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Antibiotics for tonsillitis in adults and children, especially the treatment

Antibiotics for tonsillitis in adults and children, especially the treatment

Antibiotics for tonsillitis should be used in cases where it has not been possible to stop the inflammatory process by other means, the temperature has risen, as well as an increase in intoxication.

How are antibiotics prescribed?

Treatment with antibiotic therapy should be carried out by a specialist. The principle of “if it helped my girlfriend, it means it will help me” does not work in the selection of a drug.

What helped one does not necessarily help the other. Antibiotics for tonsillitis of the throat should be prescribed taking into account the sensitivity of bacteria to a particular drug.

Antibiotics for chronic tonsillitis

Chronic tonsillitis is one of the most common pathologies in otolaryngology. This disease is common among both adults and children who live in a wide variety of climates.

The course of chronic tonsillitis includes periods of exacerbation and remission. These periods are characterized by the presence of infectious agents in the tonsils.

These infectious agents can be in the tonsils for so long due to the anatomical structure of the lacunae. The tonsil cavity is not easily accessible for hygiene procedures, which prevents the infection from leaching out.

So which drugs are best to take? A drug that suppresses the vital activity of microorganisms, should easily penetrate into the soft tissue and accumulate in them. The tool must maintain concentration in soft tissues for a long time.

What medications satisfy all these conditions? Antibiotics!

Is it advisable to drink antibiotics for chronic tonsillitis? As a rule, in this process, antibacterial therapy is not prescribed.

Moreover, if the patient does not have an exacerbation of the disease, then such drugs can harm and lead to the development of complications.

Nevertheless, the specialist should approach this issue individually and, taking into account the benefits and harms, make a decision in a particular case.

In what cases is antibiotic therapy prescribed?

It is advisable to prescribe antibiotics for chronic tonsillitis during the acute period. That is, at the moment when the infection caused the inflammatory process, but the body is unable to overcome it.

The purpose of antibiotic therapy in adults is the complete eradication of the infection at the stage of its dormant state. During the period of remission, this main task will not be fulfilled; therefore, antibiotic therapy is not justified.

Is it possible to permanently get rid of the infection?

Infection cannot be destroyed once and for all for a number of reasons:

  • The reason that causes the development of the inflammatory process is no longer due to the penetration of the infection into the body, but is associated with the work of the immune system. If the immune response is insufficient, then the problem develops, so it is important to strengthen the internal forces of the body to fight infection.
  • microorganisms have not experienced a single decade of antibiotic therapy. During this long period of time they have already developed their strategy. Microbes have learned to produce enzymes that neutralize the effect of the drug. That is why further antibiotic treatment can lead not only to the survival of microbes, but also to the growth of their resistance to such substances. Moreover, most often, microbes in the future may also not respond to drugs that have a similar chemical structure.
  • The peculiarity of Staphylococcus aureus is that microbes live in colonies. As a result, they form multilayer films. The medicinal substance leads to the destruction of the upper layer, but what happens to the lower layers? They continue to exist and develop.
  • antibiotic treatment is most often carried out without sensitivity seeding. In this case, the patient is prescribed medicines with a wide spectrum of action. In this case, the treatment may not bring results and will require a second course.

What antibiotics to choose?

First, let’s talk about first-line drugs.

First row

As for natural penicillins, they are already losing their positions. The increasing popularity is gained by semi-synthetic means, which are produced in tablets.

Representatives of this group of antibiotics are ampicillin, oxacillin, amoxicillin.

Leading positions are currently gaining inhibitory-protected penicillins. They contain clavulanic acid, due to which these antibacterial preparations are resistant to the secreted enzymes of microbes.

These tools include: Augmentin, Amoxiclav.

Second row

For second-line drugs include:

  • macrolides, in particular, azithromycin
  • cephalosporins of the second, third and fourth generations.

Acute tonsillitis

In the acute process, the necessary preparations should be prescribed exclusively by a specialist. Independent choice of antibiotic can lead to the development of serious reactions to these agents.


Cefadroxil is a cephalosporin antibiotic tablet. The tool is enough to take once a day, since it is slowly excreted from the body.

Take the drug for ten days.

Cefadroxil may cause the following side effects:

  • skin rashes
  • dizziness
  • insomnia
  • candidiasis.

Tonsillitis in children

The disease makes the baby sluggish, weeping and irritable. Tonsillitis in children has an acute nature of development.

Even in the morning the baby was vigorous and played normally, and in the evening he had high fever and inflammation of the lymph nodes.

Most often, when children have tonsillitis, the following antibiotics are prescribed:


The drug belongs to the penicillin series of antibacterial agents. Half an hour after its introduction, the maximum concentration in the blood is observed.

For children, oxacillin is prescribed in equal doses every four hours.

You may experience these side effects:

  • pruritus
  • nausea
  • diarrhea
  • candidal stomatitis
  • anaphylactic shock.


It belongs to macrolides and effectively fights streptococcal and staphylococcal infections. The drug does not affect the viral and bacterial infections, so it is important to find out which pathogen caused the disease.

So, treatment of tonsillitis with antibiotics in both adults and children should be carried out under the close supervision of a specialist. Consult with your doctor and choose the best drug for yourself, which will help to overcome the pathology.

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