Inexpensive antibiotic for the treatment of female diseases. The most effective antibiotics for female inflammation

Exists great amount diverse infectious diseases which, among other things, affect the health of a woman and her reproductive function. That is why it is so important to immediately contact a specialist from the moment a problem is discovered.

Summary of the article

Now there are practically no difficulties with the treatment of a disease caused by pathogens, since modern pharmaceutical industry is ready to offer a huge selection of effective antibiotics.

For comfort antibiotic drugs subdivided into classes and generations. They are also distinguished according to the sphere of activity and chemical composition. Antibiotics are substances that can actively affect disease-causing microorganisms.

Treatment of inflammatory processes in gynecology

Gynecologists often encounter manifestations of various inflammatory processes, which are caused by pathogenic microbes that have entered the body. Their treatment is most often carried out using various antibiotics. Before prescribing an antibiotic, it is necessary to determine which microorganisms caused the inflammatory process in the woman's body.

In order to get rid of the problem, you must perform certain sequential steps:

get tested and tested
detect the infectious agent
choose the right antibiotic
determine the reaction of the woman's body to the medicine
choose concomitant antifungal drugs
control the intake of antibiotics (up to 7 days).

The action of the drugs

According to the mechanism of action, antibiotics are divided into:

bactericidal - actively destroy bacteria, after which they are removed from the body
bacteriostatic - do not allow microorganisms to actively multiply and develop.

Effectively influencing harmful bacteria, antibiotics allow women to get rid of even the most severe inflammatory processes. There are many gynecological diseases that can be cured with antibiotics. Among them are diseases:

uterus and ovaries
labia
fallopian tubes
cervical canal
vaginal mucosa, etc.

Infections can get into the genitals of a woman, with which the immune system is simply not able to cope alone. Gonococci, streptococci, chlamydia and staphylococci - they all create huge problems for a woman's health. In this case, correctly selected antibiotics will be a real salvation and help in as soon as possible remove inflammation.

It is impossible not to notice when an inflammatory process occurs in the body, since it can be accompanied by strong painful sensations, elevated temperature, copious secretions. Moreover, it is important to understand that this will not pass on its own, but will progress further. The most rational treatment for acute phase ailment. Usually for complete cure subject to certain rules, 1-2 weeks is enough. The duration of treatment depends on the complexity of the disease and its neglect. If you ignore the symptoms of the disease, it can develop into a chronic form.

Classification of antibiotics

In order to choose the right antibiotic that can cope with the infection, you need to know what pathogen caused the disease and at what stage the disease is. Too weak antibiotic it can simply harden pathogenic bacteria, and it will be more difficult to fight them. Too much strong medicine capable of completely destroying beneficial microflora which will lead to additional problems. Therefore, in no case should you self-medicate. A doctor should prescribe medications, sometimes combining antibiotics with other drugs.

Antibiotics are most often used in gynecology a wide range actions. These include:

Streptomycin
Vifamycin
Aminoglycoside
Kanamycin
Erythromycin
Ampicillin
Penicillins
Cephalosporins
Metronidazole
Neomycin
Monomycin
Azithromycin
Tetracyclines.

These antibiotics can kill both harmful and beneficial microflora in the intestines. However, they are very popular because they can cope with almost all microorganisms.

Along with the above antibiotics, potent antibiotic agents are used to treat severe inflammatory processes in the field of gynecology. Despite their high efficiency, they are not as toxic because they are based on purified active substance. These drugs include:

Rulid
Unidox Solutab
Rovamymcin
Cephroxitin
Cefamandol
Avelox
Ceftazidime
Cefpodoxime
Cefuroxime
Fusidin
Cefotaxime
Spiramycin
Latamoxef
Ciprofloxacin
Amoxil
Cefixime.

These drugs are a new generation of antibiotics, and therefore they are more effective in the treatment of many diseases associated with infections. genitourinary system.

The use of suppositories for inflammation

In addition to tablets for the treatment of inflammatory processes, antibiotics are also used in the form of intravenous and intramuscular injections and candles. The latter are vaginal and rectal local and general purpose. They can be used as additional remedy in therapy, and as a full-fledged therapeutic drug. Candles are very effective in the treatment of infections, since their active substance is almost instantly absorbed by the mucous membrane.

