General information on herpetic stomatitis
Herpes is most common form of stomatitis compared with bacterial, aphthous and Candida. The appearance of sores in the mouth due to the inflammatory process by which the immune system is trying to stop the spread of the virus on the surface of the epithelium.
In children, the disease can vary in gravity flow:
- Mild accompanied by a slight increase in temperature (up to 37-37,5 ° C), swelling of the oral mucosa and the appearance of whitish bubbles typically assembled in groups;
- Severe stomatitis associated with catarrh and high mark on the thermometer (38,5-39 ° C). Sick child, his gums bleed and pale skin of the face, headache, salivary secretion becomes viscous. At the mouth formed multiple foci herpetic eruption.
In severe stomatitis lesions can be not only in the mouth, but also on the lips, nose, eyelids, skin of the hands. This form is required to be treated in a hospital. At the first hint of stomatitis, immediately consult a pediatrician, dentist or audiologist. Appearance herpetic vesicles usually precedes redness of the oral mucosa and its slight swelling.
effect of the drug
Acyclovir relates to antiviral agents and active against herpes viruses (type 1,2 and 3), Epstein-Barr virus and cytomegalovirus. Primarily assigned for the treatment of cold herpes sores, stomatitis, zoster.
The effects of the use of Acyclovir with stomatitis:
- It stops the formation of new sores in the mouth;
- reduces the risk of complications of the disease;
- It accelerates the formation of crusts, helping to rapid healing of the skin and mucous membranes;
- It reduces pain, itching, burning and other discomfort associated with herpes rash.
Acyclovir is a significant plus is that it is harmful in respect of viral particles and does not harm the little patient. The chemical structure is an analogue of DNA viruses portion of the molecule, its ability to recognize and be integrated into the genetic material of the pathogen. Thus Acyclovir blocks synthesis of new pathogenic particles, inhibiting progression of the disease, and the DNA of human cells has no effect.
Instructions for use
Acyclovir released in the form of ointments, pills, a solution for injection. Each option has its own particular use and dosage in children. The drug, in addition to treatment, and is used for the prevention of relapse of recurrent herpes stomatitis in children.
Acyclovir tablets against stomatitis in a child
Medicine tablets allowed to receive no earlier than three months of age, and dosage Acyclovir is when children stomatitis:
- babies under 2 years prescribed reception five times per day with 100 mg (for half tablets);
- after the age of two years, 5 times a day 200 mg.
During the period of treatment is important at a sufficient level to maintain water balance, giving the baby to drink the usual pure or mineral water, fruit drinks and juices. This is in order not to increase the concentration of acyclovir in the urine. Otherwise there is a risk of renal failure. However, it should monitor the frequency and volume of discharge of urine, - the child should urinate regularly to remedy in a timely manner eliminated from the body.
When stomatitis in children taking Acyclovir is necessary in the course of a meal or immediately after feeding. Tablet need to drink water. The course duration is 5 days, in some cases, the doctor can extend it up to 7-10 days. Acyclovir should not be taken at night, and the last pill give the baby no later than 2 hours before bedtime.
Using ointment
Is it permissible to use Acyclovir Ointment with stomatitis in children? Guide expressly points out that the application of funds for the mucous membranes prohibited. The reasons are two:
- When lubricating the oral medication are most likely to get in, because the child involuntarily sglotnet some amount of ointment with saliva. This should not be allowed;
- Acyclovir contact with mucous is able to provoke an inflammatory process gain.
Despite this, many parents their children smear oral mucosa, sometimes even on the advice of the attending physician. Doing this is impossible.
Remember! Use ointment for stomatitis therapy in a child can only be passed if the herpes on the lips. They are treated with acyclovir to avoid spread of the virus on the skin of the face and hands.
In this case, observe such instructions for use of the drug:
- Clean teeth and treat skin and mucosal antiseptic (chlorhexidine, tincture of calendula oil, sea buckthorn or 3% peroxide);
- Carefully remove the crusts formed on the sores with a sterile gauze or cotton;
- Allow the surface to dry for 3-4 minutes;
- Apply the ointment on all dot areas with a rash on the lips, including the border around ulcers. For greasing is convenient to use a cotton swab.
Frequency of application determines the doctor depending on the severity of the disease.. Infants under one year can be quite single-greasing a day for children older - 2-3. The course of treatment is not more than a week.
Contraindications and important recommendations
The optimum dosage is determined by a doctor, as it depends not only on the shape and extent of stomatitis, but also on the age, weight and individual characteristics of the child. Acyclovir is not indicated in pathologies of the hematopoietic system, renal dysfunction, and intolerance to medication components. Also, they can not treat children under the age of 3 months.
During treatment with acyclovir, be observant. When the nausea, headaches, digestive problems, allergies, stop using the product immediately and show the child to the doctor.
Do not perform self-treatment of stomatitis in children. Acyclovir belongs to low-toxic and relatively safe drug, however, the excess dose can cause negative effects, including serious ones.
sources:
Vidal: https://www.vidal.ru/drugs/aciclovir__4107
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 1c2f1271-35fa-497d-b17d-07060cf7e6d7 & t =
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