In clinical work often encountered patients ask, I have pain is not inflammation, should not eat some “anti-inflammatory drugs”; I was injured, you will give me some pioneer good “anti-inflammatory drugs”, a good anti-inflammatory; I have a cold with what “anti-inflammatory medicine” good. Here the patient said “anti-inflammatory drugs” is what we call antibacterial.
The people wrongly believe that “anti-inflammatory drugs” is a panacea, what symptoms are inflammation, all need to use anti-inflammatory. Pain is inflammation, trauma is inflammation, cold is inflammation, etc. Yes, inflammation is manifested by: redness, swelling, heat, pain and dysfunction; trauma is also inflammatory; cold is also inflammatory. However, not all inflammation requires antimicrobials. Nowadays, the abuse of antimicrobial agents is partly caused by medical personnel, and a large part is caused by patients themselves. Some patients are dissatisfied because you do not give antimicrobial agents and even petition to sue you.
Inflammation can be divided into two categories: infectious inflammation and aseptic inflammation. In fact, there are many clinical symptoms that are inflammatory. However, not all inflammation requires the use of “anti-inflammatory drugs”, that is, antimicrobials. Some inflammation is caused by the release of local inflammatory mediators such as histamine, 5-hydroxytryptamine (5-HT), prostaglandins (PG), leukotrienes and substance P, which do not require antimicrobials.
There are also times when it is caused by viruses: for example, upper respiratory tract infections, caused by viruses, mycoplasma and chlamydia, etc., and the use of antimicrobials alone is not appropriate. Whether you need to use antimicrobials, not the so-called inflammation caused by the symptoms of the people to use “anti-inflammatory drugs”, but according to the pathology, physiology is infectious inflammation, or inflammation caused by inflammatory factors; according to the causative agent is bacteria, mycoplasma, chlamydia or virus, etc., choose different drugs, to apply antimicrobials reasonably.
Otherwise, all the symptoms are attributed to inflammation, all require the use of “anti-inflammatory drugs” antimicrobial, that will cause resistance to antimicrobial, and the structure of the bacteria mutation, drug-resistant beads, that will not be the doctor pitted patients, not the drug dealers pitted patients, not the pathogens pitted patients, but the patients themselves It is the patient himself. This requires that we medical workers, including clinicians, the first correct understanding, understanding, familiarity and mastery of the correct and rational use of antimicrobial agents, but also to do a good job to promote and popularize the rational use of common sense and knowledge of antimicrobial agents, so that all people really understand the indications for the use of antimicrobial agents, only then can we really achieve the rational use of antimicrobial agents.