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Introduction

How can people avoid getting sick if they eat whole grains? After getting sick, the most common way of treatment is to take medicine. Antibacterial drugs, regarded as “universal medicines”, are always on patients’ first-choice list of drugs. But can antibacterial drugs really “cure all diseases”?

The World Health Organization issued a report stating that antimicrobial resistance has posed a serious threat to human health. At present, it is very necessary to prevent the abuse of antibacterial drugs, reduce the occurrence of bacterial resistance, and help the public establish the concept of scientific and rational use of drugs.

As age increases, the body’s immune function gradually declines, and the body’s resistance decreases. The elderly are more prone to bacterial infections and are more likely to use antibacterial drugs than young people. At the same time, the elderly suffer from decline in organ function, have reduced sensitivity and tolerance to antibacterial drugs, and are more prone to adverse reactions than young people.

Therefore

The elderly should be careful when using antibacterial drugs

It must be reminded that the elderly are not allowed to use them without permission Antibacterial drugs, if necessary for the condition, must be used rationally under the guidance of a doctor, do not increase or decrease the dose of the drug at will, and take the drug according to the course of treatment.

When taking medication, you must pay attention to the symptoms of physical discomfort and stop taking the medication for observation when necessary. When taking medication, you must also pay attention to monitoring liver and kidney function and adjust the drug dosage in a timely manner. Gatifloxacin is prohibited for patients with diabetes.

? 4 kinds of antibacterial drugs should be used with caution by the elderly! ?

The "Criteria for Judgment of Potentially Inappropriate Drug Use in the Elderly in China" clearly lists that inappropriate drug use among the elderly involves 72 drugs in 13 categories, of which 28 are high-risk drugs and 44 are high-risk drugs. A low-risk drug. Among these risky drugs are 4 antibacterial drugs, including aminoglycoside antibiotics, gatifloxacin, clindamycin and vancomycin. The elderly should be closely monitored for potential risks when using them. The risks of these drugs are as follows:

1

Aminoglycoside antibiotics

Including gentamicin, tobramycin, and etimicin , netilmicin, amikacin, kanamycin, and streptomycin. The potential risks include renal damage and ototoxicity. In renal damage, blood creatinine and urea nitrogen may increase, and ototoxicity is manifested in significant hearing loss. , and even deafness occurs.

2

Gatifloxacin

Potential risks include blood sugar abnormalities (hyperglycemia or hypoglycemia), neurological abnormalities (dizziness, convulsions, syncope, confusion) , epilepsy, etc.), cardiac abnormalities (palpitations, bradycardia, etc.).

3

Clindamycin

Potential risks include anaphylaxis-like reactions (anaphylactic shock, high fever, chills, laryngeal edema, dyspnea, etc.) and urinary Systemic problems (hematuria, acute kidney injury, etc.).

4

Vancomycin

Potential risks include toxic epidermal necrosis, exfoliative dermatitis, liver damage, kidney damage, shock, allergies, etc.

The elderly should use the above-mentioned antibacterial drugs with caution and should choose antibacterial drugs with low potential risks such as penicillins and cephalosporins.

? Remember 4 words when using antibacterial drugs for the elderly! ?

The gastrointestinal peristalsis of the elderly is slowed down, they are weak and have poor immunity, and their intestines are very sensitive. Once antibacterial drugs are used or used for too long, drug-induced diarrhea will occur. At present, the main causes of antibiotic-related diarrhea include amoxicillin, cephalosporins, lincomycin, clindamycin, etc. You should remember the following four words before taking them.

Complaint

When seeing a doctor, patients should take the initiative to tell the doctor about their condition, medication, and any history of drug allergies without reservation, so as to help the doctor fully understand their physical condition.

Try

For patients whose condition really requires the use of antibacterial drugs, it is best to do an antimicrobial susceptibility test first to determine whether they are suitable for use and to select the most appropriate antibacterial drug.

Follow

When taking antibacterial drugs, you must follow the doctor's advice in terms of dosage, time and course of treatment. Do not increase or decrease at will to ensure drug safety.

Observe

When taking medicine at home, patients should pay attention to the changes in their stools. Those who have the conditions can keep a medication diary. If there are any changes in the condition, they should go to the hospital in time, especially If you have prolonged diarrhea, you should seek medical attention as soon as possible.

END

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