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When the temperature drops in children after taking antibiotics. We will understand when the antibiotic begins to act and the temperature drops

Initially, it should be emphasized that antibiotic drugs are substances consisting of plant and synthetic components, and have a powerful inhibitory effect on the growth and reproduction of microorganisms. Antibiotics have a destructive effect not only on pathogenic bacteria, but also on beneficial microorganisms. From this it follows that the drugs should be used only under the strict instructions of the attending physician.

Many parents wonder if the temperature should subside after taking antibiotics? High temperature occurs due to the body's response to irritating factors. If the cause of the temperature increase is exposure to bacterial microorganisms, then the disease can be cured with the help of antibiotics. In the material we will consider in more detail on what day the temperature should fall after the use of antibiotic drugs.

Antibiotics and when to call on their help.

It is important to know! For children, antibiotics are prescribed in the form of syrup, powder, or injections for injections.

Often bacterial diseases manifest in the form of symptoms such as the appearance white bloom on the tonsils and tongue, redness and pimples in the mouth, fever, and signs of general malaise. Another important sign of a bacterial disease is prolonged maintenance of high temperature in a child. If the heat does not decrease after 3 days, then it is imperative to resort to the use of antibiotics. Viral diseases manifest themselves dramatically, but at the same time the temperature gradually normalizes to 2-3 days. With bacterial ailments, the fever continues to be maintained or rises to 39-40 degrees.

It is important to know! When the thermometer reads above 38.5 degrees, one should seek the help of antipyretic drugs.

Most parents are of the opinion that in case of any negative symptoms the child needs antibiotics, justifying this by the fact that these drugs help from all diseases. This opinion is wrong, as cold, ARVI, fungus and other types of similar illnesses cure with antibiotics will not work.

Heat after taking antibiotics

Doctors say that immediately after the use of antibiotics, the child's body temperature will begin to fall, so there is no need for further use of antipyretic drugs. If, after antibiotics, there is no decrease in fever in a child, then this may be triggered by the following factors:

Incorrect dosage of prescribed drug. When using antibiotics, it is important to observe the correct treatment regimen. If the dosage is chosen incorrectly, the probability of destroying the bacteria is reduced, whereby they simply slow down their development. The danger of improper treatment due to such a feature as the possibility of the transition of the disease in a chronic form, if not completely defeat the disease-causing bacteria.
The wrong type of antibiotic. The drug should be selected taking into account the sensitivity of pathogenic microorganisms to it. If the antibiotic is chosen incorrectly, then its effectiveness will be zero. Beneficial microorganisms will die, with the result that the number of pathogenic bacteria will only increase and the temperature will rise.
Lack of justification for the use of antibiotics. If the diagnosis of the disease is not confirmed, then the use of antibiotics will not bring any sense.
The use of antibiotics to reduce the temperature without obvious signs bacterial infections categorically contraindicated. Antibiotics do not affect the decrease in temperature, and contribute to counteracting bacterial microorganisms. Eliminating the cause of the disease, there is a decrease in the testimony of a thermometer.
If on the first day of taking antibiotics, the temperature and condition of the patient returns to normal, and on the second the deterioration is observed again, then we can assume that an additional infection has joined the disease. You will need to re-take the examination, and then make adjustments to the treatment regimen.

It is important to know! Treatment of a child with “abum” is unacceptable, so be sure to coordinate any use of the medicine with your doctor.

Reasons: why the heat does not decrease

An important question is how many days should the child's body temperature decrease after the use of antibiotics? After how many days the temperature begins to fall, depends primarily on the correct diagnosis. If the diagnosis is incorrect, then the thermometer reading will not be reduced by using antibiotics.

If a correct diagnosis is made and an antibiotic is prescribed, then the temperature will decrease by 2-3 days. If this does not happen, then you can judge the wrong treatment regimen. Maintaining a high temperature when using antibiotic drugs is also acceptable in such situations:

Do not despair in a situation if the heat does not subside in a child the first two days after the appointment of antibiotics. The medication needs time to act on the infection.
Maintaining the value on the thermometer at 37 degrees indicates that the complex destruction of bacteria is taking place. When the death of the pathogenic bacteria occurs, toxins begin to be released into the blood. These toxins and provoke the maintenance of high temperature.
If on the 4th day there is no improvement in the decline of the heat, then this means that the medicine has been chosen incorrectly. On the third day, it is necessary to notify the attending physician that the drug does not have a positive effect.
If the thermometer readings are maintained at up to 38 degrees, then parents should not despair. Such a temperature is permissible, but for the purpose of reinsurance, it is recommended to inform the attending physician.
Elevated temperatures can last more than 4 days for such a reason as the manifestation of allergic reactions. To eliminate the manifestation of allergy in a child for antibiotic drugs, first you should test the drug on the sensitivity of the body.

