Coronavirus is a viral infection that infects a person through the mucous membranes of the nasopharynx and eyes. The microorganism spreads through the blood, binding to a certain type of protein, which causes damage to the respiratory tract and gastrointestinal tract, so it is important to quickly select drugs for treatment.
Principles of treatment of Covid-19
Coronavirus infection is a viral pathology. The microorganism spreads through the mucous membrane into the systemic bloodstream. From there it gets to the following parts of the body:
In these parts, an inflammatory reaction develops. In the first case, a small focus of pneumonia is formed, which can go to one or 2 lobes of the lung at once. This causes severe shortness of breath, increased body temperature, weakness throughout the body, pain behind the sternum. If the disease is formed in the digestive tract, there is diarrhea, vomiting, nausea, abdominal pain, flatulence.
There is no specific drug therapy that would eliminate the virus from the body, so symptomatic treatment is performed.
Patients must be prescribed a strong antiviral substance. But this does not mean that it can completely destroy the coronavirus in the systemic bloodstream and internal organs. Additionally, antipyretics, painkillers, and sorbing drugs are used. If there is a cough with increased sputum production in the bronchial tree, mucolytics are used. There are cases when the disease is complicated by the reproduction of opportunistic microflora. Only then prescribe antibacterial drugs.
When should I use an antibiotic?
Not every patient understands whether it is possible to drink antibiotics for coronavirus, and what symptoms should develop. It is forbidden to use the funds yourself, this can weaken the body, which will lead to the risk of death. The drug is prescribed only by a doctor, for this there are the following indications:
- development of bacterial microflora in the respiratory tract, as evidenced by the release of yellow or green sputum along with cough;
- increase in body temperature over 38.5 degrees for more than 4 days;
- persistent weakness of the body, even if prolonged treatment with antiviral and symptomatic drugs;
- excretion of feces containing areas of purulent mucus.
Even if there are symptoms, the doctor may not prescribe an antibiotic. It is used for proven infection. Use of bacterial inoculation. A smear is taken from the nasopharynx and trachea, and a section of mucus is taken in the feces. It is sown on a nutrient medium, determining the type of microorganism. Additionally, a group of antibiotics that cause bacterial death is identified.
If the patient uses an antibiotic, this does not mean that the antiviral agent should not be used. Use complex therapy to achieve maximum effect, quickly eliminate the bacterium from the respiratory tract or gastrointestinal tract. When the therapy is completed, PCR and bakposev are used. If the coronavirus and infection are not detected, the person is discharged.
How do I choose the right antibiotic?
Antibiotics for coronavirus in adults are not selected independently, they are prescribed by the attending physician when viewing the results of laboratory tests. Not only bacteriological seeding is required. Identify the state of the body, so that the selected antibiotic does not lead to deterioration of health. Therefore, the following tests are used:
- General blood test-determine the number of red blood cells, platelets, white blood cells, some antimicrobial drugs lead to pancytopenia (reduction of all shaped elements);
- General analysis of urine-identify the state of the urinary system, so as not to aggravate inflammation in the kidneys, bladder due to the removal of the active substance of the antibiotic;
- Biochemical test – most antimicrobial drugs are metabolized in the liver, so the affected organ can become inflamed, which will exacerbate the underlying pathology;
- chest x-ray or CT scan-assess the degree of spread of pneumonia, determining the desired form of antibiotic.
If the patient with coronavirus is in an average or severe condition, the tests are repeated throughout the treatment. If the dosage is prescribed correctly, you should feel better. Suppression of blood sprouts, increased hepatic transaminases, and increased pneumonia are indications for replacing the selected drug.
Does antibiotics help with coronavirus?
The use of antibacterial agents for coronavirus infection is a controversial issue. Many doctors believe that the absence of a decrease in body temperature against the background of any viral infection for more than 3 days is a direct indication for the use of antimicrobials. But if you are infected with a coronavirus, the fever can last up to 7 days, this is one of the options for a normal disease.
Antimicrobial drugs are prescribed in combination with the main drugs that help with coronavirus. There must be symptoms that indicate the development of complications in the form of a bacterial infection. It is best to conduct a bacteriological culture to confirm the diagnosis. But it takes a long time, so doctors do not always prescribe it, relying only on the signs that appear in the treatment.
When the symptoms of a coronavirus or bacterial infection have ended, it does not mean that the person has recovered. A specific PCR test is required to detect covid 19. Bacteriological seeding is also used. If both tests come back with negative results, the patient can be discharged, he is not dangerous to society.