After taking antibiotics, herpes. The use of antibiotics in herpes Antibiotics in the treatment of secondary infections in herpes

Mankind has been familiar with herpes since ancient times. There is an opinion that a fever or a cold - as people call rashes of a bubble character - most often jumps on the lips. In fact, this is not so - the rash can be located on the eyes, and on the genitals and on various parts of the skin.

Unfortunately, not everyone understands the seriousness of this disease, many people often self-medicate, use drugs on the advice of friends, which are not only useless, but can also worsen the course of the disease. In particular, a herpes infection cannot be treated, as many do, with antibiotics - drugs of this group are prescribed to a person in combination with antiviral agents and only in cases where there are certain indications for this.

Antiviral drugs are able to penetrate into cellular structures and destroy the DNA of the virus. Antibacterial agents, which include antibiotics, cannot do this. Therefore, it is absolutely pointless to use these drugs for herpes.

Doctors prescribe antibiotics for herpes only when the patient has a concomitant secondary infection of a fungal or bacterial origin against the background of the disease.

Such cases include necrotic or lacunar tonsillitis, pleurisy or pneumonia, pustular skin diseases, including purulent intoxication, internal infectious diseases, bacterial diseases of the genital organs. Also, an indication for the appointment of antibiotics is a high temperature (above 38.5 degrees), which lasts more than two to three days.

What drugs are used in complex treatment

If a secondary infection joins the herpes and antibiotics are required, the doctor will definitely prescribe an additional examination, in particular bakposev. Since Haemophilus influenzae, pyogenic streptococcal, staphylococcal or candidal infections, most often accompanying herpes, are sensitive to antibiotics of various groups, then the appropriate drugs are selected according to the results of the examination strictly individually.

Of the modern antibiotics in complex treatment, along with antiviral drugs against herpes, the following are used:

• lincosamides;
• preparations of the cephalosporin group I and II generation;
• macrolides;
• antifungal agents (Metronidazole, Fluconazole).

The duration of treatment usually varies from 5 to 10 days and depends on the severity and extent of the concomitant infection.

It is important to know that not all antibiotics can be used for herpes: in this case, aminopenicillins are never prescribed. Drugs in this group, which include Amoxicillin, Oxacillin, Ampicillin, can cause exanthema (specific rash) on the skin that is difficult to treat.

When can antibiotic ointments be used?

When the skin manifestations of a herpes infection pass into the stage of regression, it becomes advisable to use antibiotic ointments. After the bubbles begin to burst and crust, Erythromycin, Tetracycline, Streptocid ointment helps very well.

Tebrofenovaya, Zinc ointment, Levomekol, Pimafutsin are also used. All these topically applied agents protect wounds from infection and secondary infection, accelerate healing, and prevent the development of herpetic non-healing ulcers in the genital area, on the face and on the body.

Antibiotic ointments are best used with antiviral ointments (Oxolinic, Acyclovir, Panavir, Serol), since there can be no positive results without antiviral treatment.

It should be noted that neither antiviral ointments nor antibiotic ointments are prescribed for genital herpes, since their use in this case is ineffective.

Why You Shouldn't Take Antibiotics Uncontrollably

Treating herpes with antibiotics is a big mistake. They cannot cope with the virus, and the ability of these drugs to suppress the immune system can harm the body, already weakened by a viral infection.

Uncontrolled long-term use of one-line antibiotics can lead to the fact that the body produces a pathogen resistant to this drug.

Frequent self-use of antibiotics without prescribing desensitizing drugs increases the risk of developing allergic reactions.

When taking antibiotics for herpes, it should be remembered that they can cause dysbacteriosis. Together with pathogenic microorganisms during treatment, the normal (beneficial) microflora that lives in the intestines and on the mucous membranes dies, which leads to the fact that pathogenic fungi and bacteria are colonized in its place. As a result - fungal pharyngitis, thrush, enteritis and a number of other diseases.