Distinguish suppositories according to their constituent drugs .

Anti-inflammatory - with hexicon, are an excellent prophylactic, minimize the transmission of genital infections.
Pimafucin - used to treat fungal infections.
Bactericidal - with betadione, help with bacterial vaginosis.
Infectious - with metronidazole, used to treat trichomonas.

In addition, candles with analgesic and antipyretic effects are also used in gynecology.

Antibiotics in gynecology are a powerful "weapon" that allows you to cope with infectious and inflammatory diseases of the reproductive system.

Antibacterial drugs are prescribed by a doctor, used in the treatment various diseases, for long period time. The average course of treatment is 7-10 days.

What diseases are treated

In gynecological inflammations, antibacterial drugs of the sector of action are prescribed only if indicated. The reason is that in relation to viruses and fungi, medicines of this class are not effective.

Antibiotics can be prescribed:

With inflammation of the ovaries.
With inflammation of the fallopian tubes.
With inflammation of the body of the uterus.
With inflammation of the cervical canal.
With inflammation of the labia.
With inflammation of the vagina.

Medicines in this class are effective against the following pathogens:

Staphylococci;
Streptococci;
Chlamydia;
Gonococcus.

Attention! Even one of the oldest venereal diseases, syphilis, is treated with antibacterial drugs. Syphilis is caused by the bacterium Treponema pallidum. The treatment of syphilis is prolonged nature, but with timely conduct ends safely for the patient.

In case of inflammation of the organs of the reproductive system, the antibiotic is selected individually. Before therapy, an analysis is carried out for the sensitivity of strains to the drug (bacterial seeding of microflora for sensitivity). This helps to pick effective medicine and optimize treatment.

Indications for antibiotic therapy:

Increase in body temperature.
The appearance of secretions from the genital tract.
Severe pain syndrome.
Signs of intoxication.

Gynecological diseases can be treated various methods, conduct:

monotherapy;
combination therapy.

Monotherapy is the use of one drug, which is considered the basis of treatment. The action of the drug helps to stop the course of the inflammatory process and get rid of the signs of the disease.

Combination therapy is most effective, it consists of several drugs that enhance the effect of each other.

What drugs can be prescribed

Antibiotics for gynecological diseases appoint different, but their action is:

bactericidal character.
bacteriostatic character.

Bactericidal drugs act on pathogenic microflora, they kill bacteria. Their mass death leads to the appearance of intoxication or its intensification, but as the bacteria are removed from the body, the patient's condition improves.

Means of a bacteriostatic nature have a different effect on microorganisms, they block the process of their growth and reproduction. This leads to the death of pathogenic microflora. Simply put, drugs create unfavorable conditions for the growth and reproduction of pathogenic microflora, which allows you to cope with the signs of the disease and recover faster.

Pros and cons of antibiotic therapy

Antibacterial agents have advantages and disadvantages, their use helps:

stop the inflammatory process at the stage of its development, before the appearance of complications;
avoid further problems with the reproductive system;
normal to conceive, endure and give birth to a healthy child.

Important: When gynecological diseases therapy with the use of antibacterial agents is carried out promptly. This avoids complications and the transition of the inflammatory process into a chronic form of the course.

In the chronic form of the course, the disease is in latent form, but under adverse circumstances becomes acute. This is due to the fact that bacteria are constantly in the body, therapy does not help get rid of them, it only reduces the activity of microorganisms.

Disadvantages of antibiotic treatment:

After antibiotics there are problems with digestion.
Candidiasis appears.
Weakens the activity of the immune system.

In the treatment of an inflammatory or infectious nature antibacterial agents in the body massively die beneficial bacteria. This is due to the fact that the drug affects the body as a whole. It kills both useful and harmful microorganisms, which is fraught with certain consequences.

At the same time, it will take time to restore the beneficial microflora. For this purpose, several drugs are prescribed that can correct the situation.

What antibiotics are prescribed

Gynecology uses drugs to treat infections, various forms release. The doctor may prescribe to the patient:

pills;
solutions for intramuscular or subcutaneous injection(injections);
suppositories.

