drug with proven sensitivity to the identified causative agent of cholecystitis. In the absence of time or opportunity to wait for the results of the tank. analysis to use broad-spectrum antibiotics, then when receiving a conclusion and the ineffectiveness of the previous therapy, replace it with another.

2. The dose is calculated based on the severity of the patient’s condition, age and weight.

3. The advantage is the intravenous and intramuscular route of administration. You can not take pills against vomiting and dyspepsia.

4. The course of treatment should be at least 7-10 days.

5. Interruption and lengthening are equally harmful and threaten the development of resistant forms of pathogens.

6. Against the background of antibiotic therapy, vitamins (groups B, C) must be prescribed. Being coenzymes in many biochemical processes of the body, these agents have a supporting anti-inflammatory effect.

7. In the presence of mixed flora, concomitant chronic diseases, it is possible to prescribe combinations of antibiotics with other drugs. In this case, contraindications and compatibility should be considered.

What complications should be wary of antibiotic treatment?

Each organism has individual sensitivity and characteristics of the assimilation of drugs that cannot be foreseen in advance. Against the background of the use of the necessary doses of antibiotics and after a course of treatment, the following undesirable complications may occur:

  • allergic manifestations of varying severity, from urticaria (skin rash) to anaphylactic shock;
  • attacks of bronchospasm with suffocation;
  • a significant decrease in immunity;
  • accession of a fungal infection;
  • intestinal dysbiosis, manifested by unstable stools, constant bloating.

To prevent a possible negative effect, patients should follow the doctor’s recommendations. If unusual signs appear, be sure to inform the doctor. Under no circumstances should such phenomena be tolerated.

Antibiotic therapy is subject to a careful comparison of the indications and mechanism of action of the drugs. Therefore, it requires special knowledge and experience. Self-administration is not only inconclusive, but also causes significant harm to human health.


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