The ability of antibiotics to accumulate in the liver, bone marrow, and kidneys indicates their toxicity and can lead to serious consequences. To prevent them, it is very important to strictly observe the doses prescribed and justified by the doctor, as well as the recommended duration of treatment.

Antibiotics for herpes are not always used and only as prescribed by a doctor. It is pointless to use these remedies in order to recover from a viral disease. Antibiotics cannot stop the spread of the virus. But they are able to eliminate inflammation. Therefore, their use becomes necessary when a secondary bacterial infection joins, severe inflammation and suppuration begin. And for the treatment of the herpes virus, antiviral agents are used.

Standard treatment for herpes

It is impossible to completely cure herpes that has settled in the human body. Therefore, medications are used only to continue remission and eliminate unpleasant symptoms.

For treatment, drugs are used that suppress the spread of the virus in the human body and strengthen the immune system. The form of release of antiviral drugs is different and is used depending on the location of the sores and the intensity of the symptoms. For herpes on the lips, topical preparations are used, for rashes on the skin of the body - medicines in the form of capsules and tablets. Genital rashes are best treated with creams, which are more delicate than ointments.

All antiviral drugs for the treatment of herpes are based on the following active ingredients:

• Acyclovir;
• Famciclovir;
• Penciclovir;
• Valaciclovir.

It is impossible to independently select antiviral medicines, as well as self-medicate. Only a doctor can prescribe medicines, as many of them have side effects and contraindications.

In what cases is the use of antibiotics for herpes justified?

Herpes cannot be treated with antibiotics. The virus, getting into the DNA of a healthy cell, changes its structure. Therefore, the use of antibacterial drugs will not work. An infection can only be defeated by an antiviral agent, under the influence of which the DNA of the infection will be destroyed.

A doctor may prescribe antibiotics when the following diseases occur against the background of herpes:

• pneumonia;
• necrotic or lacunar tonsillitis;
• pleurisy;
• purulent intoxication;
• suppuration on damaged skin;
• inflammation of the organs of the genitourinary system (with genital herpes).

A change in the state of the blood and a temperature above 38.5 degrees for two or three days are an indication for the use of antibiotics.

The choice of a group of medicines that will help eliminate the spread of a secondary infection depends on the type of bacteria in the affected area. The following infections join the main disease:

• streptococcal;
• staphylococcal;
• candidal;
• haemophilus influenzae.

What antibiotics are used in complex treatment

There are several groups of antibiotics that can be used in complex treatment with the spread of a secondary infection.

Cephalosporins

Medicines of this group are effective in the complex fight against secondary manifestations, such as streptococcus and staphylococcus aureus. Cephalosporins quickly eliminate bacteria, the spread of which provoked the herpes virus. Antibiotics of this group: Zinat, Cefazolin, Ceftriaxone.

Lincosamides

Medicines with low toxicity. They are used in the complex treatment of herpes with the appearance of a secondary infection. Lincosamides destroy microorganisms with active and slow cell division. This group includes Lincomycin, Clindamycin.

Macrolides

Macrolides help to cope with inflammation and strengthen the immune system. They are used when the infection is complicated by the appearance of microorganisms in the body - mycoplasmas and chlamydia. The active substances of the drugs penetrate the bacterial cell and kill it. The most effective macrolide drugs:

• Erythromycin and Azithromycin - help to cope with the consequences of herpes types 6 and 7;
• Midecamycin - is prescribed in the treatment of ulcers and dermatitis on the body;
• Kitasamycin - is used in severe cases, when bacteria enter the bloodstream through the wound and cause sepsis.

Semi-synthetic penicillins

A group of drugs that differ in the effectiveness of their impact on the spread of infection. Penicillin preparations are used in exceptional cases, when other antibacterial agents have failed.

Some drugs in this group:

• Amoxiclav;
• Panklav;
• Augmentin;

Local funds

To temporarily eliminate the infection, it is necessary to use not only antiviral agents, but also external agents. During the regression of the virus, when the sores burst and crust, it is advisable to use antibiotic ointments:

• Levosin;
• Levomekol;
• Tetracycline;
• Gentamicin;
• Erythromycin.

