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Dr. Ismaïl ZARROU - Médecin généraliste à Casablanca :
bernoussi et ain sebaa
WHAT IS AN ANTIBIOTIC?
Antibiotics are drugs used to treat and prevent bacterial infections.
WHEN ARE WE TALKING ABOUT RESISTANCE?
Resistance occurs when bacteria become resistant to these medications.
They can then cause infections that are more difficult to treat.
HOW DOES RESISTANCE OCCUR?
The abuse or excessive use of antibiotics accelerates the phenomenon of resistance.
In simple terms it is the use of antibiotics without medical indications / without doctor's advice.
In countries where antibiotics are dispensed without a prescription , the problem of the emergence and spread of resistance is even worse.
Likewise, in countries without standardized treatment guidelines, antibiotics are over- prescribed by health workers and over-consumed by the general public.
WHY IS IT DANGEROUS? WHAT IMPACT?
When an infection can no longer be treated with a first-line antibiotic, more expensive drugs must be used.
In addition, prolonging illness and treatment, often in the context of hospitalization, increases health care costs, as well as the financial burden on families and society.
If we don't take emergency action, we will soon be entering a post-antibiotic era in which common infections and small injuries will be fatal again.
I AM A PATIENT, HOW TO FIGHT AGAINST THIS PHENOMENON?
To prevent and combat the spread of antibiotic resistance:
Only use these medicines if prescribed by a qualified healthcare professional.
Never demand antibiotics if your health worker tells you that you don't need them.
Never share your antibiotics with other people or use any medications you have left over .
NOW THAT WE UNDERSTAND THE PROBLEM: HOW DO YOU KNOW IF YOU REALLY NEED TO TAKE AN ANTIBIOTIC?
At first glance, the answer seems simple: a bacterial infection is caused by bacteria AND REQUIRES ANTIBIOTIC TREATMENT .
and a viral infection is rather caused by a virus AND DOES NOT REQUIRE AN ANTIBIOTIC .
THEREFORE THE RIGHT QUESTION TO ASK: HOW TO KNOW IF IT IS A VIRAL OR BACTERIAL INFECTION?
It is up to the doctor to answer this question.
While questioning with clinically oriented lot, but it is the complete e mentary examinations notament a blood test that slice for r e lay the question.
and if we could do this analysis with r e Result imm e diate during the same visit? to better direct and refine the necessity n e e antibiotic treatment
HemoCue® WBC System
Is a medical device which offers you a unique advantage: being able to determine the total white blood cell count, directly at the point of intervention, using a drop of blood with a result in less than three minutes.
HOW CAN A WHITE CELL NUMBER HELP US?
Leukocytes OR white blood cells are cells of immune system .
There are several types of white blood cells that help to know more about the nature of the infection (ie if it is bacterial or viral e rienne)
> The polynuclear neutrophils increase in bacterial infection (eg: pneumonia ) or treatment for corticosteroids and decrease in cases of viral or parasitic infection or hyperthyroidism .
> The lymphocytes , which make antibodies , decrease when the immune defenses are weakened and multiply in the face of a viral infection or autoimmune disease.
Their value is between 1,000 and 4,800 / mm3.
> Polynuclear eosinophils must remain below 580 / mm3. They increase in case of allergy or parasitic infection.
> Polynuclear basophils must remain below 110 / mm3. They increase in the event of an allergic or infectious reaction.
> The monocytes increase during some pathologies infectious (for example: mononucleosis , toxoplasmosis ). Their value is between 150 and 1,000 / mm3.
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