来认识抗生素和消炎药,平日里可是必备知识哦。

Sandy Chen
Sandy Chen
General Practitioner of Wellem Pediatrics
医生名片

Antibiotics, in the minds of many mothers, are equivalent to anti-inflammatory drugs, which is actually a big misunderstanding. Understanding the difference between the two can help to significantly reduce the abuse of antibiotics during childcare.

Let's take a look at the words together: What is "anti-inflammatory"? What is "antibiotic"? What is the difference and connection between them?

Let me first introduce the concept of inflammation. Inflammation is the usual "inflammation", which is a basic pathological process in which biological tissues are stimulated by proinflammatory factors. Inflammation can be beneficial and sometimes harmful.

The inflammatory factors can be grouped into the following categories:

  1. Biological factors : Bacteria, viruses, rickettsia, mycoplasma, fungi, spirochetes, and parasites are the most common causes of inflammation. Inflammation caused by biological pathogens is also known as infection.
  2. Physical factors
  3. Chemical factors
  4. Foreign bodies
  5. Necrotic tissue
  6. Allergic reaction

Inflammation can manifest as local manifestations such as redness, swelling, heat, pain, and dysfunction, as well as systemic reactions such as fever and changes in peripheral white blood cell counts.

Anti-inflammatory, is to eliminate inflammation, inhibit the production or release of inflammatory factors, so that inflammation can be reduced to subsided, while the pain caused by inflammation can be alleviated. Antibiotics are the inhibition or killing of microorganisms, thereby reducing the adverse effects of inflammation on the human body. Only when the inflammation is an infectious inflammation, the drug that eliminates inflammation can be an antibiotic. In many cases, inflammation is not inflammation caused by infection, and medicines that suppress inflammation and eliminate inflammation are non-antibiotic-based anti-inflammatory drugs.

Common antibiotics in the clinic are as follows:

Penicillins (such as penicillin, amoxicillin, ampicillin, etc.), cephalosporins (such as cephalexin, cefradine, cefuroxime, ceftriaxone, ceftazidime, etc.), macrolides (such as erythromycin, Luo Erythromycin, azithromycin, acetylspiramycin, etc.), aminoglycosides (such as streptomycin, gentamicin, amikacin, etc.), tetracyclines (such as tetracycline, oxytetracycline, doxycycline) Etc.), chloramphenicol (such as chloramphenicol), quinolones (such as norfloxacin, ciprofloxacin, levofloxacin, etc.), sulfonamides (such as compound sulfamethoxazole).

Clinically, there are usually two types of anti-inflammatory drugs:

One type is steroids, which are substances that the body naturally synthesizes, that is, hormones such as cortisone, hydrocortisone, and dexamethasone. Glucocorticoids are the most common. The other category is non-steroidal anti-inflammatory drugs: aspirin, analgin, acetaminophen and the like. For people with normal immune function, cortisone hormones are secreted by our body. Inflammation of the scorpion caused by a cold, etc., does not require the use of anti-inflammatory drugs to reduce inflammation. Rest well, improve immunity and achieve self-healing. The effect is that eating and not taking medicine is the same course. For people with abnormal immune system, anti-inflammatory drugs are sometimes used to control the symptoms of inflammation, but different inflammation sites can be distinguished to use different anti-inflammatory drugs, such as allergic rhinitis, often using hormone nasal sprays, and joints. Inflammation, you will choose anti-inflammatory and analgesic drugs.

Therefore, when the children have inflammation, it is recommended that mothers do not arbitrarily give medication to their children. They should turn to professional medical institutions and medical staff to distinguish the cause and then use the medicine. In general, non-infectious inflammation is an anti-inflammatory drug, not an antibiotic. Infectious inflammation also has viral infections and bacterial infections. Antibiotics are needed when considering bacterial infections. When considering viral infections, antibiotics are not needed. Non-steroidal anti-inflammatory drugs can be used to help alleviate the body's inflammatory response.