I was originally a general practitioner in the neurology department of a Chinese hospital and had little exposure to antibiotics, and our antibiotic use was focused on both prophylactic use and treatment of co-infections. But lately, I’ve been thinking about this question. What exactly does the use of antibiotics bring to us? Su Qiaozhen, Department of Brain Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine
About ten years ago, when I was a graduate student, Tylenol, as a new force in the antibiotic world, was favored by everyone, and it was preferred for serious infections in the respiratory department and ICU, and it lived up to the expectations, always controlling the infection in time and turning the patient to safety. As a doctor and a patient, both were happy because the patient recovered health and could return to society. But as time went on, Tylenol began to gradually retreat to the beach, as bacterial culture results from the respiratory department and ICU increasingly showed resistance to Tylenol. As the main force in the constant fight against bacteria – medical staff, began to look for new antibiotics, so a series of beta-lactamase plus antibiotics and vancomycin appeared, and was widely used, single not double, for serious infections, regardless of negative bacteria, positive bacteria, bacilli, cocci all covered, such as culture proved that there is fungus, then the triple, the effect is really good, too. After a while of scenery at the top, and then eliminated by bacteria down. Now, the results of bacterial culture show that new and varied bacteria are emerging, and a new generation of products —- Swor appears, and the price is amazing, 2,000 yuan / day, so far, is still a medical insurance self-pay drugs, how many people can afford to use? The increasing cost of our medical care, the use of antibiotics is not a great contribution? I wonder if the health administration has any statistics on what percentage of the national drug bill is consumed by antibiotics in a year? I’ve been worrying about when Swole will be eliminated by bacteria? Isn’t our medicine too passive as it keeps running after bacteria? So what should we medical professionals do to reduce the use of antibiotics? There is also the patient factor. Nowadays, more than 70% of the patients who visit the outpatient clinic with a cold and fever have taken antibiotics themselves before visiting the doctor, regardless of whether it is indicated for useful antibiotics or not. This has the reason of medical personnel, because many hospital doctors in the patient to seek medical treatment, regardless of the three or seventy-one, to prescribe antibiotics, short-term can also be effective, the other: there are also the reasons of the patients themselves, a cold and fever to the hospital, the request to give static drip antibiotics, directly caused by the abuse of antibiotics. The instinct of survival of bacteria as organisms has driven it to evolve and evade the hunt, resulting in the end today.
Recently I went out to the clinic, because the general internal medicine clinic, so many patients with cold and cough to see, complaining of coughing for a long time, taking Chinese and Western medicine does not work, also had static antibiotics, is more than coughing, no fever, self-referred to Chinese medicine, I think: Is it under the attack of powerful antibiotics, the bacteria produced mutation? Or the bacteria were suppressed and the virus raised its head? Did our pursuit weaken the human resistance to disease while eliminating pathogenic bacteria?
In response to this situation, I suggest the following to everyone.
1, anyone who has browsed my article, in the event of a cold and fever, etc., it is best to tie a finger for a blood test when seeking medical attention, if there is indeed an increase in white blood cells, and then use antibiotics, such as no increase in white blood cells, can be given to the general cold medicine can be.
2, for the general prevention of infection, as medical personnel, or more read the guidelines for the use of antibiotics, from the lowest level of penicillin drugs can be used, and to pay attention to the timely discontinuation of drugs.
3, for the general community-acquired infections of patients, do not readily is the three generations of cephalosporins to start with through the kill, according to the specific situation to treat differently.
4, for nosocomial infections of serious patients, must be timely drug sensitivity, according to drug sensitivity guidance targeted drug use.
5, if you are a Chinese hospital medical staff, the best inpatients can use Chinese medicine to solve the infection without Western medicine, in order to prevent disputes, such as Chinese medicine a day still can not solve the Chinese and Western medicine.