If high fever does not decrease, it may depend on the type of disease. If the bacterial disease enters the stage of complication, then the temperature passes not earlier than 3-4 days under the condition of correct therapy. If therapy is started at the stage of development of the disease, then the decline in heat is observed on the first or second day.

The era of antibiotics began more than 80 years ago. Despite the fact that these drugs have several advantages, the therapy of a single infectious disease does not do without them. According to the mechanism of action, antibiotics are divided into 5 groups:

disrupting the processes of transcription and translation during protein biosynthesis;
inhibiting the synthesis of nucleic acids;
interfering with normal cell wall biosynthesis of prokaryotic cells;
gram + and Gram-bacteria damaging the cell membrane;
blocking enzymes of the respiratory system.

By the nature of the impact on pathogenic cells, antibiotics are divided into bacteriostatic and bactericidal. Antimicrobial agents with bactericidal activity kill virulent strains, and bacteriostatic ones slow down the growth and development of cells and, over time, the entire pathogenic flora is eliminated from the patient's body.

It is important to remember:

Antibiotics are chemotherapeutic agents that are capable of acting exclusively on bacteria, protozoa and tumor cells. Use for the treatment of viral infection is useless.

Prescribe the medicine should the attending physician after collecting the history of the disease and a comprehensive laboratory diagnosis, during which stands out the main infectious agent. After isolation and identification, tests are conducted to determine the sensitivity of virulent strains to various groups of antibiotics. The drugs of choice are those for which the bacteria have shown a high level of sensitivity, in exceptional cases - an intermediate level of resistance.

Many patients ask themselves questions - is it normal that the temperature does not decrease after taking the medicine? How to understand that correction of a course of antibiotic therapy is necessary?

When the antibiotic begins to act

As a rule, improvement occurs after 2 days of taking antibiotics. However, this indicator depends on the severity of the disease and the total number of bacteria in the patient's body.

Sepsis - penetration of pathogens into the blood; as a result, a general infection of the whole organization is formed. It is difficult to treat, as it is necessary to act with large doses of the drug; in the presence of purulent foci, they are removed surgically. In this case, the drug begins to act no earlier than 5 days. Treatment is carried out strictly in the conditions of intensive care of the hospital. The most common causes of sepsis are the bacteria of the families Streptococcaceae and Staphylococcaceae, less commonly enterobacteria.
Bacteremia - detection of a small amount of opportunistic bacteria in the blood. For a long time, scientists around the world agreed that blood is normally completely sterile. However, this dogma has been shaken as a result of experiments, during which a small number of representatives of the indigenous microflora were sown from the blood of healthy people.

It is important to understand that the earlier the disease was diagnosed, the faster and easier the treatment will be. Running stages require more time and medication. The lack of improvement in 1 day after taking insufficient condition for the conclusion of the erroneous selection of the drug.

In addition to the severity of the disease at the time of action also affects the speed and completeness of absorption of antibacterial agents. These two terms characterize bioavailability, which, when administered intravenously or intramuscularly, reaches 100%. In the case of oral administration, time is required (at least 1 day) to achieve the minimum inhibitory concentration in the blood and manifestation therapeutic effect.

On which day the antibiotic is taken, the temperature drops

On the first day of administration, there may be a one-time or two-fold increase in temperature, which is the normal response of the body. This fact is explained by the mass death of pathogenic microorganisms, as a result of which cell destruction and the release of toxins occur. The state of intoxication is also accompanied by weakness, drowsiness, and blanching of the skin. As a rule, the temperature drops for 2 days. It is important to distinguish in time toxicity from the therapeutic effect of the drug and deterioration that are not associated with it. Therefore, treatment should be under the supervision of a physician.

