Overuse of infusion therapy does more harm than good

In today’s increasingly fast-paced pace of life, the problem of difficult to see a doctor plagued patients, sick not only means physical discomfort, but also have to spend a lot of time in the hospital waiting for treatment, sometimes a small cold, have to run for several days in a row to the hospital, time-consuming and laborious. Therefore, many people suffer from colds, diarrhea, cough and even toothache and other diseases, in order to pursue quick results, a hospital asked the doctor to give infusion (commonly known as drip). In their view, the infusion of fast-acting, and soon be able to “medicine to the sick”. There are also some doctors in order to appear to treat “fast” and give the patient infusion therapy, infusion has become the main clinical use of drugs in some grass-roots hospitals. Experts pointed out that: first of all, not in favor of patients encountered fever, cold, diarrhea, etc. to the hospital infusion, the public medication or to follow can be taken orally, not myocardial injection, myocardial injection is not the principle of infusion; secondly, if you must need infusion therapy, infusion process to strictly comply with the doctor’s instructions. Misunderstanding of the infusion of modern infusion therapy from the West, Western medicine infusion initially only for the rescue of patients, so far in foreign countries infusion therapy is not less than a small operation, very careful. Many large hospitals abroad do not have infusion rooms, while the vast majority of hospitals in China have outpatient infusion, outpatient infusion has almost become the Chinese people’s medical habits.” Thinking that infusion is good and fast, people have formed wrong understanding and medical habits for a long time, so it is very important to change the patients’ concepts and re-establish the correct medication habits. For whether infusion is necessary, the first-line pharmacists have a deep understanding. Zhenjiang City, Jiangsu Province, the Third People’s Hospital, director of the pharmacist Wuqianhu that the general cold does not need to infusion, rest and drink the most useful. He said: “The common cold, even if you do not take medication, 7 to 10 days can be self-healing. Light people pay attention to rest, pay attention to keep warm, drink a lot of water can be. Symptoms of obvious people can be appropriate symptomatic medication to reduce symptoms. Early in the disease appropriate antihistamines, antipyretic and analgesic drugs can improve local and systemic symptoms.” In case of influenza, Wuqianhu emphasized that once suffering from influenza, the systemic symptoms are obvious and accompanied by severe sore throat, headache, low-grade fever, etc., or due to the obvious symptoms, resulting in the inability to carry out daily work life, you need to go to the hospital to check, distinguish between bacterial or viral infections. Western medicine for influenza: If it is a viral infection, within 48 hours of the onset of symptoms, neuraminidase inhibitors such as oseltamivir can be used to treat the cause of the disease, but only within 48 hours, and no antiviral treatment is available beyond that. In addition to rest and drinking plenty of fluids, there are still appropriate medications, such as antihistamines, antipyretics and analgesics to improve local and systemic symptoms. If it is clear that there is a bacterial infection or complications, antibacterial drugs can be used selectively under the guidance of a doctor. Chinese patent medicine for influenza: Pediatric influenza is the most common disease in children, with the highest incidence in winter and spring, the pathogen is mostly caused by viral infections, and a small portion is caused by bacterial infections or mixed infections. If the treatment is not timely, it is easy to have serious complications, such as pneumonia, myocarditis, meningitis, etc. Clinical treatment is based on antiviral and symptomatic treatment. Clinical treatment adopts antiviral and symptomatic treatment. In recent years, Chinese medicine has made great progress in the prevention and treatment of acute upper respiratory tract infections. According to Chinese medicine theory, “lung is a delicate organ”, “lung is in charge of skin and hair”, “opening the orifices in the nose”, and it is easy to be infected by external evils. The treatment should be based on the principles of relieving the surface and dispersing the cold, clearing heat and promoting the lungs. As a pediatric drug, the main consideration is the safety, compliance and efficacy of the drug. We have conducted a survey on the dosage forms of pediatric drugs. The survey shows that pediatric drug dosage forms include oral liquid, granules, syrups, tablets, drops, suppositories, tablets and so on. Among them, oral liquid and syrup is with good stability, easy to carry, easy to store; high bioavailability, fast drug absorption advantages, at the same time, the literature also shows that oral liquid dosage form has restored the characteristics of the original pCm soup dosage form, in the process of extraction, better protection of pCm active ingredients, treatment of disease is more efficient and safe, just like the common clinical drugs used for the treatment of children’s respiratory diseases, but also professional As we commonly used