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Antibiotics
And Children: Tips For Parents
By Dr.Niranjan Shendurnikar
Antibiotics have now become one of
the most often prescribed drugs for children's diseases. Their use has
become so common that not much thought is given to their need for use,
their side effects and precautions to be observed during the treatment.
These are extremely important drugs in the therapeutic armemeterium and
have a definite place in the majority of childhood infections. However
their indiscriminate use has to be totally avoided, as this has been a
major factor in the development of resistance of germs to the antibiotics.
Such organisms are likely to be more difficult to treat, thereby increasing
the cost, duration and side effects of drugs used.
Tips while giving
antibiotics to children
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Do not be tempted to start the antibiotics
by yourself and always consult your doctor before doing so. Unwarranted
use of these drugs can mask your child's symptoms partially; delay the
exact diagnosis and his/her recovery. Antibiotics need to be chosen specifically
for individual germs and illnesses and your doctor is the best person to
decide so.
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Many illnesses like simple coughs, colds,
mild diarrhea, skin infections tend to run a self-limiting course of about
3 to 7 days. A great majority of these do not need antibiotics. Adequate
rest, fluids, balanced diet and mild painkillers are good enough for your
child.
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Stopping antibiotics before the recommended
duration of treatment is counter productive in the long run, even if your
child feels and looks better. By doing so, he/she may need a more potent
antibiotic for a similar illness and perhaps a costlier one too.
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Do not rely on other children's symptoms
or earlier episodes to start the treatment. Childrens symptoms vary based
on their age, types of germs causing illness and their own individual differences.
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Do not be tempted to use partially used
or left over suspensions or syrups of antibiotics. These tend to deteriorate
on storage. Always check the label for instructions before use. If you
are using suspension, shake the bottle vigorously before use so as to deliver
a uniform concentration of the drug every time.
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Dispersible kid tabs are convenient,
easy to use (dissolve easily), have less chances of wastage and have minimal
chance of dosing errors.
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Avoid giving antibiotics on a full stomach
or with milk or antacids. These may hamper the absorption of antibiotics
from the stomach.
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Many antibiotics (ampicillin, amoxycillin,
etc.) cause mild side effects such as abdominal discomfort and occasional
diarrhea. These are usually transient, subside gradually on their own and
are no reason to discontinue the treatment.
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Inform your doctor before hand if your
child or family has a history of drug allergies, eruptions or asthma or
G6PD deficiency. This can help your doctor greatly to plan your child's
treatment appropriately.
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Watch out for any unexpected or unusual
reactions while the child's on the antibiotics. Inform your doctor immediately
if the child develops severe itching, swelling of the body or dark urine.
Good compliance to the instructions
with a watchful eye on the potential side effects would be important key
factors to anticipate desirable results from the antibiotic usage in children.
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