The use of ointments helps:

• heal the affected areas faster, accelerating tissue regeneration;
• protect the skin from the ingress of microorganisms that cause the development of secondary infections;
• to prevent the appearance of non-healing foci of inflammation.

The doctor prescribes an ointment if there is a risk of disturbing the microflora of the gastrointestinal tract with antibiotics and high sensitivity to antibacterial drugs.

The use of antibiotic ointments should be discontinued when the patient has severe allergic reactions. This is itching, swelling of the lips, rashes on the skin.

Exacerbation of herpes during antibiotic therapy of other diseases

After prolonged use of antibiotics due to various diseases, such as tonsillitis, herpes may worsen. These medicines destroy not only harmful bacteria, but also beneficial microflora in the body, and at the same time weaken the general immunity. The virus is actively developing due to weakened immunity.

If you experience the first symptoms of a herpetic rash, you should inform your doctor. Do not stop taking antibiotics without his permission!

The doctor may replace the drug or prescribe additional medications such as:

• antiviral;
• immunostimulating;
• drugs that restore the intestinal microflora.

To improve the state of immunity with herpes on the lips, you can use vitamin complexes, as well as general strengthening folk remedies: infusions, decoctions of herbs. Good results are brought by the use of vegetable oils on the area of ​​​​rashes.

Treatment of a viral infection must begin with antiviral drugs - tablets and ointments. In the absence of treatment with drugs of this group, the virus will continue to develop in the body, and this can lead to negative consequences.

With the viral nature of the disease, antibiotics for herpes are often used in medical practice. With the help of these drugs, complications can be prevented, but the treatment is carried out in combination with antiviral drugs. There is no doubt about the seriousness of the disease, it can affect any part of the body and lead to necrotic and ulcerative formations, and in infancy to death.

Indications for use

The virus cannot be eradicated with antibiotics, since it acts at the DNA level, this is a task, but sometimes antibacterial drugs are prescribed if there is a concomitant infection of a fungal or bacterial nature. It is also advisable to take drugs with such possible complications:

• necrotic angina;
• lacunar angina;
• pneumonia;
• infection of burst wounds;
• bacterial diseases;
• dissemination of pathogenic metabolites;
• diseases of the internal organs.

List of drugs

Antibiotics as part of complex treatment

Herpes is rarely treated with antibiotics, but tetracyclines are an exception. They have rapid bioavailability, after 2 hours the concentration of the active substance in the body becomes extremely high. Plasma proteins transport the active substance to the site of inflammation. When taking Doxycycline, you need to remember that antibacterial medicines are not selective, they destroy both harmful and beneficial microflora. With the defeat of the genitals, it is appropriate to use the semi-synthetic drug "Clindamycin", which is prescribed during the development of a septic process. In turn, "Synthomycin" from herpes has a wide spectrum of action, it acts at the intracellular level. The therapeutic course is 5-7 days under the supervision of a doctor.

Antibiotic ointment for herpes

Treatment of herpes with antibiotics is a necessary measure. Weakened immunity or a number of other factors contribute to the spread of blistering rashes on the lips and on the body. With genital herpes, specialized specialists join the treatment. It is extremely important to treat each bubble that appears in order to avoid infection. For external use against the virus, ointments are prescribed:

• "Levomekol";
• "Levosin";
• "Fastin";
• "Pimafucin";
• "Tetracycline" 3%.

The listed drugs are also acceptable for the eyes, but can cause severe allergic reactions: swelling of the mucous membrane, itching, spots. If the reaction has made itself felt, the drug must be changed. The most common ointment that treats children is gentamicin. It is low toxic, vasoconstrictor. The affected areas are treated within 7 days.

