general pediatrics - General Pediatrics
Under Category :  General Pediatrics
Posted By :  Dr.  abinaya radhakrishnan
Posted On : 12/28/2013 8:24 AM
antibiotic resistance ?
hi..i am working in a phc.parents bring their child for common cold, if we do not prescribe an antibiotic they themselves ask for it and telling then only it get cured.if i do not prescribe also they get it from the near by medical shop.if i suspect bacterial infection and start them on antibiotic they are coming within 3-4 days saying not getting cured.i have only septran syrup and erythromycin syrup in my phc.i do not know what to do for this_? then they go and get higher antibiotics from outside.within 3 or 4 days they starting on another antibiotic.for milder illness like common cold if they use antibiotics like this...what happens pls give some ideas to solve this problem
 
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use protocol based prescription
Dr. jegatheesh ramaraj says,
5/10/2014 12:54:48 AM
Dr. raghu reddy says,
5/5/2014 8:42:19 PM
Dr.Radha, you are right. septran may not work in some infections and erythromicin may not work in enterococci n some it is static drug its action will be 3 days. first i suggest you have to convenience the patient. 2.. Amoxcillin best drug for URTI, you can write letter to DMHO and Collector or mail them. 3. You have to suggest nasal saline drops hrly basis and suggest to keep nasal passage clean and tell mother itself to apply vicks if baby is small or to child, off problem of cold and infection solved.
Ya..the same for me in Thailand.I`ve found these problems when worked in my clinic and general private hospitals.Usually I would say they would gain a little benefit from anti-biotics but higher price antibiotics not available here.The other things,in premium private hospitals,parents often saydoctor,should my kid receive antibotic and what agent is better_?`. So I think you should estimate curiosity,what they know,economic status of them and the most significance: our precised decision.Thanks..
Dr. Thanakornn Chitanondh says,
2/22/2014 2:27:56 AM
Dr. Thanakornn Chitanondh says,
2/22/2014 2:27:35 AM
Ya..the same for me in Thailand.I`ve found these problems when worked in my clinic and general private hospitals.Usually I would say they would gain a little benefit from anti-biotics but higher price antibiotics not available here.The other things,in premium private hospitals,parents often saydoctor,should my kid receive antibotic and what agent is better_?`. So I think you should estimate curiosity,what they know,economic status of them and the most significance: our precised decision.Thanks..



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