Help: help to cope with bacteria different kind They are most often prescribed in the form of tablets.

Tablets are taken orally, which is associated with certain risks. Once in the stomach, they destroy beneficial microorganisms and quickly lead to the development of dysbacteriosis and other digestive disorders.

The shots are different the most efficient, they are used mainly in a hospital setting. Injections different nature increase the effectiveness of antibacterial agents. Help to reduce them negative impact on the gastrointestinal tract.

The appointment of suppositories is perceived as adjuvant therapy. In fact, antibiotics in the form of suppositories are quite effective and have local action problems, minimizing the risks associated with such therapy.

Attention! IN female gynecology use suppositories for vaginal administration. But for the treatment of men, suppositories for rectal administration are used.

Medicines: their classification and action

Antibiotics in gynecology from infections and the inflammatory process use different ones.

The drugs used can have a wide spectrum of action, such drugs are considered universal, they are available in the form of tablets or injections. There are new generation antibiotics, they are less toxic and very effective.

TO universal means worth considering:

Ampicillin is a drug well known to many, of semi-synthetic origin, often prescribed by doctors, but has a number of disadvantages.
Erythromycin is a drug that is well tolerated and belongs to the class of macrolides, it breaks molecular bonds, which leads to the death of pathogenic microorganisms.
Metronidazole is an antiprotozoal and antimicrobial drug, produced in several forms (injection solution, vaginal gel and tablets).
Tetracycline is an inexpensive antibiotic used to treat infectious and inflammatory diseases.
- is available as a solution for injection, is well tolerated, but is prescribed only if indicated.

Medicines newest generation, list:

Cefamandol (powder for solution intended for injection) is used in the treatment of diseases of the urinary, genitourinary system and infectious diseases of a gynecological nature.
Rulid is available in the form of tablets and well overcomes the barrier of the gastric mucosa. Applied once every 12 hours, effective against a large number of pathogenic microorganisms.
Ceftazidime is a 3rd generation antibiotic. Its bactericidal action is due to the destruction of the cell membrane. Used in the treatment of infections and inflammatory diseases heavy flow.
Amoxiclav is inexpensive, but very effective drugs wide area of action. Contains penicillin and amoxicillin.
Unidox Solutab - belongs to the group of tracyclines, due to the action of the components leads to the destruction of the membranes of pathogenic cells and a decrease in protein synthesis. Produced in the form of tablets.

Inflamed organs of the reproductive system can be treated with other drugs, in the form of suppositories.

Suppositories are:

With metronidazole - they are used to treat infectious diseases caused by Trichomonas.
With baktodin - different bactericidal action, create in the vagina an unfavorable environment for the growth and reproduction of pathogenic microflora.
With hexicon - have an anti-inflammatory effect. They are used as prophylactic or component complex therapy. When using suppositories of this class, the risk re-infection is reduced to a minimum.

Important: The doctor can increase antibiotic therapy with the help of suppositories, the action of which is aimed at reducing other signs of the disease: a decrease in the severity pain syndrome, decrease in body temperature.

Restorative Therapy

Restoration of microflora in gynecology is carried out after the end of the course of antibiotic treatment. The procedures are aimed at eliminating unpleasant symptoms and eliminating problems with the gastrointestinal tract and vaginal dysbacteriosis.

Restorative therapy is carried out with the help of various drugs, to restore the microflora of the vagina, candles are suitable:

Ecofemi;
Vagilak;
Gynoflor.

The composition of these drugs includes lactobacilli, which help restore the flora and cope with the signs of the disease.

And you can also use:

Genecotex (have an anti-inflammatory effect and act as a contraceptive).
Acylact (increase the activity of local immunity).
Genferon (have a good anti-inflammatory effect, may be part of combination therapy in the treatment of gynecological and urological diseases)

Names of drugs for the restoration of microflora in the intestine, list:

Smecta (belongs to sorbents, well absorbs toxins that remain in the body after the death of pathogenic microflora);
Hilak-forte ( medicine, which creates a favorable environment in the intestines and stomach for the growth and reproduction of beneficial microorganisms);
Bifidumbacterin (contains beneficial bacteria that help to cope with digestive problems).