Antibiotics for herpes are rarely used due to the viral etiology of the disease. Doctors include drugs with antibacterial activity in the therapeutic regimens of patients to suppress a secondary bacterial infection. At the initial stage of viral pathology, the use of macrolides or cephalosporins will not have any therapeutic effect, but will provoke serious complications. Only a doctor can prescribe antibiotics for herpes on the body or face. It takes into account the results of laboratory tests, the age of the patient and the presence of chronic diseases in history.

Indications for use

In the treatment of herpes type 1 or 2, antiviral drugs are used in combination with immunomodulators. They help to strengthen the human defenses, mobilize the body to fight pathogens. If adults or children have high resistance to infectious agents, then the immune system copes with herpes viruses on its own and does not need the use of pharmacological drugs.

“Warning: Self-medication with antibiotics will cause a sharp decrease in immunity and an even greater activation of herpes viruses. This will significantly delay recovery and lead to a decrease in the functional activity of all vital systems.”

After a person is infected by household or sexual contact, herpes viruses remain forever in the human body, manifesting themselves in relapses after a sharp decrease in defenses. In some cases, the immune system cannot cope, and pathogenic bacteria penetrate the inflammatory foci:

• staphylococci;
• streptococci;
• pneumococci;
• proteas;
• coli.

Antibiotics for herpes are used to destroy them and prevent spread to healthy tissues and organs. As a rule, such a need arises when diagnosing the following pathological conditions:

• lacunar or necrotic tonsillitis;
• ulcers formed on the skin with purulent contents;
• general intoxication of the body;
• acute inflammatory process in one or more internal organs (kidneys, bladder, liver, urethra);
• concomitant underlying pathology of venereal infection.

Antibacterial agents are included in therapeutic regimens for herpes viruses, which have caused frequent and sharp rises in body temperature above subfebrile values. An indication for the use of antibiotics and antimicrobials is a pathological change in the composition of the blood. Often, when immunity is weakened, yeast-like fungi penetrate the upper respiratory tract or skin rashes. For their destruction, the use of a combination of antimycotic agents (Itraconazole, Fluconazole, Ketoconazole) and antibiotics is practiced.

The main groups of antibacterial agents

Treatment of herpes with antibiotics is carried out taking into account the results of laboratory tests, during which the species of the pathogenic microorganism is established. Of no small importance is the determination of the sensitivity of pathogenic bacteria to the main groups of antibacterial drugs. Some studies last several days, and the patient may need urgent antibiotic therapy. In such cases, doctors prescribe broad-spectrum drugs that exhibit bactericidal activity against most infectious agents of herpes sores. Preparations must meet the following requirements:

• be resistant to enzymes produced by bacterial cells;
• maintain the maximum therapeutic concentration for a long time;
• easily absorbed into the systemic circulation and target organs.

To minimize the consequences of antibiotic therapy, the doctor selects drugs with low toxicity that do not adversely affect the functioning of the liver and organs of the urinary system.

“Advice: After taking drugs with antibacterial activity, patients are recommended to take eubiotics - Bifidumbacterin, Lactobacterin, Acipol, Linex, Hilak Forte. This will help to quickly restore the optimal balance of intestinal microflora.”

Cephalosporins

Antibiotics commonly prescribed for genital herpes include a group of cephalosporins. In severe pathology, the use of drugs in the form of injection solutions for intramuscular administration is practiced. This method of using drugs helps to quickly stop all inflammatory processes and reduce the severity of clinical manifestations. Depending on the age and general health of the patient, the doctor may prescribe the following drugs:

• the first generation of cephalosporins - Cefazolin, Cefalexin, Cefadroxil;
• the second generation of cephalosporins - Cefuroxime, Cefaclor, Cefamandol;
• the third generation of cephalosporins - Cefotaxime, Cefoperazone, Ceftriaxone, Ceftibuten, Ceftazidime;
• the fourth generation of cephalosporins - Cefpir, Cefepim;
• the fifth generation of cephalosporins - Cefpir, Cefepim.

