Monthly Topics




ANTIBIOTIC USE

There are two main types of infections in the pediatric population: viral and bacterial. Viral infections are responsible for most colds, vomiting, diarrhea, and sore throats. There are no cures for most viral infections. They must run their course, which lasts 5 to 10 days. Since antibiotics are not effective against viral infections, treatment is aimed at comfort and symptomatic relief.

Antibiotics are the mainstay of treatment for bacterial infections and are among the most prescribed pediatric drugs. As antibiotic use has increased over the years, so has the resistance of pathogens. This makes it more difficult to treat true infections. In an effort to decrease the risk of bacterial resistance, the American Academy of Pediatrics has emphasized judicious use of antibiotics. Antibiotics, as with any medicine, come with potential for side effects varying from mild to severe reactions. Our Doctors take a conservative approach to treating illness, using antibiotics only when appropriate, looking out for the best interest of your child.














Friday, October 12th

Doctors say recall will affect parents
For years, Dr. Deborah Greenhouse at Palmetto Pediatrics in Columbia has been telling parents not to use over-the-counter cough and cold medicines on children younger than 2 years old.

So have many other pediatricians, worried about serious side effects when strong medicine is put in tiny bodies.

Despite the years of warnings from physicians, the withdrawal of those products from store shelves will have a huge impact, Greenhouse said.

“Parents who have an infant that has a bad cold will do anything to get them to sleep through the night,” Greenhouse said.

Those desperate parents often turned to products such as Dimetapp Decongestant Plus Cough Infant Drops and Tylenol Concentrated Cold Drops, either instead of seeing a physician or before seeing one.

When parents tell Greenhouse they are using cold products on their infants, she recommends they stop and explains about the mounting evidence the drugs aren’t effective and can cause serious problems. She suggests the safe alternatives — saline nose drops and cool mist humidifiers.

Jody Yates, the pharmacist at Long’s Drugstores on Kilbourne Road, said the infant cold products Long’s carried either already were kept behind the counter or were moved there Thursday.

The concern is not so much that the medicines are not safe but that dosages are not administered correctly, Yates said. This is why he recommends parents purchasing over-the-counter medicine for young children consult a pharmacist to make sure they understand how much medicine to administer.

The medicine in tiny bottles is concentrated, so the recommended dosage could be very small, Yates said.

“Parents might see two little drops and not think it’s enough,” Yates said.

— Joey Holleman and Ben Werner
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