"The problem in the misuse of antibiotics, Pediatrics is ' hit '. "In the" 2010 national influenza ", capital University of medical sciences, Professor Yang Hong-affiliated. Now the annual flu season, reporters see Hospital Survey, also quite shocking scene: infusion Hall full of drips of children; some common injection, head has no place pierced; at the same time, there are parents because doctors didn't give antibiotics fight with the doctors ...
Two large hospital survey records
"The kids head has no local ties. ”
November 19, 3 pm, affiliated outpatient infusion of capital. When journalists through the lobby, by the parents and children of a column to the columns of the long team medicine, came to the transfusion Hall, where all the seats are full of large and small children and parents, leaving only one only to a narrow passage adopted by nurses. 4-month-old Xu smiled lying mother in her sleep, because no infusion stand, Dad had stood high the banner of the irrigation. They are made from Hebei Baoding came to see the doctor. 5 days ago, the children at a local children's Hospital identified pneumonia, lost two days of antibiotics not good, came to Beijing to see the doctor. Here, laughed and played three days of irrigation. Smile Papa told reporters that the kids have no place on the scalp may be pierced, 3 times today had succeeded. "We don't want to get infusion, tomorrow home point oral medication! quickly carry out ..."
"Don't you risk large infusion dare adventure?"
November 20, 8 p.m., the subsidiary's hospital emergency room capital Institute of Pediatrics. Wang Yi 1-year-old-son Michelle fever 38.9 degrees Celsius, laboratory doctors completion hemogram head said: "white 18, c-reactive protein is also high, infusion. "Some have some medical knowledge of the King, ask the doctor:" children are bronchitis, can not eat the first transfusion medicine see? " The doctor said: "medicine in the event of slow, firing pneumonia, you dare to take risks?" Wang Yi can only choose to intravenous antibiotics.
"You don't give him a shot, he lives with you and have fun!"
"I look at the life of Pediatrics, of which 80%-90% of all respiratory diseases. In other words, I see 80 children, of which at least 60 are fever, cough. "Affiliated pediatric medical sciences, Professor, chief physician Hu meter JI on reporter said that some children can be cold, no antibiotics. If you are in the United States, I only need to speak to the parents said: "fever will have diarrhea, drink more water and have a good rest. "But in China, if you talk to parents so that he will surely ask you:" I spend so much money, time off, the queue at a specialist, what drugs do not give away, what the doctor you?! "" Some parents, you don't give him antibiotics, he can play with you. "Prof. Hu meter JI says. Sometimes it was really no way, will give parents in the medical record on "voluntary antibiotics, all the consequences of parental conceit", and then open medicine.
"Addicted" three major cause of antibiotic
According to Yang Hong, the children's Hospital, outpatient nearly 1 million people, of which 1/3 of children need infusion and transfusion may have antibiotics. 2009 in Beijing, Shanghai, Guangzhou, Wuhan, Chongqing 5 hospital paediatric outpatient survey, antibiotic usage is the same foreign Pediatric reported 2-8 times. Related survey also shows that children or children's abuse of antibiotics have the following common characteristics: broad-spectrum antibiotics, antibiotic ratio is high, antibiotics, the higher the total volume. In the China daily November 9 of a story, the reporter will sum up this phenomenon as "addicted" antibiotics.
"Abuse of Pediatric antibiotic mentioned, I feel bitter!" Peking Union Medical College Hospital Pediatrics director Wei min on the life and times "reporter says:" this is not only a question of hospital, doctors, patients and deep-rooted problem drug habits. ”
Doctor-patient relationship, let the doctor had to protect themselves. Antibiotics for bacterial effect, if the patient is infected with a virus, the use of antibiotics is invalid. But what if the severity of the change, and thus had an accident, then the doctor will have to assume responsibility. Sometimes the doctor in order to protect themselves, inevitably take "integrated" approach, which is beginning to patient antibiotics.
Patient addicted "antibiotics". As Hu meter JI, clinic doctors often have to face in the initiative to ask for the children of parents with antibiotics. Parents are now mainly exist two misunderstandings: a cold cough, I want to eat a good antibiotic, otherwise not; the more sophisticated, expensive effects better.
"Drugs are not equivalent to other commodities, the ' money what you pay, ' ' cheap stuff is not good ' rule does not apply to it. "Wei min said that from a professional perspective, each different antimicrobial spectrum antibiotics, medication properly, ranging from the effect of the treatment does not work, you may increase the side effects of drugs, harm their health.
"The economic interests of the chain". Sometimes, a hospital in a certain period, both for bacteria, viruses, or Mycoplasma pneumoniae, opened all the same manufacturers of brand-name drugs. Over time, all replaced with another. This obviously is been pharmaceutical companies to "public relations". A bit reluctant to disclose the name of hospital-acquired infections Division, experts told reporters, like distressed hospitals and patients of the "big prescription", behind the antibiotics have an ulterior interests chain, which caused while antibiotics misuse has become an industry consensus, but in the health sector regarding the highhanded, or some bad doctors frequently out of expensive drugs.
Love child or harm the child
Many parents that their children spend more money is that he loved him a powerful proof. This is used in other places might have a point, but with the doctor, take medicine, not only unreasonable, but also may lead to their wishes. Misuse of antibiotics cause harm, in particular of the following deserves the parents police
Is deemed necessary.Low immunity. Antibiotics abuse makes the human body, immune system, easy to reinfection. In addition, the use of antibiotics is likely to "destroy" the body of probiotics, dysbacteriosis.
Lead to drug resistance. "An antibiotic substance abuse is a serious consequences of bacterial resistance. "Yang Hong said that, in the children's Hospital, in the 1980s of bacterial resistance below 10%, but now resistant to penicillin, has reached 70%, or even higher, very amazing. Thus, when a child growing up, the use of antibiotics must be "escalating". Qingdao University Medical College, Vice President of Sun wave that misuse of the end result is similar to the Super bacteria appear, "no drug available to mankind."
Damage the liver. Many antibiotics are liver metabolism, due to the children the various organs within the body development also immature, abuse of antibiotics is easy to cause damage to the liver function.
Cause hearing loss. According to Xinhua News, as of the end of 2007, the number of persons with disabilities in our listening language up to 20 million people, including children, approximately 200 million people. Children hearing loss was due primarily to: drug poisoning, virus infection, genetic, birth asphyxia and noise stimulation, etc. In drug poisoning the Genesis, antibiotics misuse has become the chief culprit in causing hearing loss. It is learnt that the developed countries, antibiotics are not reasonable cause hearing loss of less than 1%, but up to 30%-40%.
So, do to truly rational drug use, and care for the child? experts recommended that if a child is fever, stream clean nose, coughing (without yellow sputum), spirits can only eat fever (temperature exceeds 38.5 degrees c above), drink more water, more rest, do not randomly use of antibiotics. If the symptoms remain after 3 days, is not well then go to the hospital the doctor determine whether the use of antibiotics.
(1m1m responsible editor: small guess)
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