Antibiotics should not be taken in cases such as uncomplicated SARS – nasopharyngitis, rhinitis, viral tonsillitis, bronchitis, conjunctivitis, laryngitis, tracheitis and herpes. If history of SARS are uncomplicated recurrent otitis, rickets, underweight, prolonged low-grade fever, antibiotics are appropriate. It is shown in this case and in the presence of fungal, cancer and autoimmune diseases, birth defects, immunity, dysbiosis, chronic diarrhoea and HIV.
Mandatory antibiotic use in ARI, if in the anamnesis there are suppurative complications such as purulent sinusitis, purulent lymphadenitis, peritonsillar abscess and descending laryngotracheitis. This category includes: streptococcal or anaerobic tonsillitis, acute otitis media, inflammation of the paranasal sinuses, prolonged Muco-purulent rhinitis and atypical pneumonia. In this case, doctors recommend the use of monotherapy – treatment with just one anti-bacterial drug.
Antibiotics in complicated acute respiratory infections should be taken orally, as an intravenous and intramuscular administration is more traumatic and increases the risk of infection. The most preferred antibiotic for treatment of acute respiratory infections are considered "Amoxicillin" because it is better absorbed in the intestinal tract and rarely causes goiter. Acute respiratory infections it is not recommended to use antibacterial drugs on the basis of co-trimoxazole, which has a very high risk of side effects.
The effectiveness of antibiotics for acute respiratory infections is determined by the decrease in body temperature in the first 36-48 hours (it should fall below 38оС). If not used antibiotic is replaced with another drug, not applying the standard antipyretic drug, which can lubricate the picture by the antibiotic. The duration of antibiotic treatment depends on the success of suppress the activity of the virus, in addition, therapy should be continued for several days after the onset of the effect, in order to deal with potential complications. If antibiotic therapy helps weak and plagued by various negative factors, the patient hospitalization.
Antibiotics are also prescribed if ARD occurs more than five times a year and is complicated by various adverse factors.
The use of co-trimoxazole may be justified only in the treatment of patients with acute otitis media.