Clinically we agree that long-term prophylactic anti-infective or aimless use of large amounts of antibiotics is often not useful in reducing the risk of infection and avoiding illness. The original h |
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The use of Biotin in clinical practice is many, but some misunderstanding really should arouse everyone's attention. Today we're going to pick up a few of these points and see if you're all right?
Misunderstanding one antibiotic resistance = ineffective treatment Antibiotic resistance is not equal to treatment ineffective. Antibiotic resistance is becoming more prevalent, and clinical drug-resistant bacteria and even multidrug-resistant bacteria are increasingly seen. Antibiotic resistance refers to the common dose of antibiotics under the blood concentration below the minimum effective antimicrobial concentration of bacteria (MIC), then if the patient's condition, the use of increased dosage, combination of drugs or antibiotics at the site of infection, anti-infection treatment can still be effective. Ineffective treatment is also not equal to antibiotic resistance. Antibiotic anti-infective treatment takes a certain amount of time, and the effectiveness of treatment is not a criterion for whether a symptom disappears. Clinical thought: Anti-infective treatment 72 hours after the patient's temperature exothermic still high, no downward trend, no decrease in leukocyte ratio, and symptoms without any improvement, is defined as ineffective treatment, need to further adjust the use of drugs. When the treatment is ineffective due to insufficient treatment time, or the antibiotic does not cover the patient's infectious flora, it is not known as antibiotic resistance. Misunderstanding two as long as the cold, fever, cough, you should use antibiotics Recently began to cool down, indoor and outdoor temperature difference, we have to beware of cold-ridden. Influenza is caused by influenza virus, in addition to sneezing, runny nose and other symptoms of the card, but also accompanied by fever, cough, sputum and so on. This is a viral infection, the need for symptomatic use of antiviral drugs, if the use of antibacterial drugs is ineffective. So when do we need to apply antibiotics explicitly? As long as the prevention of anti-infective treatment and treatment of anti-infective treatment. Prophylactic use of antibiotics is most common in patients undergoing clinical perioperative period. Sensitive antimicrobial agents can be used for diseases that have been identified for pathogens, based on bacterial culture + drug sensitivity results; For cases of infection that have not yet been identified, it is necessary to synthesize the patient's blood report, and to examine the results of lung CT for empirical anti-infective treatment. Misunderstanding three conditions improved, you do not need to continue to take antibiotics There is no such phenomenon around you, the patient's best time to take compliance is the most severe time of the disease, and when the condition of a better, immediately without permission to stop medicine, which is actually wrong. With antibiotics, treatment must be sufficient and adequate. Unauthorized withdrawal of drugs is an important risk of antibiotic resistance. For patients without comorbidities or previous non-essential diseases (diabetes, chronic heart and lung disease, tumors, etc.), when treating fever symptoms, the antibiotic can be discontinued after 48-72 hours of normal temperature recovery; However, there are comorbidities or preexisting basic diseases or elderly patients, it is necessary to extend the anti-infection time properly, not to stop the drug at will, otherwise it is easy to lead to bacterial resistance, so that the infection repeated seizures, persistent, and then developed into a chronic infection. Myth Four anti-inflammatory drugs = antibiotics = antibacterial drugs Usually as long as toutengnaore, cold fever, always hear a voice: ' to hang anti-inflammatory drugs just fine '. There is no illusion, anti-inflammatory drugs really like a panacea, package cure all ills. Is it true? Anti-inflammatory drugs are drugs that can eliminate inflammatory reactions in the body, also known as anti-inflammatory drugs. There are two major categories of hormone and nonsteroidal anti-inflammatory drugs. Antibiotics are a kind of secondary metabolites produced by microorganisms (including bacteria, fungi, actinomycetes) or higher plants and animals in the course of life, which can interfere with the development function of other living cells. Antibacterial drugs refers to a drug with bactericidal or antibacterial activity, divided into two categories, one is the above antibiotics, such as penicillin, cephalosporins, etc.; Another kind is the synthesis antibacterial medicine, namely uses the chemical synthesis method to make the antibacterial medicine, like sulfonamide, imidazole and so on. Simply put, antibiotics are only one of the antimicrobial drugs, antibiotics are anti-infective, and must not be equated with anti-inflammatory or anti-inflammatory. Misunderstanding five antibiotics with the more expensive the better, imported than the domestic good The choice of antibiotics should be based on the patient's condition, pathogenic bacteria and antimicrobial characteristics to develop. And there are many kinds of antibacterial drugs, dosage forms are also varied. In clinical work, we generally follow the principle of not intramuscular or intravenous administration of oral administration, and choose suitable dosage forms and route of administration combined with the characteristics of patients ' condition and pathogenic bacteria. Antibiotic anti-infection effect is not directly related to the price and whether it is imported. Misunderstanding six in order not to get sick, something's okay, take some antibiotics. This is a very common phenomenon of antibiotic abuse. Long-term use of antimicrobial agents can lead to bacterial resistance, and may even produce multidrug-resistant ' super bacteria ', the proportion of pathogenic microorganisms such as time-resistant bacteria will become more and more, until then we face the true culprit devils will be available without medicine. Clinically we agree that long-term prophylactic anti-infective or aimless use of large amounts of antibiotics is often not useful in reducing the risk of infection and avoiding illness. The original has been using the wrong antibiotic, these six pits you skipped a few? |