Wednesday, April 4, 2012

Cold shouldn't use antibiotic

Cold shouldn't use antibiotic
Cold shouldn't use antibiotic
Hospital, Chaoyang of Beijing, infect clinical refined news pegging Cao, head of the department of microorganism: Britain " Daily Telegraph " reports on the 23rd, Britain issues the new rule, the use for antibiotic medicines proposes rigorously enforcing the regulation even more. According to the new rule, British doctor can't suffer from the slight ear one to infect, the throat aches, amygdaline inflammation, cold, coughing, the patient of nasal sinusitis, bronchitis opens the antibiotic medicines prescription, because this kind of medicines " not only have no help in relieving symptom, but also will produce big side effect " . We invite the expert to understand for you in this issue. It is very common not to recommend using cold in upper airway infection. Act as and appear coughing, throat and ache, at the time of symptom of aching with muscles etc. with generating heat sometimes, ordinary common people are regarded as " Cold " (used after a verb to indicate the completion of an action). Still use other call sometimes, for example " suffer from cold " , " cold " , " heat catches cold " When. In fact, cold acute main type of upper airway infection, include acute otitis media, suppurative tonsillitis, nasal sinusitis,etc. also while being other. Each adult has experience of catching a cold, it is very common to get several colds too within one year. Cold infect, cause by the intersection of respiratory tract and virus nearly, including influenza virus, respiratory tract shut the intersection of afterbirth and virus, adenovirus, the intersection of nose and virus and packs of influenza virus. The one corresponding to acute upper airway infection is acute bronchitis and community acquired character pneumonia. Pneumonia patient have the intersection of throat and the intersection of person who ache and upper airway infection and symptom often, but cough heavier, duration is longer, often cough up phlegm, and is often the phlegm of yellow suppuration, there is a chest that aches and has difficulty in breathing sometimes. Acquired character pneumonia of community is mainly caused by bacterial infection, including pneumonia streptococcus, influenza hemophilus, golden yellow staphylococcus, mycoplasma, clothing original body and legion fungus are the main pathogen of pneumonia. The guide for use of international and domestic antibiotic stipulates clearly: As to acute bronchitis and upper airway infection, do not recommend using antibiotic conventionally. Antibiotic is invalid for a long time to the virus, it makes ordinary common people think that the society propagates: Antibiotic is one kind " The magical medicine " ,Can be guaranteed to cure all ills. Actually this is not so. The earliest antibiotic is penicillin, it was Fleming that finds accidentally at work. Penicillin is one kind was produced by microorganism of the blue and green mould " The toxin " ,Can kill other bacteria, thus guarantee " blue and green mould " Existence of the population. Successively, scientists have found a variety of different antibiotic. However, antibiotic this kind of " toxin " There is a common characteristic, that can kill bacteria, but invalid to the virus. It will cause liver renal function damage, fungus a group of lacking proper care, antibiotic relevance diarrhoea that antibiotic is abused, and the bad consequence of able to bear the increase of naturing etc. of bacterium, as to this, it is obviously not enough for the society to propagate. The experience administration does harm rather than good in British London University and is infected with the researchers of the disease research center, reviewing 3,360,000 acute airway infection patients who accept antibiotic treatment of appraisal. The result proves: As to acute upper airway infection, every 4000 antibiotic prescription once could prevent once from being infected with the relevant complication (such as pneumonia) Emergence. So, as to these patients, antibiotic is treated nonsensically; On the contrary, greater than, lay airway infection while being 65 -year-old as to age, every the intersection of 39 and the intersection of antibiotic and treatment can prevent from take place a serious complication, so, make a airway infection patient as to the old age, the experience antibiotic treatment is comparatively beneficial. Beijing Chaoyang hospital- Breathe the research institute of disease to finish from November of 2006 to March of 2007 in Beijing " The impact on a kind of case prognosis of influenza of antibiotic " (article is issued on " Chinese tuberculosis and breathe the magazine " published in July of 2008) Study, has investigated about 500 " one kind of cases of influenza " ,Analyze that uses antibiotic and not uses the course of disease of the patient of antibiotic and rotates to return. Found finally, time was 3.3 days that the patient with antibiotic brought down a fever on average, but the one that did not need antibiotic brought down a fever time was 3 days; Look since relieving time of respiratory tract symptom, take average 6 days of antibiotic group, it is 5.4 days not to use the antibiotic group. But the average cost which uses the antibiotic group is 255 yuan, it is unnecessary there is 125 yuan only in the cost of antibiotic. That is to say, because " one kind of cases of influenza " If patient going to a doctor will spend there times more money with antibiotic, but not received the benefit. At the end of last century, Britain initiated the nationwide " movement " of reducing the antibiotic prescription of the clinic . From 1994 to 2000, the prescription amount of airway infection antibiotic of emergency call has dropped by 45%. The fever clinic of Beijing Chaoyang hospital has introduced fast pathogenic detection means such as influenza virus, from November of 2007 to March of 2008 " One kind of cases of influenza " Antibiotic prescription quantity double when dropping by one compared with the same period last year. It is not an easy thing that the understanding doctor in need of the whole society persuades the patient not to use antibiotic temporarily, it is essential to take antibiotic in some people's view. Because no matter slight infection take medicine itself can be healed by oneself, and people who took medicine will think this was efficiency of antibiotic. So need antibiotic need understanding of the whole society at the cold. We should not expect cold generate heat to heal in one day. Have not treated virus of respiratory tract yet on medical science at present " The miraculous cure " ,The recovery of cold mainly depends on the self- repair of the human body. The best therapeutic method is to guarantee sufficient sleep and nutrition after cold. Cold proves we do not have good health during these days, just borrow " Fall ill " This chance has a rest carefully, give one's own body a piece of time to repair oneself. Finally, dear readers, tell you a secret: When you went to a doctor because of cold, if the doctor sitting opposite to you did not prescribe antibiotic for you, you probably meet a really responsible good doctor. Because to doctor, the doctor's order which is prescribed antibiotic is the simplest, the requirements for doctor are high if does not make antibiotic, this needs the doctor to inquire the medical history carefully, check the body carefully, will explain the condition to patient carefully. Foreign statistical data reveal in ordinary clinic, turn on antibiotic, each patient go to a doctor time only 1~2 minutes on average, if do not prescribe antibiotic, go to a doctor time takes more than 20 minutes, because the doctor should spend time explaining the reason of making antibiotic more.


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