To restore the microflora after the therapy, you will also need to follow a diet. It is recommended to follow certain dietary rules:

Include dairy products in your diet.
Consume fresh fruits and vegetables.
Drink fresh juices and mineral water.

Reference: Proper nutrition will help improve the functioning of the immune system and recover faster after past illness and toxic therapy.

And you'll also have to:

play sports or walk in the fresh air;
take vitamins;
avoid stress and nervous shocks.

Antibacterial therapy in gynecology is used to treat a large number of diseases. But do not forget that similar treatment may lead to certain consequences. Therefore, it is recommended not to engage in the selection of medicines on your own, but to entrust this to the doctor.

Inflammatory processes in the organs of the female reproductive system can be caused by various pathogens, among which most often bacterial infections. Properly used antibiotics for inflammation of the uterus effectively fight pathogenic microorganisms and help to prevent aggravation of the pathology.

Antibiotics in natural conditions produced by various microorganisms. Their main task is to resist the invasion of alien microbes and destroy them. Most often, these substances are synthesized by bacteria and fungi. There are many modified antimicrobial compounds that have a wide spectrum of action and a high degree of effectiveness.

Treatment of inflammatory processes in the uterus, appendages (ovaries, fallopian tubes and links) cervical canal and in the vagina is almost always carried out with the use of antibiotics. The doctor's choice of form medicinal product, its dosage depends on the sensitivity of the pathogen to the pharmacological agent.

In order to determine the body's response to a particular antibiotic in bacteriological laboratory a special analysis is made. If this is not possible, then specialists practice the appointment of drugs acting on a large number of infectious agents.

Antibiotics do not act on viruses and fungi, which also sometimes cause inflammation in the reproductive organs of women. However, most often the source of the problem is bacteria that provoke the development of the disease:

vaginitis (cause - streptococci, staphylococci, gonococci, trichomonas);
vulvitis (pyogenic and intestinal flora);
bartholinitis (streptococci, gonococci and other microbes);
salpingitis (streptococci, staphylococci, E. coli, tubercle bacillus);
salpingoophoritis (gonococci, colibacilli, streptococci, staphylococci);
endometritis ( Staphylococcus aureus, tubercle bacillus).

Microorganisms, once in the body of a woman, immediately begin to actively multiply. The immune system not always able to cope with them. Therefore, it is necessary to be treated with antibiotics to remove the inflammatory process.

All antimicrobials are divided into two groups:

bacteriostatics that inhibit the growth and reproduction of pathogens;
bactericides that destroy microbes that are later excreted from the body.

Features of antibiotic therapy

With expressed and other reproductive organs, which are confirmed laboratory tests, a course of treatment is prescribed. Its obligatory part is the use of antibiotics.

Depending on the severity of the process, the doctor determines the dosage of antimicrobials used in the treatment. In order not to waste time waiting for the results of the microflora sensitivity analysis, the first thing to do is prescribe antibiotics that have a wide spectrum of action - Azithromycin, Kanamycin, Rifampicin, Metronidazole and others.

Upon receipt of research data, they are changed to the drug that has a detrimental effect on the identified infection.

These drugs include:

To strengthen healing effect their use in combination with Metronidazole (Metrogyl) is practiced. One of effective ways treatment - topical application antibiotics.

With inflammation reproductive organ the gynecologist is faced with the task of eliminating the pathological process and normalizing menstrual function. It is disturbed due to mucosal edema and manifests itself in the form of bleeding that occurs at the wrong time or too much. meager allocations, often acquiring a smearing character.

The principle of action of antibacterial drugs is based on the fact that they are quickly absorbed into the blood and enter the diseased organ. There, antibiotics disrupt the synthesis of protein structures in bacterial cells, which leads to their death.

Along with high efficiency drugs used for cervicitis, endometritis and others can cause adverse reactions. Most often they manifest themselves in the form of allergies, disorders of the digestive and nervous system. Possible other symptoms individual intolerance.

Using antibiotic vaginal suppositories

If you need to get rid of endometritis or, the treatment and suppositories that are used must contain antibiotics. This form of medicine is very convenient, because it allows you to deliver the active substance directly to the focus of inflammation, bypassing the effects on other organs and systems, among which the digestive system is especially sensitive.

