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Antibiotic use and correct timing in children

Antibiotic use and correct timing in children

2-4 years of age when children are frequently caught in infections and microbial diseases. In this period when many different diseases threaten children, it is very important to be conscious about drug use. Acıbadem Bakırköy Hospital Pediatrics Specialist View Özlem's Full Profile it gives some warnings especially to families whose children are kindergarten age.

: Kindergarten children get sick very often. What measures can be taken to prevent this?
Dr. View Özlem's Full Profile First of all, there are some tasks for kindergartens. Vaccination cards of children and employees should be reviewed, including current vaccination records. Hygienic clean procedures should be adopted for children in toilet use and toilet training. Hand washing, which is the most important element in protection from infection, should be gained. Environmental cleanliness and personal hygiene of children and staff should be ensured. Food should be kept clean. Infectious diseases should be closely monitored and notified to families.

: What are the most common diseases during this period?
Dr. View Özlem's Full Profile Infection of the upper respiratory tract (cold or flu, flu, acute throat infection, croup, ear inflammation, cough disease) is one of the most common diseases in children during kindergarten.

: What causes flu? How is it treated?
Dr. View Özlem's Full Profile The flu has a sudden onset of fever, headache, fatigue, diffuse muscle pains and a sputum-free cough, often accompanied by chills. Then, sore throat, nasal congestion and discharge, and coughing symptoms of respiratory tract occurs. The flu epidemic is most commonly seen in school age, and the flu vaccine is especially recommended during this period. In children under 9 years of age with limited contact with the flu, two doses of vaccine should be administered at intervals of 1 month to obtain a satisfactory response. Children between 6 months to 35 months are given a half dose of flu vaccine. In the treatment of influenza, there is absolutely no room for antibiotics. Taking plenty of fluids will alleviate rest and nasal congestion and discharge; It is recommended to use saline or ocean water sprays. If fever and pain are accompanied by medication can be used under medical supervision.

: Is the common cold different from the flu?
Dr. View Özlem's Full Profile The cold, unlike the flu, shows a lighter course. A cold runny nose is often seen in the cold. Treatment is the same approach as the flu.

: What causes common throat infection?
Dr. View Özlem's Full Profile These diseases, called group A streptococcal infections, are particularly important in the childhood and acute pharyngitis (tonsillitis) and tonsillitis are the most important clinical conditions caused by this bacterium. Some patients, especially untreated, may develop complications such as ear inflammation, sinusitis, tonsillary abscess and inflammation of the lymph nodes in the neck. However, the greatest danger of streptococcal upper respiratory disease is that when left untreated, kidney disease called acute joint-heart rheumatism and acute glomerulonephritis can occur.

: How is the treatment followed?
Dr. View Özlem's Full Profile When diagnosing group A streptococcal pharyngitis, appropriate laboratory tests (throat culture) should be performed in addition to clinical findings. Antibiotic treatment should not be given unless other bacteria known to cause group A streptococci or pharyngitis are detected in the throat culture. Penicillin remains the first drug in the treatment of pharyngitis due to group A streptococci. Children with illness should be kept away from school or nursing home for at least 24 hours after appropriate treatment has been started.

: Can you briefly tell us about middle ear inflammation?
Dr. View Özlem's Full Profile Fever, ear pain and cold symptoms are seen in older children, while fever, restlessness, loss of appetite and ear-playing symptoms are observed in young children. Definitely a doctor should be consulted for a definite diagnosis.

: Families often use antibiotics for treatment. Is this the right approach?
Dr. View Özlem's Full Profile Children who take frequent antibiotics are likely to be carriers of resistant bacteria. It is a carrier of a resistant bacterium and antibiotic treatment has a low chance of successful infection. Therefore, in many simple upper respiratory tract infections (such as colds and cough), it is preferable to call the patient for frequent checks before starting antibiotics. Also used antibiotics; spotting of the teeth may cause diarrhea, fungal infection, and temporary disorders of liver and kidney function. It should be noted that, with the right indication, the use of antibiotics in sufficient doses and time can save lives.