Temperature increase may occur. allergic reaction on an antibiotic. Possible related symptoms: rash, redness and itching. At the same time, cross-allergy between groups of drugs with the same mechanism of action is often observed. When manifestations of signs of individual intolerance must stop taking the medicine. As a rule, this is enough to completely eliminate negative symptoms.

Even if antibiotics reduce the temperature and there is an improvement in the condition of the patient, then they should not be stopped taking the time previously prescribed by the doctor. A small number of pathogenic cells remaining in the patient's body, after premature cancellation, can provoke the development of a re-infection process or the formation of persistent forms of bacteria.

Both outcomes are dangerous to human health, since the recurrence of the disease requires a repeated course of antibiotic therapy and may trigger the development of resistant strains. The persistence of microorganisms is aimed at long-term experience in the human body. The mechanisms of persistence are based on the suppression of protective factors: anti-lysozyme, anti-complementary, anti-carnosine activities, as well as increase resistance to antibiotics. In this case, the transition from persistent to pathogenic form is possible at any time.

Thus, it is necessary to remember:

the temperature decreases, as a rule, by 2 days;
an increase in temperature of 1 day is not the reason for the need to cancel;
before use, it is necessary to establish an accurate diagnosis and identify the pathogen.

How to understand that the antibiotic does not work

To understand that medicine does not exhibit a therapeutic effect possibly in the following ways:

high fever lasts more than 2 days;
there is no positive trend in the course of the disease;
concomitant negative symptoms develop.

This situation is possible if the drug is selected without first identifying the pathogen and determining its sensitivity. Acceptance of broad-spectrum antibiotics does not guarantee an unambiguous hit of the pathogen in the list of sensitive pathogens. In addition, a wide-spectrum antibacterial drugs inhibit the vital activity of not only virulent strains, but also representatives of normal microflora. As a result, the number of symbiotic bacteria with a high level of antagonistic activity is reduced, the intensity of immunity is significantly reduced and dysbacteriosis is formed.

The ineffectiveness of the drug is also due to the mutation of the pathogenic strain, which leads to the formation of a resistant (stable) form. The problem of resistance of microorganisms is relevant since the 60s of the twentieth century, when the first reports of unresponsive bacteria began to appear. Widely known for multidrug-resistant Staphylococcus aureus (MRSA), characterized by a high degree of mortality during infection. According to statistics in the US, 18,000 people die each year from MRSA infection. Previously, this strain belongs exclusively to nosocomial infections, however, since 1990, household forms of resistant Staphylococcus aureus are known.

The emergence and spread of resistant forms of prokaryotes contribute to:

availability of antibiotics in pharmacies without prescriptions;
unwillingness of people to go to doctors and independent, often incorrect, selection of medication;
long-term use of antibiotics of one group;
premature termination of the reception, as a result of which there is a relapse of the disease and the need for repeated therapy.

Instruction prepared
Specialist Microbiologist Martynovich Yu.I.

Antibiotics are quite serious drugs. They are strictly prohibited to use without a doctor's prescription. Otherwise, they can lead to undesirable consequences. Sometimes there are situations when fever does not pass after antibiotics. It really can not happen immediately. Because many people are concerned about the question on which day the temperature decreases.

Temperature during antibiotic therapy

Many people are concerned about the fair question of why the temperature does not decrease when using antibacterial drugs. This situation is due to the influence of the following factors:

Unreasonable use of antibiotics. In viral and fungal pathologies, such drugs do not give the desired results.
The lack of sensitivity of bacteria to the drug. Such a situation arises if relevant studies have not been conducted. As a result, bacteria simply do not respond to antibiotic use.
Wrong choice of dosage means. Invalid treatment regimen does not allow to cope with the infection. As a result, the activity of microorganisms is slightly reduced, but their negative effect on humans continues.
Adverse reactions. Some funds themselves provoke a rise in temperature.
Accession infection. If on the second day the condition of the person has improved, and then there has been a worsening again, the addition of an additional infection may be suspected.

It is important to bear in mind that antibiotics are not intended to reduce temperature indicators. The use of such drugs affects the pathogens. At the same time, thermoregulation centers do not affect such substances. If it is necessary to achieve a rapid decrease in temperature, use antipyretic drugs.

Features of antibiotics

Many people are interested in how much the temperature decreases after the start of antibiotic therapy. Usually the condition improves for 3-4 days. Therefore, do not expect quick results after the use of antibiotics.

