Should Kids Finish Antibiotics After Recovery? Debunking Common Illness Myths - Pediatrics

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Will this cause illness?


Recently, my child was hospitalized for several days due to a severe sore throat caused by tonsillitis and a high fever.
They just got discharged, and the hospital prescribed antibiotics.
Should we finish the entire course of antibiotics, or can we stop once the symptoms improve? (Isn't taking too many antibiotics harmful?) Additionally, I have another question: it seems that children usually get sick due to viral infections, but older family members often say that it's because of strong air conditioning or prolonged exposure to fans that makes them sick.
Is this theory correct? Are there any illnesses that are caused by being too cold?

Hao Mami, 30~39 year old female. Ask Date: 2007/06/30

Dr. Xiao Kaiwen reply Pediatrics


Dear Good Mommy:
1.
Bacterial infections require antibiotic treatment, and the duration of treatment varies depending on the site and type of bacterial infection.
For example, acute suppurative tonsillitis typically requires about ten days of antibiotic therapy.
Insufficient treatment can lead to antibiotic resistance or complications (it's not about taking too much, but rather that it should be used when necessary).
2.
Infants and young children can stay in air-conditioned or fan-cooled rooms, but they should not be directly exposed to the airflow.
The temperature should not be too low, as adults instinctively avoid cold drafts when feeling uncomfortable, while infants and young children lack the ability to express discomfort or adjust themselves.
Prolonged exposure can lead to feeling cold and unwell, making them more susceptible to illness.
Additionally, in air-conditioned rooms, it is important to ensure proper clothing for warmth; generally, they can wear clothing similar to adults with an extra layer.

Kaohsiung Medical University Hospital, Pediatrics, Dr.
Hsiao Kai-Wen

Reply Date: 2007/06/30

More Info


When it comes to the use of antibiotics in children, especially after an illness such as tonsillitis, it is crucial to understand the importance of completing the prescribed course, even if the child appears to have recovered. Antibiotics are designed to eliminate bacteria causing an infection, and stopping the medication prematurely can lead to several issues.

Firstly, not completing the full course of antibiotics can result in the bacteria not being entirely eradicated. This can lead to a resurgence of the infection, which may be more difficult to treat due to the potential development of antibiotic resistance. Antibiotic resistance occurs when bacteria evolve and become less susceptible to the effects of medications that once effectively treated them. This is a growing public health concern, as it can lead to longer hospital stays, higher medical costs, and increased mortality.

In general, it is recommended that children finish their antibiotics as prescribed by their healthcare provider, even if they start feeling better before the medication is completed. This ensures that the infection is fully treated and helps prevent the development of resistant bacteria.

Regarding the second part of your question about the causes of illness in children, it is a common misconception that exposure to cold air, such as from air conditioning or fans, directly causes illnesses like colds or the flu. In reality, most common illnesses in children are caused by viruses, which are spread through respiratory droplets when an infected person coughs or sneezes, or by touching surfaces contaminated with viruses.

While cold weather itself does not cause illness, it can contribute to conditions that make it easier for viruses to spread. For example, during colder months, people tend to spend more time indoors in close proximity to one another, which increases the likelihood of virus transmission. Additionally, cold, dry air can dry out the mucous membranes in the respiratory tract, potentially making it easier for viruses to enter the body.

There are, however, some illnesses that can be exacerbated by cold exposure, particularly in individuals with certain pre-existing conditions. For example, asthma can be triggered by cold air, leading to wheezing and difficulty breathing. Similarly, cold temperatures can lead to conditions like hypothermia or frostbite, but these are not typical causes of common viral infections.

In summary, it is essential for children to complete their prescribed antibiotics to ensure full recovery and prevent antibiotic resistance. Additionally, while cold air does not directly cause illnesses, it can create conditions that facilitate the spread of viruses. Parents should focus on good hygiene practices, such as frequent handwashing and avoiding close contact with sick individuals, to help prevent the spread of infections among children. If there are any concerns about a child's health or medication, it is always best to consult with a healthcare professional for personalized advice.

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