doctor's diary: it's time to rethink our attitude to antibiotics - again - dental water jet

Antibiotics are a miracle, but it is well known that antibiotics should be used wisely, especially because improper use of antibiotics can fuel the mood of super bacteria.
Therefore, time is also
It is recommended that one should always complete the pills for the whole course of treatment, because, as the NHS's choice says, "bacteria become resistant if you stop taking antibiotics in part ".
It sounds wise, except that it is not, because, by definition, longer antibiotics are taken after the prescribed symptoms have been resolved-whether it is tonitis, pneumonia or rhinitis-the more likely any residual bacteria will develop resistance to them.
This has been proven many times, just like the results of the examination of seriously ill patients with pneumonia in the intensive care unit.
Patients who took antibiotics for two weeks were more likely to develop a recurrence caused by "multi-drug" than patients who only treated for one week
Drug-resistant pathogens ".
The inference is that the most effective way to solve the problem of microbial resistance is to treat infections only when necessary to avoid those that do not
Unusual side effects of rash and diarrhea.
In fact, in the past few years, many studies have confirmed that a single dose of azithromycin is sufficient to cure chlamydia, and that two days of antibiotics are as effective as seven days of antibiotics in treating prostatitis, the usual ten-day course on cellular inflammation can be safely reduced to five days.
Gwendolin Gilbert, professor of infectious diseases at the University of Sydney, wrote: "Once the symptoms and signs of infection are resolved, stopping antibiotic treatment is the minimum risk and every advantage . ".
The lady recently published the "no energy or stamina" article in this column, but after weaning, she can climb the stairs again effortlessly --
The pressure pill prompted others to ask the actual questions involved.
First, buy blood
Pressure devices that monitor readings at home.
Next, download "stop hypertension drug treatment" from the British Journal of General Medicine "(
Volume 1999, page 49, 477-80)
-Blood pressure remained normal for about a year, according to a study
The fifth of the patients who stopped taking the medicine.
Then discuss with the family doctor the possibility of reducing medication.
This is best done by lowering the dose (
Or take it the next day)
Regular administration within three to six months-this is a necessary precaution for sudden withdrawal of drugs, especially beta-
After many years, blocking drugs can cause an increased rebound in blood pressure or an exit reaction with a disordered heart rhythm.
Goal of complete and anti-dispensing
High blood pressure may not be achieved, but there is still a lot to gain from reducing the amount of taking, especially for those who "lack energy and endurance" because of over-treatment.
I am grateful to Russell Walshaw, a retired family physician at skensthorpe, for pointing out that GPs charging excessive earplugs is in violation of their contractual terms, as stated in the current regulation SI 2015 no 1862.
Specifically, Article 17 (4)and (5)
Stating that the services they need to provide include "consultation to determine treatment needs ".
He wrote: "The charge of £ 85 for earbuds is clearly a violation of these terms and patients should question this.
"At the same time, dropping baking soda drops every week, or using olive oil spray Earol, can counter this build-up --
Wax in the ear.
There is also a range of DIY Syring devices to choose from, including Master-Blaster, Acu-
Life and Waterpik dental water jet.
In the end, one reader interestingly praised chewing gum as a precaution on the grounds that the vibration generated by the movement of the Chin joint is transmitted to the ear canal to help discharge excess wax.
Send medical questions to Dr. James LeFanuatdrjames @ telegraph by email secretly. co.
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