Therapeutic effect when used vaginal suppositories, as candles are otherwise called, comes faster. This applies to complex therapy and their individual use. Suppositories for inflammation, which gynecologists prescribe to their patients, contain anti-inflammatory and antibacterial components. Their action occurs immediately after the introduction into the vagina. medicinal substance, which is present in them, has a bactericidal and anti-inflammatory effect. It affects the diseased organ for a long time.

Only a gynecologist can prescribe suppositories that a woman should use in the treatment of inflammation in the pelvic organs, focusing on which pathogen caused the disease. He also recommends the duration and scheme of using suppositories.

Most often, experts prescribe suppositories, which include an antibiotic or antiseptic substance with a wide spectrum of action.

It could be:

In some cases, suppositories containing anti-inflammatory and analgesic substances are used as an additional remedy. These are Diclofenac, Indomethacin, Movalis. It is also possible to prescribe Ovestin suppositories, which are based on estriol, a synthetic substance that acts as female hormone estrogen.

The use of vaginal suppositories helps to achieve the destruction of the bacterial pathogen and fast withdrawal inflammation. Already half an hour after the introduction into the vagina, up to 50% of the medicine contained in the suppositories enters the body, and after an hour it is completely absorbed. Additional components of suppositories (perfumes and paraffin) do not enter the bloodstream. They are excreted from the body of a woman with secretions.

Unlike injections and tablets, with which antibiotics enter the body, suppositories are much less likely to cause side effects. However, there is still a small chance of an allergic reaction to the active substance. In some cases, there are violations of the hematopoietic, digestive, genitourinary and nervous systems.

Application vaginal suppositories containing an antibiotic in pregnant women and nursing mothers is used only if there is no risk of harming the baby. Therefore, without consulting a doctor, it will not work.

The cause of endometritis, inflammation of the appendages, in women are often sexually transmitted pathogens - infectious diseases. Often the cause of the development of pathology is its own opportunistic microflora, which is normally present in the lower parts of the genital tract. These are hundreds of types of microorganisms - aerobic, anaerobic, gram-negative, gram-positive and bifidus - and lactobacilli, which make up to 98% of the total. The latter, as an exception, never take part in the inflammatory process.

External or internal factors violate their own protective properties reproductive system, a pathological process develops with a shift in the density of certain microbial associations. Occur on their own or in various combinations diseases:

acute or chronic endometritis (inflammation of the mucous and muscular membrane of the uterus);
salpingitis (tubal infections);
oophoritis (inflammatory process in the ovaries);
ovarian abscess;
septic abortion;
peritonitis.

Treatment of inflammation of the female genital organs is somewhat difficult. Identification of one or more types of microorganisms from among the conditionally normal flora in a smear does not prove their involvement in the occurrence pathological process.

Therapy is chosen empirically by the physician using broad-spectrum antibiotics. At the same time, many microbes have already acquired individual and cross-resistance to commonly used groups of drugs (cephalosporins, aminoglycosides, fluoroquinolones), which greatly complicates the treatment of infections caused by them.

Therefore, semi-synthetic penicillin antibiotic broad-spectrum amoxicillin for inflammation of the appendages in pure form does not apply. Most bacteria have now developed resistance to this drug.

Modern antibiotic drugs

The most successful choice for the treatment of bacterial endometritis, salpingo-oophoritis and other infectious diseases of the genital area is the combination of a protected aminopenicillin (amoxicillin / clavunate) with a macrolide or doxycycline. Such therapy is precisely aimed at suppressing the main aerobic, anaerobic and intracellular microorganisms that are most often isolated in the diagnosis of pelvic infections.

The addition of the substance clavulanic acid to amoxicillin, which became inactive against penicillin-resistant strains of many microorganisms permanently inhabiting the body, led to an increase in the antibiotic efficacy of the drug and the expansion of its applicability in gynecological and obstetric practice. This additionally introduced into the drug substance protects the molecules of amoxicillin from the destructive action of the enzymes of the bacterial cell.

Amoxicillin with clavulanic acid is well tolerated long-term use, but it cannot be used for intramuscular injections. Tableted forms of preparations are also produced for intravenous controlled use in the hospital regime.

