According to research presented at the International Congress of the European Respiratory Society 2017, children with asthma sometimes prescribe unnecessary antibiotics. This leads to an increase in infections that are resistant to drugs, as well as future infections are difficult to treat.
The study results indicate that asthma symptoms are mistaken for an infection of the respiratory tract, and that antibiotics are appointed as a preventive measure.
A study presented by Dr. Esme Baan Rotterdam, Netherlands. "I have asthma symptoms that can be mistaken for a mistake respiratory tract infection. However, in international and national guidelines clearly indicate that antibiotics should not be should not be given because it is rarely associated with a bacterial infection. Misuse of antibiotics causes and complicates the control of the spread of harm to patients untreatable infections, "- says E.Baan.
The study involved 1.5 million children in the UK, including 150 000 people with asthma and another 375,000 from the Netherlands, including 30 000 people with asthma. The researchers compared data on prescription of antibiotics for children with asthma and without it and compared the situation in the Netherlands, with the situation in the UK. They found that children with asthma 1.6 times more likely to prescribe antibiotics compared to those who do not have asthma. They also found that antibiotic resistance rates were almost twice as high as in the UK as a whole. In both countries, the most commonly used drug was amoxicillin.
In the Netherlands for 1000 children with asthma in the year registered 197 prescriptions of antibiotics compared with 126 prescriptions per 1000 children without asthma. In the UK - 374 prescription per 1,000 children with asthma in the year, compared with 250 per 1,000 children without asthma.
In the Netherlands, one of the lowest in the world on the use of antibiotics, so the situation in other countries where the use of antibiotics is much higher, could be worse.
"Antibiotics should be given only if there are clear symptoms of a bacterial infection, such as pneumonia. However, children with asthma are prescribed antibiotics for bronchitis, which is caused by a virus, not bacteria, - says Dr. Baan. - Children with uncontrolled asthma may face difficulties in the future, for example, it may affect the exercise or sleep. Sometimes antibiotics are necessary, but we must be careful to prescribe them only when necessary. It is necessary to prevent the appointment of unnecessary drugs. "