慢性腹泻首选抗生素治疗利弊的思考

随着随访医学的不断发展和抗菌素的广泛使用,人类的疾病谱发了巨大变化,慢性腹泻病因也由感染为主转变多元化,非感染性原因越来越多。此外,随着人们对抗菌素的副作用、细菌耐药问题以及抗菌素所致的菌群失调引起的不良后果的认识不断深入,要求临床医生必须重新评价慢性腹泻选用抗菌素治疗的利弊。

Advantage and Disadvantage of Antibiotics in Treatment of Chronic Diarrhea

The diseasespectrum of human being has been changed greatly,with the constant development ofpreventing medicine and extensive using of antibiotics.Causion of chronic diarrhea changesto polyarchy from infection,non-infectious factor is more and more.Understanding to sideeffect of antibiotics,bacteria drug-resistance,and flora imbalance caused by antibioticsis constant thorough,clinician must reevaluate advantages and disadvantage of antibioticsin treatment of chronic diarrhea.Whether using antibiotics in treatment of diarrhea,thekey point is making clear the cause of disease,feces bacteral examination is bases ofusing of antibiotics.According to status of liver,kidney,heart and general condition ofpatient,choose the drug with high specity,low expension,and low side effect,this is theprinciple of using antibiotics.