Doctors say that the use of such drugs is necessary only when absolutely necessary. Otherwise, there is a risk of suppression of the immune system. In addition, antibiotics have a negative effect on the blood formation process, the liver, and digestive organs.

Such drugs are shown only with the bacterial nature of the disease. If after the start of therapy, the temperature is observed for more than 3-4 days, this indicates the ineffectiveness of the drug.

If after the start of antibiotic therapy, the temperature has increased, it can be a manifestation of an allergy to the use of the drug. Penicillins are particularly dangerous in this regard. Usually the reaction is observed with repeated use of funds.

An increase in temperature is a major symptom of allergy. When does this sign appear? Usually, this reaction occurs 4-7 days after the start of therapy and disappears completely when drug is withdrawn. In the case of allergy, temperature indicators can even reach 39-40 degrees. Additional manifestations are often attributed to tachycardia.

With proper use An antibiotic may experience an increase in temperature to subfebrile marks - 37 degrees. This is due to the massive death of bacterial microorganisms. This process is accompanied by the entry into the blood of many toxins that are products of the breakdown of bacterial cells. This temperature is normal and does not require special therapy.

When using antibiotics, the temperature of 38 degrees may be present for some time. No need to worry - the main thing is to control the results of urine and blood tests. They should be normal.

Diagnostic tests

To determine the temperature indicators, you need to use a thermometer. With long availability elevated temperature need to conduct a detailed diagnosis. With its help it is possible to determine the causes. Usually, doctors prescribe these types of studies:

collecting and studying the anamnesis;
blood test;
biochemistry;
analysis of urine;
Ultrasound of the abdominal organs;
cardiography;
consultation with an allergist - a specialist may prescribe allergy tests;
Ultrasound of the heart and blood vessels;
antibiotic sensitivity assessment;
radiography.

Treatment methods

The need for therapeutic measures the doctor must decide. Self-treatment in such situations is strictly prohibited. Effective therapy can be assigned only taking into account the causes of the occurrence of the disease.

Depending on the provoking factor, the following solutions can be applied:

If allergies have led to high temperatures, the antibiotic must be canceled or another drug should be selected. As a supplement, use of antihistamines is prescribed, which help eliminate the manifestations of the disease.
In identifying comorbidities, therapy is prescribed for all existing ailments. This is carried out taking into account the reasons for their appearance. So, if first treated with bronchitis, but the increase in temperature due to pneumonia, the doctor must reconsider the therapy. In such a situation, an antibiotic is selected depending on the type of pathogen.
If this symptom is associated with improper use of the antibiotic, this remedy should be canceled and a more optimal variant should be selected. In such a situation, drugs may be required that have an antifungal or antiviral effect. They must be chosen taking into account the origin of pathology.

Mandatory element of treatment is the control drinking regimen. Due to the receipt of a sufficient volume of fluid in the body, it is possible to accelerate the elimination of toxins. This allows you to quickly stabilize the temperature indicators. The best options include fruit drinks, teas, compotes. You can also use juices and broths.

If temperature indicators exceed 38 degrees, it is necessary to use antipyretic agents. Paracetamol and ibuprofen are among the most effective and safe drugs.

Increased temperature after taking antibiotics

There are situations when antibacterial agents themselves provoke an increase in temperature indicators. There are several reasons for this phenomenon.

Medicinal fever

The nature of this problem is not fully defined. Scientists suggest the participation of immunocomplex reactions. An increase in temperature up to 38-40 degrees is usually observed on the 6-8 day of therapy. This condition most often occurs after the use of beta-lactams, sulfonamides and some other means.

With such a fever, patients usually feel fine. An increase in temperature may be the only sign. Sometimes it is combined with the appearance of rashes and itching.

With the abolition of the medication, the patient's condition is normalized for 2-3 days. If you take the remedy again, the fever will return in just a few hours.

Serum-like syndrome

This violation may be a consequence of the use of different categories of antimicrobial agents - penicillins, sulfonamides. The cause can be tetracyclines and fluoroquinolones. The basis of the pathogenesis is an immunocomplex reaction, which leads to vascular and tissue damage.

Symptoms of a violation occur 2-3 weeks after the use of antibiotics. The temperature can increase to 37.5-39 degrees. This condition is characterized by the appearance of lesions, an increase in lymph nodes, liver, spleen, pain in the muscle tissue.