These antibiotics are always the drugs of first choice when diagnosing genital herpes at the stage of acute relapse. Most often, doctors prefer drugs of the second and third generation, which for a long time retain the maximum therapeutic concentration in the bloodstream. If laboratory tests have revealed the presence of gram-negative pathogenic bacteria in a patient, then Cefpodoxime or Cefixime must be included in the treatment regimen. The disadvantages of cephalosporins include the need for frequent oral administration of tablets or capsules throughout the day.

Lincosamides

Course use of cephalosporins sometimes provokes symptoms of dyspeptic disorders in adults and children - nausea, vomiting, excessive gas formation. In such cases, as well as with the appearance of allergic rashes, antibacterial agents are replaced with lincosamides. This group of antibiotics is characterized by low toxicity with a fairly high therapeutic activity. Especially appropriate is the appointment of lincosamides in the diagnosis of infections caused by beta-hemolytic streptococci. The most effective antibacterial drugs are:

• Lincomycin;
• Clindamycin.

Lincosamides exhibit the same bactericidal activity regardless of the route of administration - parenteral or oral. This group of antibacterial drugs also does not have a selective effect, destroying microorganisms with both fast and slow cell division. In the treatment of herpes occurring against the background of general intoxication of the body with the waste products of staphylococci or E. coli, a combination of lincosamides with antimicrobial agents is used. As a rule, doctors include Metronidazole or its imported analogue Trichopol in therapeutic regimens. The combination of drugs allows you to maximally prolong the bactericidal effect and significantly speed up recovery.

Macrolides

Macrolide antibiotics are also used against herpes. Their use is most relevant if a bacterial infection is complicated by the penetration of mycoplasmas and chlamydia into the body. In this case, the appointment of cephalosporins and lincosamides will not bring the desired result, since their active substances do not penetrate into bacterial cells. With complicated herpes, the use of drugs from the macrolide group is practiced:

• Clarithromycin;
• Azithromycin.

The association of herpetic eruptions with infection by intracellular microorganisms does not require long-term treatment. Usually, three days of macrolide application is sufficient for the complete destruction of all types of pathogens.

Semi-synthetic penicillins

The most commonly prescribed antibiotics for bacterial infections are semi-synthetic penicillins, such as Amoxicillin. But not with herpes 1 and 2 types. In this disease, the body often reacts to this group of drugs with severe skin rashes that are difficult to treat. Semi-synthetic penicillins can be prescribed in exceptional cases, when the use of other antibacterial agents has not brought the desired result. The therapeutic regimen also includes antihistamines (Loratadin, Suprastin, Tavegil) to prevent the development of allergic reactions and relieve swelling. Protected synthetic penicillins have the highest bactericidal activity:

• Amoxiclav;
• Panklav;
• Augmentin;
• Flemoklav.

The composition of the preparations includes clavulanic acid, which does not have a therapeutic effect. Its main function is to prevent the resistance of pathogenic bacteria to semi-synthetic penicillins.

The danger of antibiotic therapy

The use of the most modern antibiotics for any type of herpes is meaningless. Viruses are intracellular inhabitants that penetrate the systemic circulation during relapses of the disease. Antibiotics do not show antiviral activity either at the stage of remission or during exacerbation of the pathology. Doctors prescribe this group of drugs to patients in exceptional cases, when they really cannot be dispensed with. It's all about the lack of selective action of antibiotics and the presence of serious side effects. What does the inappropriate use of antibacterial agents for herpes on the lips or body lead to:

• the development of resistance to cephalosporins or macrolides by pathogenic microorganisms, which will further negatively affect their therapeutic activity;
• decrease in the functional activity of the immune system in the neutralization and destruction of allergic and infectious agents;
• cumulation (accumulation) of active and auxiliary ingredients of drugs in the cells and tissues of the body.

The use of antibiotics causes a serious blow to the intestinal microflora. The number of lacto- and bifidobacteria decreases, and in their place opportunistic E. coli, staphylococci, and yeast-like fungi begin to grow and actively multiply. All this causes an even greater decrease in immunity and the activation of herpes viruses.

