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ANTIBIOTICS
ocampo
#1 Posted : Thursday, March 03, 2011 5:51:12 PM
Rank: Member

Joined: 8/11/2009
Posts: 123

Has it become a standard procedure nowadays that when you take kids to hospital, they must be given antibiotics? Shame on you

My concern is one; most of the antibiotics prescribed are first line drugs. What will happen if the bacteria develops resistance to them? Sad
Lets not be vague, we go to hague
Foreman
#2 Posted : Thursday, March 03, 2011 9:37:21 PM
Rank: Member

Joined: 11/18/2010
Posts: 194
Location: Kenya
Your concerns are valid.
I was discharged from hospital today (after 3 days in)& I was not responding to some of the antibiotics so they had to change doses b4 I could get well....the bill shot up two-fold.

My approach from now is 'understand the Hospital and the Doctor first'
Collect me if I am wrong but I think prescriptions should only come from medical doctors and not nurses, laboratory technicians or clinical officers
Burning Spear
#3 Posted : Friday, March 04, 2011 10:55:18 AM
Rank: Veteran

Joined: 7/22/2008
Posts: 1,139
Foreman wrote:
Your concerns are valid.
I was discharged from hospital today (after 3 days in)& I was not responding to some of the antibiotics so they had to change doses b4 I could get well....the bill shot up two-fold.

My approach from now is 'understand the Hospital and the Doctor first'
Collect me if I am wrong but I think prescriptions should only come from medical doctors and not nurses, laboratory technicians or clinical officers



While I do agree that antibiotics resistant has become a common nightmare nowadays,everyone takes a blame not only the medical professionals.

When you get that antibiotic regimen,many people do not complete the dosage and by this you give the bacterias more energy to fight and they evolve/mutate and may form a calcium layer which is very hard to penetrate by drugs eg the MDR or XDR cases in mycobacterium tuberclosis.
Also,patients have become a know it all people,I have seen on many occassions where the patient telling the doctor to give an antibiotic even when cases that do not require .eg 70% of homa/flu is viral and do not require antibiotics but everytime the patient go to the hospital,they request antibiotics.With some doctors especially in govt hospitals and some high cost hospitals eg Getrude,Nairobi,Agakhan,the GPs will give you what you want and leave but not spcialists
"You're not supposed to be so blind with patriotism that you can't face reality. Wrong is wrong, no matter who says it". Malcolm X
bwenyenye
#4 Posted : Friday, March 04, 2011 11:38:08 AM
Rank: Elder

Joined: 5/24/2007
Posts: 1,805
I have also noticed that nowadays, everytime one visits a hospital, lazima nitoke na three (3) drugs irrespective of the ailment. Why three, why not one or four? I tend to think that the new kids on the medical block have and especially in middle class hospitals i.e Getrudes, Nairobi Hosi, AgaKhan etc seem to have very minimal exposure to various ailmets and have inardvaertently been turned into sales reps for major drug companies. Gone are the days when you would take you kid to Gertrudes and the doctor would be more concerned with talking to the kid than listening to the mother. Not that they did not listen to the mother, just that they knew who they were treating. Many a time, they would send the parents out and take time with the kid. By the time he called you in, he knew something about the kid you did not know or had not told him about. Interetsingly, hardly did they give you more than one drug but would then give you a lecture on how to feed and take care of your kid. The would even give you a feeding program

I remember one who was like that called Dr Muasya or something who had been the country's head paedetrician before retiring to his practice on Kenya Re towers in town. Unfortunately I heard he passed on but he had a daughter who followed his footsteps. I hope she does not let her father down!
I Think Therefore I Am
wanjirus
#5 Posted : Friday, March 04, 2011 1:21:42 PM
Rank: Member

Joined: 8/4/2009
Posts: 37
I can't agree more on the malpractices of this hospitals that we trust, on Tuesday my girlfriend went to aga khan Kisumu with backache and a headache, her blood sample was drawn and sent to the lab, a mammogram was conducted on her and some medication prescribed, when she came home, the prescription was reading eso kit(H pylori kit) and paracetamol. She didn't buy the drugs coz I had given her 2500, tell me had she had enough money for the drugs, the hospital visit would have cost her Ksh4600 and a wrong diagnosis, as much as I am not a doctor I think you test for the bacteria from a stool sample.

