Терапия и профилактика болезней гнойно-воспалительного характера, кишечных инфекций и дисбактериозов, связанных со штаммами рода Proteus и энтеропатогенной Escherichia coli в составе поликомпонентного лечения: поражения пищеварительного тракта (дисбактериоз кишечника, гастроэнтероколит, холецистит); болезни новорожденных гнойно-воспалительного характера ...
В одном флаконе средства Колипротейный Бактериофаг содержится 100 мл стерильного фаголизата микроорганизмов Proteus vulgaris, mirabilis и энтеропатогенных штаммов Escherichia coli разных серогрупп. Дополнительное вещество — моногидрат сульфата 8-гидроксихинолина.
Фармакологические свойства
Антибактериальное специфическое действие.
Показания к применению
Терапия и профилактика болезней гнойно-воспалительного характера, кишечных инфекций и дисбактериозов, связанных со штаммами рода Proteus и энтеропатогенной Escherichia coli в составе поликомпонентного лечения: поражения пищеварительного тракта (дисбактериоз кишечника, гастроэнтероколит, холецистит); болезни новорожденных гнойно-воспалительного характера (дисбактериоз кишечника, гастроэнтероколит, омфалит, пиодермия, сепсис, конъюнктивит); хирургические болезни (гидраденит, нагноения ран, парапроктит, остеомиелит, панариции, мастит, карбункул, флегмона, фурункулы, ожоги, плеврит, абсцесс); урогенитальные инфекции (пиелонефрит, цистит, уретрит, кольпит, эндометрит, сальпингоофорит); болезни уха, носа, горла, респираторных путей и легких (ангина, отит, ларингит, фарингит, пневмония, бронхит, плеврит); генерализованные септические поражения; иные заболевания, связанные со протеем или кишечной палочкой.
Противопоказания
Сенсибилизация к препарату.
Применение при беременности и в период грудного вскармливания
Разрешено использование препарата под наблюдением врача.
Способ применения и дозы
Инструкция на Бактериофаг колипротейный допускает использование препарата внутрь, в виде орошений, аппликаций, клизм, введения в полость носа, раны, матки, вагины, пазух носа, а также для дренирования полостей. Рекомендуемые дозировки для пациентов старше 8 лет составляют до 30 мл раствора при оральном приеме и до 50 мл при введении в виде клизм. Лечение локализованных заболеваний гнойно-воспалительного характера должно проводиться путем сочетания местного лечения и приема препарата внутрь на протяжении 1-3 недель. В зависимости от характера инфекции средство можно применять следующими способами. В виде примочек, тампонирования и орошения в количестве до 200 мл. При абсцессе после опустошения его полости препарат вводят внутрь в меньшем количестве, чем количество удаленного гноя. При лечении остеомиелита в рану вводят 10-20 мл средства после хирургической обработки раневой поверхности. При введении в плевральную, суставную или иные ограниченные полости устанавливают капиллярный дренаж, посредством которого лекарство вводят по 100 мл в день в течение нескольких суток. При пиелонефритах, циститах, уретритах средство принимают перорально. В случае дренирования полости лоханки почки или мочевого пузыря препарат вводят через стому дважды в день по 30-40 мл в полость мочевого пузыря или по 6-7 мл в лоханку почки. При гинекологических поражениях гнойно-воспалительного характера средство вводят в полость матки или вагины по 7-10 мл каждый день. При кольпите лечат орошением по 10 мл или введением тампонов на 2 часа дважды в день. При болезнях горла, уха и носа гнойно-воспалительного характера средство вводят по 2-10 мл до трех раз в сутки. Бактериофаг применяют для промывания, закапывания, полоскания или введения турунд на один час. При дисбактериозе кишечника и энтеральных инфекциях средство принимают перорально трижды в день за час до еды. Также разрешается сочетание двукратного перорального приема с совместным ректальным введением возрастной дозы один раз в сутки в виде клизмы после дефекации. Применение препарата у детей младше 6 месяцев, включая недоношенных детейПри энтероколите, сепсисе новорожденных колипротейный Бактериофаг вводят при помощи постановки высоких клизм по 5-10 мл до трех раз в день. Также возможно применение через рот (при отсутствии рвоты) путем перемешивания с грудным молоком. Курс лечения продолжается до 15 суток. С целью предупреждения энтероколита, сепсиса при внутриутробном инфицировании или риска появления госпитальной инфекции у новорожденных лекарство применяют дважды в сутки в виде клизм на протяжении недели. При лечении пиодермии, омфалита, септических ран средство используют в виде аппликаций пропитанной марлевой салфеткой дважды в день.
Побочное действие
Не выявлено.
Передозировка
Подобные случаи не описаны.
Особые указания
До использования флакон с препаратом необходимо взболтать и оценить его прозрачность и наличие осадка. Если выявлено помутнение или осадок, препарат запрещено применять! Вследствие нахождения в препарате благоприятного климата для развития микроорганизмов из окружающей среды, которые вызывают помутнение раствора, вскрытие флакона должно производиться по указанным ниже правилам: руки необходимо тщательно вымыть; перед снятием колпачок нужно обработать спиртовым раствором; следует снимать колпачок, не вынимая пробку; препарат из вскрытой емкости отбирать следует только прокалыванием пробки стерильным шприцем; если во время вскрытия вместе с колпачком случайно была откупорена пробка, то ее не следует класть внутренней поверхностью на стол, а флакон запрещено оставлять открытым (после отбора средства его нужно закрыть пробкой); вскрытый флакон нужно хранить в холодильнике. Если указанные правила соблюдены и отсутствует помутнение, средство из вскрытого флакона разрешено использовать на протяжении всего срока годности. ДетямСтандартные дозы препарата для детей до 6 месяцев составляют 5 мл при приеме внутрь и 10 мл при использовании в виде клизмы; для детей 6-12 месяцев – 10 мл при приеме внутрь и 20 мл при использовании в виде клизмы; для детей 1-3 лет – 15 мл при приеме внутрь и 20-30 мл при использовании в виде клизмы; для детей 3-8 лет – 20 мл при приеме внутрь и 30-40 мл при использовании в виде клизмы. У детей старше восьми лет используют взрослые дозы препарата. НоворожденнымСтандартная доза для новорожденных составляет 5 мл препарата при приеме внутрь и 10 мл при использовании в виде клизмы.
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