Due to the fact that there is not a single antibiotic that is active against all microorganisms that cause inflammation of the pelvic organs at once, for treatment in medical practice combinations of several drugs are used.

Protected amoxicillin for endometritis, inflammation of the appendages and others mixed infections of the pelvic organs is prescribed by a doctor at 1000 mg in the morning and in the evening for at least 10 days in combination with ofloxacin tablets 400 mg twice a day for a week. With concomitant thrush, the antifungal drug Fluconazole 150 mg once or 50 mg for at least 7 days is introduced into the treatment regimen. Tablets should be taken with water, during meals, without chewing.

Antibiotics of the group of protected penicillins (Augmentin, Amoxiclav, Panklav) are also used for preventive (preliminary, prophylactic) therapy infectious complications with gynecological surgical interventions. Thanks to biochemical properties of the drug in the tissues, the necessary concentrations of the antibiotic are created until the moment of contact with possible microbes during the operation, which reduces the risk of complications.

Preference is given to soluble forms of modern antibacterial drugs (solutab) protected amoxicillins. They are more absorbent active substance from the gastrointestinal tract, protecting useful intestinal microflora and allowing you to maintain constant therapeutic concentrations in the blood to eliminate the pathogen from the foci of inflammation. Thus, in the treatment of diseases of the internal genital organs, the frequency of relapses and the transition of the infection to a chronic form is reduced.

In female representatives, inflammatory processes affecting the appendages and ovaries are most often provoked infectious agents and for the most part require the use of antimicrobials as treatment. Inflammation usually begins to develop due to the decreased resistance of the body under the influence of hypothermia or due to the penetration of bacteria, fungi and viruses into the ovaries.

With inflammation of the appendages in women after the establishment accurate diagnosis antibiotics should be administered immediately drug regimen. Even if at this point there are studies that determine the type of pathogen, the initial stages of therapy can be carried out without clarification. However, it must be remembered that antibacterial pharmaceuticals will render positive impact only in case acute form ongoing inflammation. In some cases, antimicrobial drugs may be used in an exacerbated course. chronic form diseases.

Nuances of pathology and principles of antimicrobial treatment

Inflammatory processes occurring in the appendages are primarily dangerous with possible subsequent complications:

inability to get pregnant;
suppurative processes that form in the ovary and affect the peritoneum;
against the background of suppuration, pelvioperitonitis is formed, which can be eliminated only through a surgical operation.

It is possible to assume the presence of an acute form of adnexitis or oophoritis when pain occurs in the lumbar region or lower divisions belly. Soreness may occur when visiting the toilet, accompanies discomfort general weakness and increased temperature. A woman who has similar signs, an immediate examination is necessary, delivery vaginal smear for the purpose of bacterial culture and determination of the nature of the microflora. This approach will allow you to most accurately select tablets and other forms of drugs for therapy.

On early stages while the results of studies are unknown, injections of drugs with a wide spectrum of effects can be used to relieve the inflammatory process of the ovaries. Their advantage lies in the ability to destroy not one, but simultaneously many types of bacteria that provoke pathologies of the genitourinary system. The main rule in this case is that the selected drugs should be active against chlamydia, mycoplasmas, ureaplasma - it is these organisms that most often cause the development of diseases.

Important point. The next step after receiving the results laboratory research- possible adjustment of the therapeutic regimen, if it is found that in order to eliminate the pathogen the best option there will be another drug.

When choosing antibiotics for inflammation of the appendages, you need to follow some rules. There are certain principles of treatment using antimicrobials:

To avoid side effects as much as possible negative phenomena and polypharmacy established diagnosis verified by PCR and ELISA.
When determining the dose of drugs for inflammation of the ovaries and appendages, the patient's body weight is taken into account.
When selecting antibiotics, preference should be given to antimicrobial substances that can be in the blood for a long period. If the drug is cleared from the plasma too quickly, the required concentration of the active substance cannot be reached, which gives pathogens a certain head start.
The developed therapeutic regimens should not be detrimental to the health of the patient, respectively, before treating inflammation of the ovaries and determining how to do it, bacteriological studies are carried out.
In case of complications, it is recommended to combine antibiotics, selecting funds with different mechanism impact on pathogens and different period removing the infection from the body.
After stopping the pathological process, prevention aimed at preventing the formation of adhesions and restoring intestinal motility cannot be ignored. You should also check the integrity endocrine system after the treatment.
The course of treatment is monitored through tests, which helps to prevent a malfunction in the functionality of the liver.
If the inflammation of the appendages is running, it is advisable to prescribe injections and take drugs with a more powerful effect. These include the group of Cephalosporins, Lincomycin or Fluoroquinolone.

