Many people ask whether it is possible to drink antibiotics in pancreatitis. Antibiotic treatment for inflammation of the pancreas enjoys a commanding position in the treatment of adults in the stages of acute pancreatitis and protracted. Any specialist needs to know what is necessary to prescribe antibiotics, depending on the stage of the disease.
Do antibiotics help with pancreatitis
Antibiotic treatment of pancreatitis is carried out to eliminate the growth of bacteria that contribute to the development and aggravation of disease infection.
There are several ways of passing the bacteria in the pancreas:
- Transfer of bacteria through the blood.
- Ascending the inflammatory process through the duodenum.
- Through the portal vein (portal system of the liver).
- By translocation from the gut through the lymph nodes.
Antibiotics for pancreatitis in adults is prescribed in the following cases:
- The development of infectious complications (infection necrosis, couple pancreatitis, cysts, cholangitis, etc.).
- Preventing bacterial inflammations (eliminating the penetration of germs into the abdominal cavity).
- Prediction of heavy currents, the development of bacterial complications pancreatitis (necrosis gland is more than 30% of the tissue volume, C-reaktiruyuschy protein in blood over 150 mg / L, increase in the enzyme elastase and lactate in the blood, excess levels of blood peptide hydrolase).
When the ineffectiveness of healing of acute pancreatitis usually develops pancreatic and binding decision of prophylactic antibiotics is increasing.
In this disease carried fine needle aspirate of dead weight, which is taken after inoculation of bacterium, and assign the required antibiotics.
This procedure is carried out if there is a risk of possible infection. When false gland cyst drainage infection do with the next crop on selected bacteria and antibiotics. We can say that the pancreas is susceptible to infection by a number of different bacteria.
How to take antibiotics for pancreatitis
Rules of antibiotics for pancreatitis are as follows. When the disease to prevent antibiotics prescribed by prescription, if the volume of the diseased tissue exceeds 30% of pancreatic tissue cancer, elevated levels of C-reactive protein in blood over 150 mg / L, at diskenezii gallbladder, pseudocyst formation, discontinuities in the ducts.
With the penetration of the infection and the worst prognosis of disease antibiotic drugs should be prescribed as soon as possible. The drug is selected taking into account the permissible ways of infection, accounted for every possible range of bacteria that infect the pancreas.
It is necessary to avoid taking drugs which promote occurrence of pancreatitis, for example, Erythromycin. Treatment of antibiotic agents lasts for 2 weeks, and sometimes 3, all depends on the severity of the disease.
What are antibiotics prescribed for pancreatitis
Which antibiotics can be taken with the inflammation of the pancreas:
- Antibiotics Beta-lactam group, subdivided into 3 types: penicillins, cephalosporins and carbapenems. Antimicrobials administered together with cephalosporins (Metronidazole flucanozole). Drugs in this group have a high antibacterial activity, chromosomal suppress lactamases produced by gram-negative bacteria.
- Penicillins - broad-spectrum drugs, their efficiency is slightly lower. These include piperacillin and ticarcillin, here include cephalosporins (cefotaxime, cefepime).
- Tetracyclines, aminoglycosides, lincosamides, quinolones and other drugs.
But do not forget that not all stages of the disease require the use of heavy antibiotics. At the initial stage can take Abaktal, Doxycycline, Sumamed, Biseptolum.
There are antibiotic agents that chronic administration of provoking inflammation of the pancreas. This kind of disease is less common, but more difficult tolerated. There is a risk of recurrence to the same pathology can not be enhanced therapy.
Pancreatitis caused pankreotoksicheskie substances.
Some medications can trigger inflammation of the pancreas by the mechanism of inheritance established by the lack of certain enzymes. Some drugs can develop an allergy. When drug absorption intermediates formed that lead to the development of pancreatitis.
When you receive a number of drugs pancreatitis develops over a short period of time and if you exceed the dose of medication.
The cause of disease development can be genetically established lack of certain enzymes involved in drug metabolism (idiosyncrasy). How will develop the disease, it is impossible to predict, and the dose of drugs is independent.
This kind of disease is any antibiotic.
When hypersensitive to certain antibiotics pancreatitis develops faster and proceeds sharper (allergic drug pancreatitis). This disease can cause: sulfonamides, 5-aminosalicylates, tetracyclines, metronidazole.
In the normal metabolism of some drugs form intermediate products. With some of them can form sediment in the gallbladder, and this, in turn, can cause pancreatitis development.
Diagnosis and treatment of pancreatitis caused by intake of antibiotics, does not differ from other methods. The most important thing to identify and stop receiving provoking medication. It is necessary to adhere to non-drug treatment: starvation, parenteral nutrition and enterogenous, application of cold, radiography.
For parenteral nutrition use proteins cleavage products (hydrolyzates), fat emulsions. But food and starvation may be ineffective in enhancing pain. In this case, the surgery is performed, after which the prescribed power enterogenous. Features of this power: reducing paralytic ileus; stimulation of the intestinal tract, helping to reduce the penetration of bacteria of the intestinal flora into the abdominal cavity of purulent antagonism.
In case of insufficiency of the methods resorting to drug therapy. Used the following drugs:
- antispasmodic;
- antisecretory;
- enzymes;
- phospholipid;
- antioxidant;
- antihistamines;
- with the content of lactulose.
You should try to choose carefully, antibiotics without the need not to appoint. When a dosage form is often used Duspatalin pancreatitis. This formulation reduces the spasm of the sphincter and causes pressure reduction. Side effects of the drug are minimal.
To maintain prostate normally need to apply the following medications:
- Drugs that suppress the production of hydrochloric acid in the stomach.
- Selective drugs (Gastrotsepin).
- Antacids.
- Enzymatic means.
To reduce the risk of infection and bacterial complications used prebiotics. Taking antibiotics when pancreatitis is justified, but if they are beneficial and help a person to overcome the disease.
