Core tip: “Compared with adults, the proportion of irrational medication use in children in China is twice as high as 12%; -32%;. deaf children under 7 years old, more than 30%; is due to improper drug selection or drug… “Compared with adults, the proportion of irrational medication use in children in China Twice as high compared to adults, up to 12%; -32%;. deaf children under 7 years old, more than 30%; is due to improper drug selection or toxic side effects caused by drug overdose.” On May 31, at the launching ceremony of the “Public Welfare Publicity Project on Rational Drug Use – Children’s Rational Drug Use Dissemination Campaign” jointly carried out by the China Health Education Center of the Ministry of Health and Renhe Pharmaceuticals, Mao Qunan, director of the China Health Education Center, said that the current situation of children’s The situation of rational drug use in China is not optimistic, the abuse of antibacterial drugs and the reduction of adult drugs for children are common. Many parents lack the basic knowledge of medication, randomly buy and use drugs, excessive use of antipyretics and excessive infusion of fluids for children is prominent. ”We need to give parents ‘preventive shots’, establish awareness of reasonable use of drugs, master the principles of safe use of drugs.” Mao Qunan said that the “Children’s Rational Drug Use Dissemination Campaign” will hold more than 500 medical events in the next three years to disseminate knowledge of children’s drug use to the public. It is not advisable to overuse antipyretic drugs. “Once, I heard two mothers on the bus exchanging information about their children’s medication, many complicated and awkward chemical names of drugs came out of their mouths, and I was surprised by their familiarity. However, they did not seem to understand the usage of drugs.” Mao Qun’an pointed out that, at present, parents freely buy over-the-counter drugs or even prescription drugs in pharmacies, and use antipyretics, anti-cold drugs and “anti-inflammatory drugs”, that is, antibacterial drugs, at will. The failure to properly grasp the indications, usage and dosage of these drugs often results in adverse events. ”Children’s colds and fevers are a necessary process in their growth to build, perfect and improve their immunity. However, most parents are overly anxious, or over-infuse, or use several fever-reducing drugs in combination.” In fact, 90%; or so of children’s colds are caused by viruses, and the use of antibacterial drugs can neither relieve the symptoms of the cold nor shorten the course of the cold, but only cause undesirable consequences such as resistance to viruses. And infection-induced fever is a manifestation of the body’s positive defense response, low to medium fever is more beneficial than harmful to the body, and does not require special antipyretic drugs, only high fever above 38.5 ℃, or special underlying diseases such as heart failure, fever convulsions, etc., only need to reduce heat treatment. ”In recent years, some people have begun to understand that antibiotics can not be abused, but the abuse of antibacterial drugs in most remote and backward areas is still more serious.” Mao Qunan said, at present, China’s children’s adverse drug reaction rate is two times that of adults, newborns more up to four times. Many children have a cold and fever first infusion treatment, the “oral not injections” principle of medication upside down. Children’s body organs and tissues are not yet mature, and their functions are not perfect, so the excessive use of antibacterial drugs may lead to the incomplete development of their body temperature center, and their body temperature may not reflect their health or not. The microblogging of medical care is not reliable There are also choking due to fear of the side effects of antibacterial drugs. Right now, after medical websites for medical advice, microblogging is quietly becoming popular. Some parents refuse to use antibacterial drugs, they are highly educated, or have studied and worked overseas, or often look up information or even consult online, thinking they have “looked up, asked and understood”, or take the initiative or follow “medical” advice to choose drugs, which also leads to Some children have adverse drug reactions. ”Microblogging is not a reliable way to diagnose diseases.” Zheng Chengzhong believes that because the information provided by patients may not be comprehensive, doctors cannot make clear recommendations in most cases. For example, for children with fever, in addition to information about their body temperature, how the child’s mental state is is one of the important bases for determining the severity of the disease. In addition, whether it is accompanied by a cough, whether the hands and feet are cold, whether the skin is pale or gray, and so on, are all important information for diagnosing the disease. Therefore, the patient must be seen in order to confirm the diagnosis of the disease. ”From the perspective of medical safety, according to the relevant state regulations, you cannot see a patient online, only consult, otherwise it is illegal practice of medicine.” Mao Qunan said microblogging is a good way to ask for advice, but it is only a reference. Medicine is one of the most complex disciplines, online consultation, be sure to choose a professional physician consultation, to prevent some sites for commercial purposes, hiring people without professional qualifications to mislead parents. Can oral not static drops Some people question, children fever when about 38.5 ℃ to see a doctor, if there is a special disease delayed what to do? ”Sometimes, the symptoms of serious illnesses are often not obvious, and those with obvious symptoms are not necessarily seriously ill.” Mao Qunan said, “Children’s rational use of medication dissemination activities” organized domestic authoritative experts to refine and release the core information of children’s rational use of medication. ”Children should grasp three principles of safe drug use: adult drugs should not be reduced for children, the instructions should be read carefully to keep in mind, and special drugs are safer to choose big brands.” Song Jun, assistant director of the Chinese Health Education Center, said that many parents give their children drugs in half the dose according to adults, as some drugs are not suitable for children, resulting in many drug poisoning or side effects occur. Children’s bodies are growing and developing, and their reactions to drugs are more sensitive than those of adults. For example, quinolones are very effective antibacterial drugs, but pediatric use, may lead to bone and joint damage. ”When parents choose drugs for their children, try to use professional children’s drugs that have been on the market for a long time, and if there is no children’s form, they should not take adult drugs in reduced doses without authorization, but should strictly follow medical advice.” Song Jun stressed that because the drug is mainly metabolized by the liver and kidneys, advocate the principle of “oral not IV”, do not blindly use intravenous drugs.