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The bacteria that most commonly cause sore throat are streptococci. Infection with streptococcal bacteria is commonly called strep throat.
Sore throat can also be caused by irritants such as air that is low in humidity, smoking, air pollution, excessive yelling, postnasal drip caused by allergies, and breathing through the mouth.
Injury to the back of the throat and stomach acid backing up into the throat and mouth are other causes of sore throat. Although sore throat affects people of all ages, children aged 5 to 15 years, smokers, allergy sufferers, and people with compromised immune systems are at higher risk.
Sore Throat Symptoms Sore throat symptoms are easily recognized. Your throat hurts and is irritated, swollen, or scratchy. Other symptoms that are commonly associated with sore throat are listed in Table 1. If your sore throat is due to a virus, it should go away within 7 to 10 days. When a person has strep throat, however, throat pain starts out gradually and quickly becomes severe and constant.
Symptoms worsen at night.3,4,6 Strep bacteria can lead to other conditions such as infection of the tonsils, sinuses, skin, blood, or middle ear, as well as various inflammatory illnesses.
2 Seek immediate medical help if your symptoms include drooling, an inability to swallow, difficulty opening your mouth, difficulty breathing, redness or swelling of the neck, swollen lymph nodes, bleeding from the throat, or a fever higher than 101°F.
Treatment Unless sore throat is caused by a bacterial infection, antibiotics are not prescribed.
Antibiotics do not kill viruses—the most common cause of sore throat—and have no impact on symptoms.
Using antibiotics unnecessarily creates strains of bacteria that are resistant to antibiotics. Without antibiotics, 85% of patients will be symptom-free within about 1 week.
8 Table 2 4,7,9 lists recommended strategies for managing sore throat pain.
If your symptoms do not improve within a week, contact your doctor. If your doctor believes you have strep throat, he or she may do a rapid antigen strep test, which determines whether you have a strep infection.
This test provides results within minutes but is not always accurate.
Therefore, your doctor may also take a throat culture, which is considered more accurate, and send it to the lab for testing. Test results are usually available within 24 to 48 hours.
are effective in treating bacterial infections. Penicillin is the most common antibiotic prescribed for strep throat. If you have a penicillin allergy, your doctor may prescribe erythromycin.
Your doctor most likely will give you a 10-day supply. It is critical that you take all of the medication even if your symptoms subside or go away. Soft stool and diarrhea are common side effects of
Taking an OTC antidiarrhea agent should minimize these side effects.
Along with killing the bacteria that cause strep throat, your doctor will focus on preventing complications from the infection. For example, untreated strep throat can lead to rheumatic fever, which causes heart damage along with kidney problems.
Prevention People with bacterial infections remain contagious for approximately 24 hours after they begin taking antibiotics. Consequently, if you have strep throat, it’s important to limit your contact with other people until you are no longer contagious.
Table 3 3 , 6,7,12 lists recommendations for preventing sore throat. Endnote Up to 90% of all sore throats are caused by viruses and clear up within a week.
Those with a sore throat lasting longer than a week should seek medical intervention.
Zanni is a psychologist and health-system consultant based in Alexandria, Virginia. What is the best method to administer amoxicillin to pigs? Practical experiences with the use of amoxicillin in pigs have revealed that no matter which application method is selected both require attention to details to be successful.
In pig production the impact of health on profitability is immense and usually goes beyond the amoxicillin and metronidazole for gum infection moment of the clinical outbreak. Early infections have a negative impact on the live weight of pigs at the time of weaning and the end of
the nursery phase. Furthermore, lightweight pigs are more susceptible to diseases later in life. Some of the most important bacterial pathogens during the most critical phases of pig production (farrowing and nursery) are Streptococcus suis , Staphylococcus hyicus , Haemophilus parasuis , and Pasteurella multocida . In pigs, amoxicillin is used during the early stages of production to treat sows or piglets against some respiratory infections caused by P. Moreover, amoxicillin also can be effective against S.
Ampicillin is roughly equivalent to its successor, amoxicillin, in terms of spectrum and level of activity as can be seen in Figure 1. Both molecules are broad-spectrum beta-lactam antibiotics with a bactericidal mode of action that are approved for veterinary use.
For pigs, aqueous and oily products for parenteral administration are approved as well as premixes and water-soluble powders for oral medication via feed or water. Below are some advantages and disadvantages of each type of treatment from a practical point of view.
The main advantages of injectable treatments are: Fast reaction .
When dealing with disease outbreaks related with S.
parasuis it is crucial to guarantee that pigs receive the right dose as soon as possible. Several pharmacokinetic studies show that after an intramuscular administration of amoxicillin, the bioavailability was approximately 83 percent, which can be even higher when using a long-acting formulation of amoxicillin. Pharmacokinetics and stability of amoxicillin are not affected by feed intake, health status of the animal, water pH or manufacturing process of feed. Even though the degree to which the usage of antibiotics in veterinary medicine contributes to the appearance of resistant human pathogens is not yet fully proven, the use of injectable products is perceived as causing less selection of resistant micro-organisms than the use of oral forms.
while the dosing of the treatment becomes more complex, it can also be an opportunity to give a more precise dose to every pig based on its live weight and not on its feed or water intake.
However, there are also some disadvantages associated with the use of injectable treatments: Labor intensive .
For injectable treatments, the requirements for manual labor are obviously higher.
Failing to identify pigs that require follow-up treatments negatively affects the compliance or completing the full treatment. Every time pigs are injected, there is a certain risk of leaving broken needles inside the pigs that can condemn the resulting carcass with resulting loss in profitability.
In many places, there is the problem of properly disposing used needles.
Adding amoxicillin in pig feed presents two main advantages: Large number of pigs can be treated with low labor . When a medication is needed for a large group of animals the work can be very time-consuming and in-feed treatments are very appropriate. If a treatment has to go on for several days, the chances of missing some pigs are lower when the medication is included in the feed.
However, there is always a down side: Reaction time .
It may take days until the treatment is available for the animals. When an outbreak appears, the feed has to be ordered, manufactured, sent to the farm and finally, the feed bin must be empty amoxicillin cost cvs before the pigs receive the medication.
the health condition of the pigs affects feed intake, and a percentage of animals may not eat enough to get the right dose. Even though there are differences among products available in the market, the amoxicillin molecule stability is affected by feed pelleting.
Also, while the feed is mixed there usually is a segregation of the premix from the feed which may lead to irregular dosing within the same batch.
When using oral amoxicillin (or other antibiotics) disbiosis could lead to impaired gut health in piglets. The advantages of water are similar to some of the ones for in-feed treatments: Treating large number of pigs .
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