Therapy is based on the abolition of the drug. The doctor may also prescribe an antihistamine medicine. At occurrence of complications, glucocorticosteroid hormones and symptomatic drugs - antispasmodics and antipyretic drugs are prescribed.

Tubulointerstitial nephritis

Sulfonamides and beta-lactams can provoke damage to the tissues of the kidneys. As a result, an acute form of tubulo-interstitial nephritis develops.

Pathology can occur after 2 days or even 6 weeks after applying the medication. This causes weakness, increased sleepiness, sweating, nausea and loss of appetite. Often, people complain of skin rashes, polyuria, back pain.

The temperature increases to 37.5-38 degrees. With this violation, you must cancel the drug that provoked the pathology, and hospitalize the patient in a nephrology hospital.

Be sure to follow diet and bed rest. Glucocorticosteroid hormones, desensitizing drugs, symptomatic treatment are prescribed from drugs.

Forecast

If the antibiotic was chosen correctly, after using it, the temperature will normalize with time. This will entail the recovery of the patient. When using these drugs on their own, the prognosis may be unpredictable. Therefore, doctors strictly prohibit self-treatment.

An unfavorable prognosis is observed with wave-like fluctuations in temperature. Such indicators alternate at intervals. In this case, the temperature is fixed at different elevations. This situation indicates the aggravation of the pathology and the appearance of complications.

In general, a rise in temperature during the use of antibacterial agents is normal. In rare cases, a prolonged increase in this indicator can be considered a symptom of complications. In such a situation, you should immediately get expert advice.

How many days can high fever with sore throat? Usually - from 3 to 10 days. It is much more difficult to understand why, and most importantly, why the body temperature rises during angina, and what causes such a wide range of its possible duration. Why does one person with quinsy have a normal temperature on the third day of treatment, and at the same time all the symptoms disappear, and the other has few weeks to recover?

This article is designed to answer all questions related to fever in case of tonsillitis. We will tell you what the degree of increase in thermometry depends on, on what day the temperature drops, and why it does not always need to be shot down. Also discuss the problem rational use antipyretics.

Short on the pathogenesis of tonsillitis

Angina, or acute tonsillitis –infectionaffecting the lymphoid tissue of the tonsils. Tonsils are on the border oral cavity and pharynx; together with other nearby lymphoid formations, they form a lymphadenoid pharyngeal ring - an organ with immune and hematopoietic functions.

Tonsils are constantly attacked by microorganisms in food, drink and inhaled air. Fortunately, this is not always the result of an infection - in most cases, microorganisms are safely destroyed. But if the body's resistance is low (for example, if a person is overcooled), the microorganisms can gain a foothold and cause an infection. Tonsils can be affected by viral infections (in particular, from acute respiratory viral infections), as well as from bacterial infections, primarily streptococcal infections.

It is known that the type of pathogen affects the severity of symptoms and the nature of the course of angina, but only by external signs to distinguish bacterial sore throat viral is very difficult.

Indeed, the symptoms of angina of any etiology are similar, and include such manifestations as:

acute sore throat, worse when swallowing;
loose white or mucopurulent plaque on the surface of the tonsils;
redness of the pharynx, soft palate, tonsils;
increase and soreness lymph nodeslocated under the lower jaw;
high body temperature (above 38 ° C).

The reasons for the increase in temperature

Fever, i.e. fever is one of the most common symptoms of angina. It is due acute inflammationoccurring in the tonsils.

Inflammation is a protective and adaptive response that can become pathological.

The goal of inflammation is to attract a large number of leukocytes and destroy potential pathogens. Thus, in the inflammation of the tonsils, leukocytes absorb and digest bacteria, viruses, and also the cells of their own bodies damaged by them. Increasing the local and general temperature is one of the mandatory stages of the inflammatory response. Local temperature rises due to the expansion of blood vessels and accelerate blood circulation, and the total - due to pyrogen.

Pyrogens - substances that act on the thermoregulatory centers in the brain; they shift the "norm" of temperature upwards, without disturbing the basic mechanisms of thermoregulation. The role of pyrogens play some substances secreted by bacteria, as well as human leukocytes.

How long does the temperature for sore throat last? It all depends on how the infection develops.

If the number of pathogens in the inflammation does not decrease, the body temperature will constantly increase, which can be fatal.

