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014 cases of misuse of antibiotics at the grassroots level
014 cases of misuse of antibiotics at the grassroots levelOver the years, the state has been advocating the rational use of antibiotics, but under the circumstances of increasingly strict supervision and requirements, there are still abuses at the grassroots level
There are mainly the following phenomena:
1.
1.
Many grassroots doctors prescribe antibiotics in the early stages of a cold, such as nasal congestion, runny nose, etc.
Antibiotics can only be used when there are symptoms of clear bacterial infection, such as tonsillitis, sinusitis and other symptoms
Others, such as viral diarrhea, are not suitable to use antibiotics, but many people think that the diarrhea is bacterial infection enteritis, so they use quinolone (norfloxacin, ciprofloxacin, ofloxacin, etc.
2.
2.
A patient came to my clinic because of a cold.
Moxifloxacin, as a fourth-generation quinolone broad-spectrum antibacterial drug, has been mainly used in large hospitals for patients with pulmonary infection in recent years, that is, when ordinary antibiotics are ineffective
But this patient was only on moxifloxacin for a common upper respiratory tract infection
The European Medicines Agency (EMEA) concluded that the use of moxifloxacin-containing medicinal products should be restricted in the treatment of acute bacterial sinusitis, acute exacerbation of chronic bronchitis and community-acquired In severe pneumonia, moxifloxacin should only be used when other antibacterial drugs are unavailable or ineffective, and EMEA also recommends strengthening the warning for moxifloxacin oral products
3.
3.
The author often encounters some patients who are prescribed roxithromycin, levofloxacin, and a Chinese patent medicine with anti-inflammatory function in pharmacies or clinics due to a sore throat
Fourth, pharmacies are not strict with the management of antibiotic sales
Fourth, pharmacies are not strict with the management of antibiotic salesIt is more difficult for patients to buy antibiotics themselves at pharmacies in big cities, and it is almost impossible to buy them without a prescription
However, ordinary residents at county and township pharmacies can buy antibiotics almost casually without a doctor's prescription
.
Therefore, a peculiar phenomenon can be seen at the grassroots level.
Those who go out to work buy a large package of antibiotics to take out every year when they go out.
The reason is that they cannot buy antibiotics themselves in big cities
.
This practice of pharmacies selling antibiotics at will without a prescription will undoubtedly exacerbate the abuse of antibiotics.
It is hoped that local drug regulatory authorities will increase supervision
.
02 4 major hazards of antibiotic abuse
02 4 major hazards of antibiotic abuseWhy should the use of antibiotics be strictly managed, because the abuse of antibiotics can lead to a lot of harm, all grassroots doctors must have a deep understanding
.
1.
Toxic and side effects
In the case of abuse, it is likely to damage your own nerves, kidneys, and blood systems, resulting in adverse consequences
.
2.
Allergies
For people with special constitutions, allergic reactions caused by the abuse of antibiotics can be life-threatening
.
3.
Superinfection
The human body's flora ecology is a symbiotic body.
When antibiotics destroy a sensitive bacteria, it may stimulate the growth and reproduction of insensitive bacteria, causing new infections
.
4.
Bacterial resistance
The worst result of the abuse of antibiotics is to increase the resistance of other bacteria, and due to the long-term stimulation of drugs, the bacteria mutate and multiply into new drug-resistant strains
.
Many "superbugs" are largely due to the misuse of antibiotics
.
In short, grassroots doctors must follow the relevant regulations, take the initiative to avoid the abuse of antibiotics, and maintain the health of the masses
.