in the clinical treatment of children’s respiratory diseases, but also professional pediatric drugs — children’s ShuangJin QingHe oral liquid formula selection of 16 flavors of local Chinese herbs, to ensure the safety of children’s medication and high efficiency, and the use of oral liquid dosage form, conducive to the absorption of the drug, convenient for children to take as a pCms in the antibiotic and antiviral drugs to reduce the use of antibiotics and alleviate the bacterial drug resistance. Wuqianhu said that because of factors such as lack of publicity and low public safety awareness, the more at the grassroots level medication misconceptions are more serious. “In grassroots hospitals, doctors and patients generally agree that it is better to treat colds with fluids, and that’s because some doctors add dexamethasone to fluids, which can mask the patient’s fever symptoms. For the elderly, children and immunocompromised patients, dexamethasone is more likely to induce or aggravate the infection.” Therefore, Wuqianhu suggests that patients must use reasonable and symptomatic medication, and use infusion with caution to avoid serious adverse reactions, especially in special groups such as the elderly, children and pregnant women. Reasonable and safe use of infusion therapy From the point of view of reasonable and safe use of medication, infusion has a greater risk compared to other methods of drug delivery. Wang Shuping, chief pharmacist at Huanggang Central Hospital in Hubei province, said that because infusion is a way of administering medication that enters the body’s circulatory system directly, it also carries a higher risk than intramuscular injections or oral administration of medication. He reminded patients that infusion may present the following dangers: Infusion reaction:Reaction may occur when the body is fed intravenously with thermogenic and sensitizing substances, such as pyrogens, dead bacteria, free bacterial proteins or other metabolites. Particle hazards:Insoluble particles between 2~50 microns in diameter in the drug solution are invisible to the naked eye, these particles enter the circulatory system in the body and cannot be metabolized in the body, potentially causing a variety of infusion contamination diseases. Infusion room environment: Especially in primary health care institutions and individual clinics, the conditions are limited, it is difficult to do the classification of the patient isolation, it is easy to produce viral and bacterial secondary infections through airborne transmission and physical contact. The limited access to emergency equipment and first-aid capabilities can make it life-threatening for patients to react to the infusion. Increase drug resistance: Some patients with common colds and minor intestinal infections do not need to be treated by infusion, and often a large number of antibacterial drugs enter the human body through infusion, which will lead to the imbalance of the body’s intrinsic bacterial flora, and increase the bacterial drug resistance. Some patients do not listen to the doctor’s advice, many people in the process of IV, always too slow, self-adjustment of the speed of the liquid drops. Do not realize that this small move may lead to fainting or even death. Infusion speed is too fast, easy to increase the burden on the heart, causing heart failure or pulmonary edema and other adverse reactions. Experts suggest that if you experience palpitations, panic and other phenomena during infusion, you must promptly report to the nurse and the doctor, and never adjust or conceal it on your own, resulting in damage to the body. It is worth mentioning that the problem of excessive infusion has aroused great concern in China, following the implementation of the initiative to cancel intravenous infusion in the general outpatient clinic of the Aviation General Hospital of China Medical University in March this year, the local authorities have also implemented a number of policies to control the phenomenon of excessive infusion in hospital outpatient clinics, such as the Anhui Provincial Health Planning Commission has also issued a policy to excessive infusion, say “no! For example, the Anhui Provincial Health and Family Planning Commission has also introduced a policy to say “no” to excessive infusion. China Medical University Aviation General Hospital data comparison, for example, the abolition of general outpatient infusion of this initiative has been the understanding and support of the vast majority of patients, the implementation of half a year results are obvious: Aviation General Hospital, the amount of infusion from the original 300 to 400 people / day down to 70 to 80 people / day, outpatient prescription antibacterial drugs from 15.3% to 7.61%, the rate of adverse drug reactions decreased by 51%. Of course, to curb excessive infusion is by no means only the responsibility of medical institutions and doctors, patients should get out of the “only infusion to see the effect, to get well quickly” misunderstanding, follow the “can be taken orally not injected, can be injected intramuscularly not intravenously” principle, the doctor and the patient to cooperate with each other, each other, each other, each other. Mutual cooperation between doctors and patients, mutual trust, in order to achieve the best therapeutic effect.