Worse still this is the only big hospital or rather preferred in Nyanza and Western, how many people have been misdiagnosed? again from my colleagues, I don't know if to them there is an H pylori epidemic but rarely do they miss the kit in their prescriptions.
Shak
#6 Posted : Friday, March 04, 2011 3:15:15 PM
Rank: Elder

Joined: 2/22/2009
Posts: 2,449
Location: Africa
@ burning spear, allow me to deviate a bit. My 18 month old daughter was put on antibiotics for a throat infection. However after giving her the second dose she vomitted around half an hour later. Should the dose be repeated or was the half hour enough for her to absorb the drug?
Burning Spear
#7 Posted : Thursday, March 10, 2011 10:09:12 AM
Rank: Veteran

Joined: 7/22/2008
Posts: 1,139
Shak wrote:
@ burning spear, allow me to deviate a bit. My 18 month old daughter was put on antibiotics for a throat infection. However after giving her the second dose she vomitted around half an hour later. Should the dose be repeated or was the half hour enough for her to absorb the drug?


Sorry for late reply.
I wish you cud have named the antibiotic in question but nevertheless,most antibiotics when taken orally have absorption onset of from 20 minutes from the GIT and reach plasma levels with varying degrees thats why they are those taken twice daily,thrice,four times etc.

It would be wrong for me to give a blanket answer since you did not name the exact antibiotic or details such as frequency of administration.

But my advice is do not give another if 3o minutes had elapsed.
"You're not supposed to be so blind with patriotism that you can't face reality. Wrong is wrong, no matter who says it". Malcolm X
famooz
#8 Posted : Thursday, March 10, 2011 5:13:01 PM
Rank: Elder

Joined: 11/19/2007
Posts: 2,047
Foreman wrote:
Your concerns are valid.
I was discharged from hospital today (after 3 days in)& I was not responding to some of the antibiotics so they had to change doses b4 I could get well....the bill shot up two-fold.

My approach from now is 'understand the Hospital and the Doctor first'
Collect me if I am wrong but I think prescriptions should only come from medical doctors and not nurses, laboratory technicians or clinical officers



Yeah i will correct you:) contrary to popular opinion,Nurses can treat some ailments better than doctors,so do not go for titles that much. Ofcourse a lab tech has no business writing a prescription- that is not their field and a clinical officer is well qualified to treat people,even without the guidance of a doctor. I have seen some very very good clinical officers,better than Doctors.

Euge
#9 Posted : Thursday, March 10, 2011 6:20:00 PM
Rank: Elder

Joined: 8/4/2008
Posts: 2,849
Location: Rupi
ocampo wrote:

Has it become a standard procedure nowadays that when you take kids to hospital, they must be given antibiotics? Shame on you

My concern is one; most of the antibiotics prescribed are first line drugs. What will happen if the bacteria develops resistance to them? Sad


@ Ocampo first tell us what the Rome statute says about antibioticsLaughing out loudly Laughing out loudly Laughing out loudly smile smile smile
Lord, thank you!
Prime
#10 Posted : Thursday, March 10, 2011 9:20:32 PM
Rank: Member

Joined: 2/27/2011
Posts: 518
famooz wrote:
Foreman wrote:
Your concerns are valid.
I was discharged from hospital today (after 3 days in)& I was not responding to some of the antibiotics so they had to change doses b4 I could get well....the bill shot up two-fold.

My approach from now is 'understand the Hospital and the Doctor first'
Collect me if I am wrong but I think prescriptions should only come from medical doctors and not nurses, laboratory technicians or clinical officers



Yeah i will correct you:) contrary to popular opinion,Nurses can treat some ailments better than doctors,so do not go for titles that much. Ofcourse a lab tech has no business writing a prescription- that is not their field and a clinical officer is well qualified to treat people,even without the guidance of a doctor. I have seen some very very good clinical officers,better than Doctors.


What famooz says is quite true. Nurses, lab techs, clinical officers all have a role to play. They all need each other. Few can afford the services of doctors especially mwananchi Wa kawaida. And especially from their private clinics. Would make sense to see a nurse or clinical officer and if it is a complicated case then they should refer you to a Doc for specialized attention. Lab techs shouldn't prescribe but they play a very crucial role in guidance in treatment.
In the event of a bacterial infection that can be isolated in a culture, they are the ones who are in a better position to recommend what drugs are most effective but the best among those is determined by clinicians who have the patients history and overall condition. And the most expensive drugs can also be resistant while those cheap old school ones end up being highly sensitive hence best. They just reduce guesswork on the clinicians part.
As for Helicobacter pylori... More than half the worlds population have it. And majority are asymptomatic. The bacteria slowly erodes the stomach lining mucus. So a lab test might give a positive result in the absence of symptoms. Once the lining is eroded then the digestive juices (hcl in the stomach) begin digesting the stomach as nyama ni protein pia. Then the symptoms become noticeable. Ulcers. The bacteria can be detected in stool (antigen) or blood (antibody). My 2 cents.
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