In the event that within several days of treatment the condition of the victim does not change for the better, there is no progress in both the symptoms and the test results, it is necessary either to change the drug or increase the dosage.

Antibiotic drugs prescribed for inflammation

Preparations for the treatment of inflammatory processes in the appendages must meet a number of requirements. They are expected to be highly effective against pathogens that caused the pathology, easy penetration into the focus of the disease, as little toxicity as possible and good level interactions with prescribed anti-inflammatory drugs. Treatment is usually complex, carried out with a combination of antibiotics and NSAIDs - non-steroidal anti-inflammatory drugs. Appointment of NSAIDs necessary to prevent damage from emerging inflammation.

As for antibiotics, the following medications are commonly prescribed:

Tetracyclines, despite the fact that most of the pathogens present in inflammatory processes in the appendages, have become quite resistant to this group of drugs over time. It should also be noted that tetracyclines have a considerable list side effects. At the same time, tetracyclines well eliminate the possibility of the pathogen to actively reproduce and are effective against gonococci, streptococci and staphylococci, mycoplasmas, spirochetes, chlamydia and others. Specialists prefer to use Doxycycline, which is highly effective with a small amount negative manifestations. It quickly leaves the body and is effective not only for adnexitis, but also for chlamydia.
If you list the most effective drugs with adnexitis, macrolides will be next on the list. This group of antibiotics is not susceptible to cleavage in gastrointestinal tract, drugs have a long half-life, which ensures their accumulation in the body and accelerates recovery. The most popular funds are Sumamed with Klacid.
In gynecology, the group of fluoroquinolones is good because the resistance of pathogens to such drugs is formed very slowly, so that even with prolonged treatment frequent shift antibiotic is not required. If the patient does not have comorbidities in which the use of fluoroquinolones is prohibited, similar drugs with adnexitis it is best to use. Pefloxacin, Norfloxacin, or Ofloxacin may be prescribed.
to other synthetic antibacterial agents, which has a wide range of effects and is good at destroying aerobes, is Metronidazole and Tinidazole from the group of nitroimidazoles.
In addition to the additional uterine preparations with inflammation of the uterus and ovaries, Erythromycin is used, which well destroys mycoplasmas and chlamydia.
In severe complicated inflammation of the appendages, specialists prescribe a group of aminoglycosides, which are also relevant in the event of a transition of the pathology to other organs. There are four generations of such antibiotics. The first includes Streptomycin and Neomycin, the second - Gentamicin. The third generation is represented by Amikacin, Sizomycin, Tobramycin, and the fourth is Isepamycin.
The substitute for all the above names of antibiotics against inflammatory processes in the appendages is the group of Cephalosporins. Depending on the activity, drugs are divided into four generations. The first generation of the narrow spectrum includes Cefalexin and Cefazolin, the second generation includes Cefaclor or Cefuroxime. The third generation are broad-spectrum drugs Cefixime, Ceftibuten, Ceftazidime. The fourth generation includes Cefpirome and Cefepime.

Important nuance. With inflammation of the appendages, drugs will help better if they are injected - intravenously or intramuscularly. When does therapy begin to show positive result the specialist prescribes drinking tablets or suspensions; vaginal suppositories can also be used.