If drug destroyed a significant proportion of infectious agents, inflammation will gradually decrease, and thermometry will return to normal.

Positive and negative effects of fever

What is the point of increasing body temperature during inflammation? It turns out that this reaction has an adaptive character. The positive effect of fever with sore throat:

acceleration of metabolism;
increased phagocytic activity (the ability of leukocytes to absorb pathogens);
activation of the antitoxic function of the liver;
reduced bacterial resistance to antibiotics;
suppression of the multiplication of viruses.

Thus, do not rush to take antipyretic, as soon as you see on the 37C thermometer. Studies have shown that the artificial removal of the heat weights for infectious diseases. However, this is true only if the body temperature corresponds to subfebrile (37-38 C) or febrile (38-39 C) indicators.

When the temperature rises to values above 39 C, fever affects the body destructively.

deterioration of health - fatigue, headache, decreased concentration, nausea;
in case of hypersensitivity to high temperatures, the patient may experience loss of consciousness and convulsions;
malignant hyperthermia syndrome may occur in infants with fever;
when the body temperature rises by 2 degrees (to approximately 38.6 C), the heart rate increases by 15-20 beats per minute, which can cause heart failure in people with weak hearts;
fever violates the water-salt metabolism, which threatens dehydration.

Fever, as part of an inflammatory response, plays a protective role. At the same time, an uncontrolled increase in temperature leads to severe physiological disorders.

The duration of the fever depends on the causative agent.

Acute tonsillitis due to viral infectionIn most cases, it is easier than bacterial. Viral tonsillitis begins with a sharp rise in temperature, but it normalizes by 3-4 days of illness, even if the patient does not take antiviral drugs (provided there are no complications). In children for several more days subfebrile condition may persist (temperature is about 37 ° C).

Angina, caused by streptococcus, can cause an increase in thermometry to 39 C or more. At the same time, the temperature can increase very quickly, reaching life-threatening values — it is necessary to control it and, if necessary, bring it down.

How long does the temperature hold for streptococcal sore throat in adults? Normal - no more than a week. Provided the antibiotic is properly selected, the body temperature is normalized already by 2-3 days of treatment.

If within three days of taking the antibiotic the body temperature does not drop, you should consult with a specialist about the advisability of continuing treatment with this drug.

The lack of antipyretic effect when taking antibiotics suggests that the infection is not destroyed. Bacteria continue to damage the tonsil cells, accumulate in the lacunae of the tonsils, and spread to nearby organs. This can lead to a number of complications. First, a sore throat can provoke inflammation of the mucous around the tonsils - paratonsillitis. This condition is difficult to treat and causes severe discomfort in the patient. Secondly, streptococcal sore throat threatens with complications in the heart, kidneys and joints. This condition is called rheumatism. It is based on an autoimmune reaction - the destruction of its own connective tissue by immune cells due to its structural similarity with streptococcus proteins.

Raising can talk about the development of complications. It is recommended to pass a general clinical analysis of blood and urine - this will allow to judge the presence of inflammation and its causes.

Usually, when talking about the treatment of fever, first of all mention antipyretic drugs. However, it must be understood that a decrease in body temperature does not affect the cause of the disease - an infection. Do not take antipyretics "on schedule" - it is not possible to assess the effectiveness of the antibiotic against infection.

Permanent reception of antipyretic creates a false impression of improving the patient's condition, while the disease progresses.

Remember that taking an effective antibacterial drug leads to the normalization of thermometry indicators already on the 2-3rd day of treatment. That is why most doctors do not recommend taking antibiotics and antipyretic drugs in parallel.

The basis of the treatment of angina of viral origin are antiseptics local action - rinsing, irrigation of the throat with sprays, lozenges resorption. Such treatment is aimed at improving the health of the patient and the prevention of complications, primarily secondary infection of the tonsils by bacteria.

Therapy for bacterial tonsillitis necessarily includes taking antibiotics. Compliance with the prescribed course of antibiotic therapy allows you to quickly destroy the infection, improve health, reduce the likelihood of recurrence of the disease and the development of complications.

Please note - the normalization of body temperature on the background of antibiotic therapy does not indicate a full recovery. Do not stop taking the antibiotic until the end of the prescribed course of treatment.

