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Children with antibiotics should be cautious

Not long ago, Ms. Zhang’s three -year -old son Xiaobao was cold, and then symptoms such as fever, stuffy nose, runny nose, sore throat, cough and other symptoms. Based on experience, Ms. Zhang took the child to take Smart. After three days, the symptoms not only did not improve, but appeared rash. Ms. Zhang was anxious and had to take her son to a municipal hospital for treatment. Doctors check the child after examination: upper respiratory tract infection and medicine rash, and give treatment, cough and phlegm, and anti -allergic treatment, but no antibiotics are prescribed. The doctor told: After returning home, give your child drinking water appropriately and pay attention to observing the recovery situation.

A respiratory tract infection like Xiaobao is the most common disease in children. Acute upper respiratory tract infections include ordinary colds, acute sinusitis, otitis media, purulent tonsils, pharyngitis, laryngealitis, etc. Most children suffer from ordinary colds, which is what we call a cold. Data show that children can suffer from colds many times in a year. Some children with 10 % will repeat respiratory infections, and some even have a cold 8 times or more a year. Judging from the current medication, many parents are used to treating upper respiratory tract infections caused by antibiotics. Here, we want to interpret the two puzzles of children taking antibiotics.

Is it necessary to use antibiotics?

In an emergency clinic, we often encounter some young parents who have a normal cold about our children. Especially the high fever is very nervous, for fear of “burning” and “burning stupid”, take the children to walk around, and some day to see the clinic Looking at the emergency department at night, the doctor asked the doctor to use antibiotics for the child, otherwise it would be very uneasy.

In fact, more than 90%of ordinary colds are caused by viruses, which are self -limited diseases. The prognosis is generally good. Antibiotics can play a role in anti -infection by killing or inhibiting bacterial growth, but antibiotics are almost invalid for viruses that cause normal colds. From the 1960s to the 1990s, many studies showed that antibiotics could neither change the condition of normal colds, nor can it effectively prevent bacteria complications after a cold. Therefore, children without complications do not need to use antibiotics, only when symptoms continue to increase, high fever, total number of white blood cells or increased neutral granulocytes, increase C -reactive protein, or complicate otitis media, tonsillitis, sinusitis and other clear ones. Antibiotics need to be used when bacterial infections.

In addition, we should pay attention to choosing antibiotics suitable for children, such as penicillin, cephalosporin, and macrolactone to avoid using penicone and tetracycline drugs to avoid affecting bone development or “tetracycline teeth” (that is, due to taking it due to taking Tetracycline drugs lead to yellowing, ash, and even black, accelerate the development of “dental mineralization”, and cause teeth brittleness and dental allergies). If antibiotics are used, the medicine should not be stopped due to the significant reduction or disappearance of children’s symptoms. Be sure to adhere to the use of antibiotics in a course of treatment.

Will antibiotics pick well, will the side effects be smaller?

Many parents will take the initiative to tell the doctor, “The condition is better and the side effects are smaller, and it doesn’t matter if you use more expensive antibiotics.” These requirements from patients often allow doctors and patients to enter the misunderstanding step by step, causing a common phenomenon of abuse of antibiotics.

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The antibiotics are specially selected and expensive, not only will it not reduce side effects, but it will cause the abuse of antibiotics to become more and more intense. According to information, the phenomenon of abuse of antibiotics in my country is currently very serious. Among the hospitalized patients in a children’s hospital respiratory and infection, about 86%of those who use antibiotics, intravenous drugs use antibiotics as high as 100%, and the average child uses two antibiotics. This is not only a huge waste of medical resources, but also causes the rapid rise in pediatric infection with bacterial resistance and drug resistance levels, which constitutes a hidden danger to children’s health.

As for the use of two or more antibiotics at the same time, it may also cause ineffective or mixed infection. From a medical perspective, pathogenic bacteria, single antibiotics cannot be controlled, long -term application of antibiotic bacteria to produce drug resistance or combined medication can reduce the dose of the drug, and can be combined under the guidance of the doctor. In most cases, infectious diseases treated with antibiotics can work with only one antibiotic, and the idea of ​​multiple medicines and insurance is not scientific.

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(Editor in charge: Zhao Yuanyuan Intern editor: Li Lingfeng)

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