Candles used in inflammatory processes in the ovaries

Antibiotics for inflammation of the ovaries can be in the form of vaginal suppositories, and this practice is widespread in the field of gynecology. Conventionally, candles are divided into two groups - those that inhibit the activity of bacteria, viruses and fungi, and those that act anti-inflammatory and soothing. Consider which antibiotic suppositories of the first group are used most often and summarize the names in a table:

Name of suppositories	Active substance	a brief description of	Peculiarities
Hexicon	Chlorhexedine	Candles are used to treat inflammation of the ovaries in women, their use is contraindicated at the age of less than 12 years, when carrying a child, strict control is required and appointment only when absolutely necessary	Candles are administered in the morning and evening, the duration of treatment is seven days. Possible side effects include itching and allergic reactions
Depantol	Chlorhexedine	It is prescribed if the ovaries become inflamed, it is permissible to use women in position. Suppositories are contraindicated in childhood	One suppository inserted into the vagina twice a day. The duration of treatment is 10 days, allergic manifestations are possible
Klion-D	Metronidazole	It is forbidden to use in the first trimester, with breastfeeding, in diseases circulatory system	It is administered at night, the treatment period is 10 days. By-effect - headache, burning sensation and itching
Polygynax	Neomycin, Nystatin, Polymyxin B	Antibacterial, not used in the first three months of bearing a child, while breastfeeding and in case of intolerance to the components	It is recommended to use the drug at night in the amount of one capsule. Duration of therapy - 12 days
Clindamycin	Clindamycin	High performance antibiotic	One suppository at night, duration of treatment 3-5 days
Terzhinan	Ternidazole, Nystatin, Prednisolone, Neomycin Sulfate	Complex drug, contraindications are almost completely absent. Do not use in case of individual intolerance to the components, when carrying and breastfeeding a child, use it when absolutely necessary	The duration of treatment is 10 days
Betadine	Iodine	Prescribed for fungal or viral inflammation not indicated in the first three months of pregnancy	Application - once every 24 hours, the duration of treatment is individual, depending on the condition of the victim

The considered drugs have a detrimental effect on pathological microorganisms, reduce the symptoms of inflammatory processes. If we consider than in women, based on the second group, the most popular Diclofenac and Indomethacin should be noted. They are anti-inflammatory nonsteroidal drugs and cannot be used when carrying a child. Contraindications for use include allergic reactions, problems with liver function, ulcers gastric pathologies and diseases of the circulatory system. Candles for inflammatory pathology are not prescribed if the patient's age does not exceed 14 years. Suppositories are used rectally, once for 24 hours, after the act of defecation. The duration of treatment is determined by the treating specialist depending on the patient's condition.

Treatment during childbearing and possible contraindications

Separately, it should be considered which antibiotics to treat in women who are carrying a child. In general, antimicrobials are not indicated during pregnancy, as they can adversely affect both the fetus and the health of the mother. There is also a risk of penetration during breastfeeding. active ingredient into milk. Particularly high risk negative consequences using antimicrobial agents during the first three months of pregnancy. If symptoms of inflammation of the appendages occur medical preparations may be based on the following factors:

Tetracyclines during pregnancy are not accepted, since they are able to overcome the placental barrier, then accumulating in the tissues of the fetus. The perceived risk for the child is the pathology of the formation of his skeleton.
Pregnant women are contraindicated and certain macrolides. Clinical Research the negative effects of Clarithromycin have been proven. The least harm will be done if the diseases are eliminated in a feminine way with Erythromycin, Josamycin or Spiramycin prescribed by the attending physician. With a particularly severe course of inflammation, a pregnant patient may be prescribed Azithromycin.
Fluoroquinolones are not prescribed at all when carrying a child.

Only the attending physician can determine whether antibiotics are appropriate, determine the dose and duration of their administration. But in any case, when using antibiotics, a number of side effects and contraindications are possible. So, with an overdose of Macrolides and Fluoroquinolones, problems with stools are possible, nausea appears, changes heartbeat. Tetracyclines should not be used for kidney failure and leukopenia.

Drug interactions should also be taken into account. If the patient drinks Fluoroquinolones, she is prohibited from drugs that include calcium, bismuth, aluminum and magnesium. Simultaneous reception NSAIDs can cause seizures and problems with the central nervous system. Tetracyclines should not be mixed with barbiturates, as their toxicity increases markedly. Tetracyclines also inhibit the effects oral contraceptives. Macrolides and aminoglycosides are not combined. The attending specialist informs the patient about other features of the interaction of antibiotics and other substances.