Antipyretic take only when necessary:

adults - when reaching 39 C;
children - when the temperature rises to 38.5 ° C;
infants - with indicators exceeding 38 ° C;
persons suffering from diseases of the nervous or cardiovascular system - at 38.5 C and above.

Consult with your doctor about when to take antipyretic, which antipyretics to give preference and how to calculate the dosage.

Thus, angina fever is a defensive reaction that normally occurs within 3-5 days. It is possible to lower the body temperature with the help of antipyretic drugs, but their reception is justified when reaching 38.5-39C. Properly chosen treatment of angina allows you to normalize body temperature for 2-3 days, without resorting to receiving antipyretics.

When the temperature when taking antibiotics in a child lasts for a week - the panic of parents is understandable. Moms and dads wonder why strong drugsthat so much hope has been placed on do not help.

These anxieties are explainable, because, according to most, antibacterial drugs should kill everything that prevents a child from recovering, but then why does the temperature hold and the baby does not feel better?

Why the temperature does not fall with antibiotics

It so happened that the parents were conditionally divided into 2 groups. The first one is categorically against the prescription of antibiotics to babies, explaining this by the possible negative effects of strong drugs. The second is ready and ready to give the child a “cure-all” for all illnesses at the first sign of indisposition, for no reason. Objectively, both are wrong.

The first group (opponents of antibiotics) does not make sense here, since it is just about taking these medicines and why they do not contribute to lowering the heat. Details should be examined the reasons why antibiotic therapy does not help with high temperatures.

There are several reasons for this:

The drug, spontaneously prescribed by “all-knowing” parents, for diseases that cannot be treated with antibiotics in principle.
Secondary infection.
Wrong appointment of the drug.
Resistance of bacteria.
Interruption of treatment.
Age.
Immunity.

Each of these reasons should be analyzed in more detail.

Spontaneous assignment

Many mothers and fathers "know everything" about their children, including when to give antibiotics to a child.

Such parents often at the first sneeze give chad strong drugs in order to stop the development of the disease at the root. This treatment is “blind”, at random, or, as parents themselves believe, for the prevention of any disease. But, as Komarovsky, a well-known children's teledoktor, says, in case of viral diseases (especially common among children), the temperature should go on the third, maximum - on the fifth day from the onset of the disease, provided that it is correctly prescribed.

Only the majority of parents and it is not known that these same viral diseases are not treated with antibiotics in general - neither at the peak of development, nor at the initial stage, all the more. With the flu, acute respiratory viral infections, etc. help antiviral drugs that fight the actual viruses, and antibacterial can not give the expected, because they are designed to destroy only bacteria. Accordingly, all the symptoms remain, the temperature is kept and kept.

If there is no improvement during the administration of antibiotics, parents should think: “Do we drink the medicine?” And take golden words as rule No. 1, as Dr. Komarovsky said: if the antibiotic is not indicated, it is contraindicated.

No need to bring the situation to a critical one. The most sensible will be to call a doctor who decides which antibiotics can (or, on the contrary, cannot) be given, and also cease to engage in independent activities and experiments on your children.

Secondary infection

Often a viral disease becomes bacterial, a secondary infection develops. In such cases, the pediatrician has every reason to prescribe children's antibiotics. Do not argue with the doctor if the child has a temperature in the background:

chronic streptococcal or acute tonsillitis;
purulent sinusitis with exacerbation or complications;
pneumonia;
sinusitis;
otitis (especially in children up to 6 months), and more. other

These are bacterial diseases, and they no longer take any antiviral drug, which means that antibiotics are becoming necessary for children. But this does not mean that after the first dose the temperature will begin to fall. Improvement usually occurs on average from the third day of treatment.
Important: If over time the heat and does not think to decrease, it's time to talk with your doctor about changing the drug (especially when the temperature does not decrease 6 or 7 days).
When the medicine is picked up “into the target”, the baby will be noticeably lighter for about the 2nd day, and the heat will gradually decline. But this does not mean that antibacterial drugs lower it. The bottom line here is that by actively fighting bacteria, the drug either destroys them or blocks their development and reproduction. Result: the inflammation subsides, the temperature drops.

Note: sometimes antibiotics for children are prescribed and with prolonged viral disease (for example, rubella). But in this case it does not mean that if the baby accepts antibacterial drug, the heat will begin to quickly subside.