When treating herpes, you should not exceed the dosage of antibiotics recommended by your doctor in the hope of speeding up recovery. The effect will be the opposite - provoked complications will lead to an increase in the duration of the therapeutic course.

The herpes virus is in the body of almost every person, but only under favorable conditions does it show symptoms and cause an acute course. Antiherpetic drugs are usually used for treatment, but sometimes they are ineffective, and the patient is prescribed antibiotics. In what cases and what antibiotics can be used for herpes?

Herpes is classified by type and location of lesions. At the site of the rash, herpes on the lips, genital and herpes zoster are distinguished. There are eight types of herpesvirus in total, the most common are:

1. Herpes simplex virus - affects the lips and face.
2. Herpes simplex virus - affects the genitals of a person.
3. The herpes virus of the third type is manifested by herpes zoster, chicken pox.
4. Type 4 Epstein-Barr SH causes mononucleosis.
5. The fifth type of herpes virus (cytomegalovirus) is manifested by false rubella.

The remaining three types are less common and can provoke the development of malignant tumors and sarcomas, as well as cause problems with the human lymphatic system.

The main reasons for the appearance of herpesvirus are a weakening of the immune system, stress, an unhealthy lifestyle with systematic sleep disturbance and overwork. In addition, herpes occurs due to:

• violations of hygiene standards - infection occurs by contact-household method;
• a sharp change in climatic conditions;
• eating too fatty, spicy, sweet or salty foods;
• avitaminosis - deficiency of vitamins of natural origin;
• an excess of the amino acid arginine, present in pumpkin and sesame seeds, peanuts, seafood, chicken fillet, lean pork.

On a note! The lack of arginine leads to a decrease in efficiency, fatigue, and stress. The daily intake of this amino acid in adults should be 6 g, in children - 4. In athletes, this rate increases to 9 g.

Genital rashes appear most often due to non-compliance with personal hygiene when visiting a public toilet, swimming pool, sauna. Another reason is casual sex and unprotected contact with an infected partner.

In infants, infection occurs from the parents, intrauterine infection from the mother. A planned pregnancy will reduce the risk of infection, as parents undergo a complete medical examination beforehand.

Herpesvirus symptoms

Herpes begins with unpleasant sensations at the site of the future rash: burning, tight skin, itching. Then tiny bubbles filled with liquid appear. Bubbles grow, merge into a common blister, which after a certain period of time opens and turns into a painful crust. The resulting scab usually consists of microcracks that cause pain. If left untreated, a herpes infection goes inside the body after 10 to 14 days.

In the future, the rash can spread to neighboring areas of the face, possibly affecting the area near the eyes. The virus is able to penetrate the mucous membrane and infect the eyes, nasopharynx and genitals.

Eye lesions

Specialists call lesions of the mucous membrane of the eyes keratoconjunctivitis, which can cause complications on the sclera in the form of scars and clouding of the cornea. The percentage of vision after the disease is significantly reduced, in a complex course, blindness develops.

The defeat of the nasopharynx

Bubbles form on the mucous tissues of the oral cavity, which then turn into painful erosions. Although this phenomenon rarely happens, erosion can heal on its own in 10 to 14 days. This does not mean that the infection is gone. It moves deep into the oropharynx to the upper respiratory tract and into the esophagus, which is fraught with the occurrence of ulcerative esophagitis.

In young children, herpesvirus lesions are often diagnosed with stomatitis, since there are similar symptoms. It proceeds with an increase in lymph nodes and feverish conditions.

Genital lesion

It proceeds in different ways: in some patients, small formations are observed, which almost immediately combine into blisters with further transformation into erosion on the organs of the reproductive system. In some patients, genital herpes can be asymptomatic for a long time, without deviations from the general condition.

In an acute course and in the absence of treatment, herpes begins to spread to adjacent areas of the body: the anal area, buttocks, inner thighs. In women, ulcers spread to the vagina and cervix. Complications of genital herpes are inguinal lymphopathy and hyperthermia.

