Recently, experts with high incidence of respiratory diseases have suggested that it is forbidden to suppress cough blindly and abuse antibiotics.

CCTV News:According to the latest influenza surveillance released by China CDC, since January, the positive rate of influenza virus detection in southern and northern provinces of China has been declining, but the number of respiratory diseases in various places has remained at a high level, and cough patients account for a relatively high proportion of the patients. Some hospitals have also set up cough clinics for this purpose.

According to the doctor, cough is actually a protective reflex of the human body and a natural reaction of the body to remove foreign bodies and secretions from the respiratory tract. In the interview, the reporter found that many patients, especially children, have recovered from respiratory diseases, but their cough is still not good. Most of them are irritating dry cough or cough accompanied by a small amount of white mucus, and there is nothing abnormal after chest X-ray examination. Many parents feel very anxious because of the chronic cough. The doctor suggested that we should first judge whether the cough is acute or chronic. If it is chronic, it is recommended to confirm whether there is a potential disease.

Shen Kunling, Chief Physician, Department of Respiratory Medicine, Beijing Children’s Hospital Affiliated to Capital Medical University:That is, more than 4 weeks, we call it chronic cough, but within 4 weeks, it is called acute cough, so some children, for example, are basically cured in 2, 3 and 4 weeks, and this is no problem. However, some patients will cough for more than 4 weeks. There are several reasons to consider. The first one is that the original A stream may be particularly heavy, or there is B stream after A stream, or mycoplasma after A stream, or bacterial infection after A stream. This mixed infection will cause serious damage to that epithelium, so he will continue to cough; Another situation depends on whether the child has a basic problem. The most common basic problem is that the child has allergies.

[Expert Tips] Avoid blindly relieving cough and abusing antibiotics.

The doctor said that cough after respiratory tract infection is very common. If it lasts within 4 weeks and there is no aggravation, there is no need to go to the hospital repeatedly. In the home care of post-infection cough, the most common misunderstanding is blind cough suppression and abuse of antibiotics. Abuse of cough inhibitors may inhibit the natural cleaning process of respiratory tract and prolong the course of disease.

Shen Kunling, Chief Physician, Department of Respiratory Medicine, Beijing Children’s Hospital Affiliated to Capital Medical University:Children still do not advocate the use of central antitussive drugs. First, cough has its own protective effect on the body. After another reason is removed, in fact, many coughs will be relieved. Many parents were very anxious, and then they started taking drugs when they coughed. They used drugs indiscriminately and asked him what drugs he used. He said that I used antibiotics, and he didn’t know what antibiotics you asked. These antibiotics are left over from the last illness, so I’ll give them to him now. In fact, this is not standardized. First of all, it is abused, then it is useless when it should be used, and there is not enough course of treatment when it should be used. These will cause the child’s condition to persist.

Experts remind that antibiotics are only effective for bacterial infections, and the functional development of children’s organs is still not perfect. Improper medication may cause some adverse reactions, causing organ damage and so on. Children are not a miniature version of adults, and it is not advisable to abuse drugs or use drugs at will. We must consider the safety and effectiveness of drug use and standardize drug use under the guidance of doctors or pharmacists.

[Expert tip] Correct atomization treatment can relieve chronic cough.

No matter what causes the recovery of chronic cough, it needs a process, during which children cough frequently and even affect eating and sleeping. At this time, doctors will suggest using atomization to relieve symptoms. So what problems should we pay attention to when doing atomization?

Although atomization therapy is very common in clinic, in the interview, we learned that there are still many parents who think that once atomization therapy is used, the child’s condition is more serious. In fact, atomization inhalation is a means to help the mucosal barrier recover. By inhaling aerosol containing drugs, it directly acts on the lesion, reducing mucosal inflammation, reducing sputum and helping the mucosal recovery. When the mucosal recovery is good, the cough will naturally be alleviated. At present, atomization treatment is mainly aimed at post-infection cough, infant wheezing, cough variant asthma and so on.

Shen Kunling, Chief Physician, Department of Respiratory Medicine, Beijing Children’s Hospital Affiliated to Capital Medical University:Generally speaking, we should master the principle of five R’s in drug use, that is, five correct patients, the right drugs, the right way of use, the right course of treatment, the right devices and so on. The effect of atomization in crying state is worse than that in quiet state, so it is best to let children be quiet, such as watching cartoons, and inhale normally in quiet state. In addition, we should pay attention to the course of treatment and have enough courses of treatment.