Initially incorrect administration of the drug

When you call a doctor at home, it is not always easy to determine immediately whether this can be a disease or something else. Do not blame the doctors for this, because not all diseases have catchy characteristics, and often the parents themselves blur the picture, trying to treat the child on their own. The exact answer here can only give clinical studies - blood and urine tests.
Komarovsky: if you choose between a pharmacy and a laboratory, it is better to rush to the laboratory.
But with acutely onset of diseases, there is not always time to wait for the results of the tests. And if the temperature does not fall down - the treatment should be started urgently:

with pneumonia;
with purulent diseases, accompanied not only high fever, but also unbearable pain for the kid (in the ear, throat, etc.).

The doctor will determine which antibiotic to prescribe in this situation. But if the babies who took the prescribed medication, the heat lasts for 6 days or a week - make an urgent call again to reassign the medication.

Bacteria Resistance

This term refers to the resistance of microorganisms to a particular drug. Antibiotics can cause addiction in pathogens, hence the lack of a long-awaited effect.

The reason for this is frequent or long-term use of drugs. Therefore, when visiting a doctor, it is imperative to notify him about previously taken antibiotics, and the doctor will give other appointments.

For your information: parents often become the culprits of resistance when they prescribe antibiotics themselves, being led to the magic phrase “ wide range actions". But they do not always know that this wide spectrum does not necessarily include the disease that a child currently has.

Course interruption

A few days after the start of the course, changes in the child's state of health appear:

growing appetite;
the heat begins to subside;
pain complaints are reduced;
improves mood.

Happy moms and dads immediately decide that the healing process is running, now the body can cope on its own, so why continue to “poison” the growing body? The rest of the scheme is simple:

treatment is interrupted;
the remaining bacteria survive;
inflammation resumes;
fever and other symptoms return;
the disease becomes chronic.

Parents should understand that interrupted reception only harm the baby.

Age

As already mentioned, fever is not a reason to take "heavy" drugs. But there are situations when a pediatrician, without waiting for the test result, will immediately prescribe antibiotics to the child:

at temperatures above 39 C in children under 3 years;
with heat above 38 C in babies up to 3 months.

This is a necessary measure, because prolonged hyperthermia in 3-year-old crumbs (especially up to a year) is fraught with dehydration, weakness, intoxication and, God forbid, the death of a baby. In these cases, waiting for the heat to subside until the sixth - seventh day is dangerous for the child's life.

Children's immunity

Temperature is not a disease, but a method of fighting the body against infection. And if it is, it means that in a small body there is a fierce war with pathogens. But sometimes this opposition can be delayed, and then the child's temperature lasts longer.

In children, immunity is still at the stage of formation. In crumbs stronger improvement may occur after 3-4 days, and after how many days it will appear in weak babies - this is individual. This is especially true for severe purulent diseases in which hyperthermia can last for about a week. And here only the doctor should come to the aid of the child, and not the parents with their appointments.

What to do when the temperature keeps

The main thing - do not panic if the temperature keeps when taking antibiotics. When the disease is diagnosed, the doctor made the appointment, not much is required from the parents:

Provide bed rest.
Exclude active movements.
Engage with the baby in the moments of his wakefulness "quiet" hobbies (reading, etc.).
Do not wrap too warm to keep the temperature even longer.
Provide abundant drinking (tea, decoctions of healing herbs, juice from natural antibiotic - cranberries, etc., but in no case should you allow to drink carbonated drinks!).
If before a night's sleep, the child took antipyretic - get up at night and change the baby's underwear, which became wet after sweating (to avoid hypothermia).
Follow all prescriptions recommended by the doctor (including instructions on dosages of the drugs and the intervals and duration of their admission).
In no case do not interrupt the course of treatment (exception - if the crumb is treated with antibiotics for 5-6 days, and the fever does not subside). In this case, it is better to re-call the pediatrician.
If the temperature in spite of everything lasts for 7 days, no improvement is observed in the child, antibiotics do not help - call an ambulance.

And it is important to remember: Antibiotics - not antipyretic, and the temperature (whatever it was caused) - not an indication for their use.

cool air;
no self treatment;
love and care.

It was at the last council that I especially wanted to sharpen parental attention, because of their affection and love, as well as the correct attitude to the treatment process, it depends a lot on how soon their baby will recover. And if the prolonged temperature still worries - you can always play it safe and call the doctor again.