With herpes zoster, nerve endings are involved in the process, which causes severe pain. A significant area of ​​the lesion does not allow a person to lead a normal life. The disease is accompanied by fever and symptoms of general intoxication. Patients with herpes zoster are necessarily hospitalized.

Treatment tactics

Herpes is suppressed by antiviral drugs, it is impossible to get rid of it with antibiotics. The virus enters the human DNA and multiplies. Antibacterial agents are not able to penetrate into the cell, unlike antiviral drugs, which destroy the DNA of the herpes virus at the intracellular level.

Uncontrolled use of antibiotics during the treatment of herpes of the first and second types can lead to a completely opposite result. Antibiotics destroy both pathogens and beneficial flora, thereby reducing human immunity. A weakened immune system is the root cause of the activation of the virus. As a result, herpes after antibiotics does not disappear, but appears.

Antivirals

The standard treatment is the use of drugs of the nucleoside group - Acyclovir, Ribavirin, Valaciclovir. Acyclovir is sold in the pharmacy network in tablet form and as an ointment.

Acyclovir ointment is used at the initial stage of the disease for five days. If the activity of the herpes virus does not decrease, an oral course of Acyclovir is prescribed, which lasts up to 7 days.

Ribavirin and Valaciclovir have similar effects to Acyclovir, but are considered more effective. The course of these drugs is 3-5 days until the complete suppression of the herpes virus.

Antibiotics

Antibiotics are added to antiviral drugs only in cases of complications, when other diseases of bacterial or fungal origin are exacerbated against the background of herpesvirus:

• purulent dermatitis;
• bacterial diseases of the urinary organs;
• pleurisy;
• pneumonia:
• necrotic angina;
• lacunar angina.

The appointment of antibiotics occurs only after laboratory tests by the attending physician. Indications are changes in the composition of the blood, feverish conditions with a body temperature above 38.5 ° C for two or more days.

Internal use of antibiotics

As medical practice shows, secondary infections are usually caused by staphylococci, streptococci, Haemophilus influenzae, Candida fungus. For their treatment, antibacterial agents of the following groups are used:

1. Macrolides.
2. Linkosamides.
3. Cephalosporins (second and third generation).
4. Antifungal agents.

On a note! Preparations of a number of aminopenicillins (Ampicillin, Amoxicillin) are not used in the treatment of herpes, as they can provoke the appearance of a rash (exanthema), which is difficult to treat.

Preparations from the group of macrolides (Erythromycin, Azithromycin) have the least toxicity. The antibacterial properties are further supported by the anti-inflammatory and immunomodulatory effects of these drugs. They are used for the development of infections on human soft tissues and skin.

From the group of cephalosporins, the most effective drugs are Cefazolin, Zinnat, Ceftriaxone, they act on staphylococci and streptococci.

From the group of lincosamides, clindamycin or lincomycin is prescribed for the treatment of secondary infections in herpes. These drugs inhibit the activity of staphylococci, pneumococci, streptococci.

Antifungal drugs include Metronidazole, Trichopolum, Flucanazole.

Since antibacterial and antifungal agents, together with pathogenic flora, destroy beneficial microorganisms, biological preparations with probiotics are simultaneously prescribed: Linex, Bifiform and other agents of a similar action.

Antibacterial ointments

At the stage when the vesicles of herpes formations begin to burst, antibacterial ointments Pimafucin, Levomekol, as well as zinc, erythromycin or tetracycline ointment can be used. Antibacterial ointments prevent:

• infection of herpes formations with bacteria;
• the spread of herpes to neighboring areas of the body;
• development of furunculosis.

On a note! For the treatment of herpes, it is strictly forbidden to use hormonal agents, and improvised means such as iodine and alcohol tincture can burn sensitive tissues at the sites of herpes.

Treatment of herpesvirus begins with the appearance of the first symptoms. This approach reduces the likelihood of secondary infections. The course of drugs is prescribed only in consultation with a specialist and is carried out under his supervision.