antibiotics prescription: to work, we urgently need empowered patient
Saturday, August 28, 2010
Continuing the theme of antibiotic prescription, I have written
before I find one of the major changes in health that have taken over the years in our country. Although it sounds sensational or naive, I explain why I think it is.
One of the major health changes in the last century was the invention antibiotics. They came to rescue lives from the clutches of terrible diseases afflicting human beings (tuberculosis, pneumonia, meningitis, etc.) Played their role and their part in reducing mortality in humans (as well as improved hygiene, vaccination, more comprehensive health services, etc). Yet they have had an adverse effect, their overuse has created a potential danger: the creation of super-bacteria, which now are responsible to make life difficult for doctors who see patients in hospitals. Methicillin-resistant Staphylococcus (MRSA), the vancomycin-resistant entercoco include some of these calls are super-bacteria. Besides the danger of adverse effects of these antibiotics and the cost.
We need to put ourselves in the shoes of our patients and think like they think at the moment they have the disease. Some of the concerns I have heard:
"My son has a fever, you are going to rise so much that goes into convulsions"
Also, the comments I heard in the blogosphere, well-trained people are disdain for the measure. They believe that Mexico is not prepared, that patients and system are not ready to ban the sale of antibiotics without prescription. If our patients knew that the fever does not hurt that causes meningitis, more than 90% of ear infections heal without antibiotics, most do not require anti-diarrhea diarrhea (much less of antibiotics). .. among many other claims; whether our patients had the information, the task of this change would be much easier.
We are using the efforts to a single field of battle, not all. The health education strategy should be comprehensive. .
One of the major health changes in the last century was the invention antibiotics. They came to rescue lives from the clutches of terrible diseases afflicting human beings (tuberculosis, pneumonia, meningitis, etc.) Played their role and their part in reducing mortality in humans (as well as improved hygiene, vaccination, more comprehensive health services, etc). Yet they have had an adverse effect, their overuse has created a potential danger: the creation of super-bacteria, which now are responsible to make life difficult for doctors who see patients in hospitals. Methicillin-resistant Staphylococcus (MRSA), the vancomycin-resistant entercoco include some of these calls are super-bacteria. Besides the danger of adverse effects of these antibiotics and the cost. From my point of view of health, it sounds completely consistent and valid to stop selling antibiotics to anyone who asks, just because he feels bad and thinks that the antibiotic will be complete and rapid cure for their discomfort. Most doctors know that a large percentage of patients are cured without the use of these pills and is matter of just rest and take painkillers to feel better. The only bad thing is that our patients do not know. At least not the majority.
We need to put ourselves in the shoes of our patients and think like they think at the moment they have the disease. Some of the concerns I have heard:
"My son has a fever, you are going to rise so much that goes into convulsions"
"The fever will give you a meningitis or pneumonia.! And that doctor that prescribed me antibiotics! "
"If my doctor does not give me antibiotics, I'll go from consultation to consultation to find one who does"
- The alternative to the continuation of everything as far does not sound very encouraging.
- In my opinion, this can be done, but must be attacked from all levels, but the most powerful level of change will be the end user, ie the patient.
We are using the efforts to a single field of battle, not all. The health education strategy should be comprehensive.
Elizabeth Cohen, a CNN correspondent, who recently published a book and you can read the interview
to it in the NY Times, mentioned the importance of this increasingly common issue in the U.S..
In Europe and many other parts of the world, is a topic that is addressed increasingly, as we mentioned a few months ago Dr. Casado in his blog
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