Careful Giving Antibiotics to Children
"Doc, I'm confused, my baby is, anyway, often alternating treatment of the same disease, flu and colds and flu," says a father diruang practice pediatrician, who immediately followed by his wife, "Yeah, Doc. In fact, my baby has been treated in accordance with what doctors recommend, exclusively breast-fed, I eat already healthy 4 5 perfectly cooked, the cleanliness of the room and the house is okay, as well as the air vents and light, it is appropriate international health standards, deh. "
Before the doctor could answer, the mother repeated, "Oh, yes, Doc, in my house no smokers, the air conditioning in the room was set at a temperature of 25 degrees Celsius, every morning the AC off and opened the windows wide. Also, do not just antibiotics, all the drugs that doctors prescribe always spent like what the doctor said. "As you write a prescription, the doctor responded," ma'am, sir, we are all human beings who are still little knowledge. So keep what you have mentioned Mr. and Mrs. earlier. Now our first try with this drug, hopefully successfully. "" Stale! "Perhaps this statement will come out of the mouth of the father and mother earlier. Perhaps we will also say the same thing, if that's it stated the doctor every time we questioned why the child should be sick every week.
Because of Antibiotics
According to Prof. Iwan Darmansjah, MD, SpFK., The baby should be feared by the alias disease rarely sick. Why? "Because the baby still fortified high immunity brought from the womb, also obtained from mother's milk. So, everyday illnesses like the flu by heat, cough, pilek-, another viral disease, or even infectious germs, should be denied the baby is well, "said senior consultant of Clinical Trial Medicine Center Faculty of Medicine, University of Indonesia (PUKO medicine) is .Karenanya, if the baby almost every week or twice a month can even go to the doctor, continued Iwan, "Of course there will be a big question. Is there anything wrong with the environment, is there something wrong with the baby's body, or doctors who misdiagnose. "
Iwan argues, if the baby went to the doctor for flu only occasionally within a period of 6-12 months, it is still fairly reasonable. But when it's once every 2-3 weeks should go see a doctor, it can not be said to be reasonable again. "This condition can occur if there is no complicating factors as well as the already avoid pencetusnya- factors, most likely because the baby always taking antibiotics prescribed by a doctor every time he was sick," he said. In fact, not all diseases suffered by infants, especially flu, should be treated with antibiotics. Even if the antibiotic doses, dose, or the size that has been adjusted for age, weight and height of the baby.
fatal result
Important note, new antibiotics potent and efficacious when dealing with bacteria or germs. Antibiotics will not be able to kill the virus also parasites. "Well, the incidence of fever with the flu, right, about 90%, even 95% is caused by a virus. So, misguided once if the baby should take antibiotics for the flu will not solve the problem, let alone cure the baby, "said Iwan.
Misconceptions antibiotics expensive this will be redeemed by the baby, which is to reduce the body's immunity to the baby. So do not be surprised if the bay Iyang every fever always take antibiotics, not more than one month must hurt back. Furthermore, antibiotics showed no immediate effectiveness on the human body as other drugs, but through its ability to kill or inhibit the growth of bacteria. Well, if there is no evil germs to be killed he actually kills germs are good, and this is a side effect. Moreover antibiotics can cause resistance to germs and reduce children's immunity against viruses and bacteria.
Despite the resistance of germs is a logical natural phenomenon, but according to Iwan, excessive use of antibiotics and irrational could accelerate resistance of germs to the patient's body. Another reaction that could be seen as giving antibiotics are fever, allergic reactions, shock, until the worst is death, because the baby is not resistant to antibiotics consumed. "Never mind the babies, adults only could die if he could not bear that he drank antibiotics," added Iwan.
Its use Must be Right
Another story, continued Iwan, if the baby is exposed to a disease caused by germs or bacteria. Though not mandatory, the baby is fine undergoing antibiotic therapy for recovery. "Sure to be the appropriate antibiotic for her illness." So, antibiotics are given should be appropriate to the type of disease-causing microorganisms. If not, then the disease will not be cured. For example, as described Iwan, can be used to treat ulcers dicloxacillin, Flucloxacillin or Erythromycin, Spiramycin, Roxithromisin, and the like. To treat pneumonia can be used antibiotics penicillin G (injection) and seturunan Erythromycin above. "But babies and children Moxifloxacin should not be taking antibiotics to treat pneumonia, except for adults."
As for treating typhoid could use Kloramfenicol or Ciprofloxacin. Especially for infants and children, if not stand Kloramfenicol, it can be given Ciprofloxacin. In addition, antibiotics should also be appropriate doses, should not be more or less. To measure the dose, every baby is different, depending on the severity of the disease, medical history, weight and body length until the baby. Lastly, it must be right also when antibiotics were diminumkanpada baby, how many hours, usually before meals, and may be mixed with other drugs or not. Noteworthy, the use of antibiotics is not merely by mouth (orally), but some are via the injection. Therefore, do not ever give antibiotics alone without the knowledge and prescription from a doctor. "Remember that it is dangerous and useless, because only a doctor who knows antibiotic A is to treat germs that are sensitive to A," said Iwan.
Another important thing, antibiotics should be consumed until exhausted so that microorganisms become targets of antibiotics can be destroyed completely. If not spent, the microorganisms will likely become resistant to antibiotics so that the disease is not cured completely.
Interfering Kidney Function
Unnecessary antibiotic use, said Dr. rer. nat. Budiawan of the Center for the Study of Risk and Environmental Safety (PUSKA RKL), University of Indonesia, can cause immune microorganisms to antibiotics given those. Thus, if the disease arises due to these microorganisms have developed resistance, antibiotics will not be able to cure ordinary illness should be sought so that a more potent antibiotics. In addition, antibiotics are not appropriate to kill bacteria that actually required by the body, and may show decreased biochemical systems in the body. Other effects, could interfere with the body's excretion system, "In this case, the disruption of renal function, considering the main active ingredient of certain antibiotics nephrotoxic compounds or toxic to the renal system function."
Why Doctors "sold out" Antibiotics?
Although the impact has clearly hurt the patient, but still, there are many doctors prescribe antibiotics when clearly the illness of the baby was not because of germs. According to Iwan, this is because the feeling was not secure a clinician in treating patients. Even so, Iwan still did not agree. "If I may frankly, up to now I am also confused and could not understand why a lot of doctors who do stupid as that, in children," he said, shaking his head.
Whopper, Iwan, if the doctor told pasienya, the flu or a cold he suffered will worsen if not treated with antibiotics. Therefore, as a patient or the patient's parents must have the courage to reject firmly, "No antibiotics, if the disease that we suffer not because of bacteria." This kind of refusal is the right patient, lo.
What is the truth Antibiotics That?
Antibiotics were made as a derivative drugs derived from living organisms or microorganisms, which can prevent the growth or kill other microorganisms. "Antibiotics obtained from the isolation of certain chemical compounds derived from microorganisms such as fungi, actinomycetes, bacteria. The isolation results developed synthetic chemicals on an industrial scale, "said Budi. However, not all living beings can be used as antibiotics, because antibiotics must meet the following requirements:
1. Must be effective at low concentrations.
2. Must be able to inhibit the growth or kill one or more types of microorganisms.
3. Can not have toxic side effects are significant.
4. Must be effective against pathogens.
5. Must be able to be stored for long periods without loss of activity.
6. There should be eliminated from the body completely after the administration stopped.
7. Must be very stable in order to be isolated and processed in appropriate doses, so that the body can absorb quickly.
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