[周刊王CTWANT] Recently, Mycoplasma epidemics have been reported in various countries around the world, including China, South Korea, Sweden, Denmark, etc. However, the epidemic in China has attracted much attention. The main reason is that “Mycoplasma resistance is higher than other countries”, with up to 90% of the cases in Taiwan. Not optimistic either, with drug resistance reaching 70%. Experts say that in the past ten years, the proportion of drug-resistant bacteria in Taiwan has increased more than three times, and the mortality rate after infection has increased by 60%. “The source of the drug resistance problem is ‘antibiotic abuse’!”
According to an analysis by the scientific journal “Nature” in 2013, tracking from 2008 to 2012 found that Mycoplasma in Beijing was up to 90% resistant to antibiotics. According to the CDC, research last year showed that Mycoplasma in Taiwan is up to 70% resistant to antibiotics.
Wang Fude, chairman of the Taiwan Society of Infectious Diseases, said that the most commonly used drug for treating mycoplasma in Taiwan is “Rishu”. Many people also use it for colds and fevers. When too much antibiotics are used and the usage method is incorrect, it will naturally Resistance will develop.
The COVID-19 epidemic has also made the abuse of antibiotics more serious. According to WHO statistics, up to 75% of COVID-19 patients have received antibiotic treatment; however, only 15% of those with actual bacterial infections should take antibiotics. In other words, the other 60% may be abuse.
According to the latest survey conducted by the Taiwan Society of Infectious Diseases in November this year, 60% of people have misconceptions about the use of antibiotics, including: mistaking antibiotics for anti-inflammatory drugs, misunderstanding that antibiotics can treat viral infections, and mistaking that they can take the same antibiotics if they have the same symptoms. ; In addition, 30% of people use antibiotics inappropriately, and 69% of them take antibiotics on their own.
Chen Honglin, chairman of the National Federation of Clinics in the Republic of China, said that in addition to taking antibiotics on their own, grassroots clinics most often encounter people who stop taking antibiotics without permission after their symptoms improve. “A patient in his 50s went to hospital for a urinary tract infection. He should have completed a 3-day course of antibiotics and returned for a follow-up visit. However, the patient stopped taking medicine after 2 days when his symptoms improved. Later, the high fever and severe pain in the lower back worsened into acute pyelonephritis.” Chen Honglin He said that whether taking unnecessary antibiotics or not taking a complete course of antibiotics is not only ineffective treatment, patients may also suffer additional side effects, but also gives bacteria the opportunity to develop resistance to drugs, which is the main cause of the emergence of drug-resistant bacteria.
Lu Shaowei, deputy secretary-general of the Society of Critical Care Medicine, said that half of those infected with common bacteria can be controlled within 12 hours, but it takes 48 hours for those infected with drug-resistant bacteria, making people with poor immunity prone to serious complications after infection, and the mortality rate increases by 60% . “A 40-year-old male patient was receiving chemotherapy for cancer, but he was infected by drug-resistant bacteria. He developed cheek abscesses, septic shock, and was unable to wean off the ventilator. It took 18 days of treatment and three dressing changes to eliminate the bacteria, but due to inability to He received timely cancer treatment but unfortunately passed away.”
Wang Fude said that fighting drug-resistant bacteria requires cooperation between doctors and patients. He reminded the public to keep in mind the concept of “four don’ts” when using antibiotics: “don’t” take the initiative to ask for antibiotics, “don’t” buy antibiotics yourself, and “don’t” eat them. Do not stop taking antibiotics from others at will, but use antibiotics as directed by your doctor.
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2023-12-05 22:09:24
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