Terimakasih banyak mbak infonya.....

Best Regards,

Evi Eryani
Tax Planning & Control



"Luluk Lely Soraya I" <[EMAIL PROTECTED]> 
30-08-2004 08:22
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Re: Fw: [balita-anda] akibat antibiotik






Mbak Evi,

Setahu saya lebih dari 80% penyebab radang tenggorokan pada anak (bayi - 5
th) adalah virus. Virus penyebab radang tenggrokan ini yg paling terkenal
adalh virus Coxsackie.
Untuk anak yg lebih besar, penyebab radang tenggorokan bisa juga karena
bakteri.

Tapi baik bakteri apalagi virus, ternyata tidak diobati dg antibiotik.
Pada kasus radang tenggorokan ini pemberian antibiotik justru relatif
menyebabkan hal yg lebih serius spt infeksi telinga ataupun sinus
(hidung).

Itu ringkasan dari artikel di bawah yg saya ambil dari American Academy of
Pediatrics, yaitu Kumpulan DSA-DSA di amerika.
Saran saya, coba print artikel ini dan diskusikan dg DSAnya mbak.
Itu yg biasanya saya lakukan.
Oya, saya bukan anti antibiotik. Antibiotik itu penemuan terbaik yg pernah
ada utk menolong manusia. Hanya jika tidak digunakan dg tepat di waktu yg
tepat, maka antibiotik justru akan jadi bumerang buat kita.

Semoga membantu.

Lulu
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http://www.medem.com/medlb/article_detaillb_for_printer.cfm?article_ID=ZZZ4LP9BH4C&sub_cat=107


Sore Throats

Viral and Bacterial Sore Throats
The terms sore throat, strep throat, and tonsillitis are often used
interchangeably, but they don't necessarily mean the same thing.

Tonsillitis refers to tonsils that are inflamed. When your child has a
sore throat or strep throat, the tonsils may be inflamed or the
inflammation may affect the surrounding part of the throat but not the
tonsils. Infectious mononucleosis also can produce a sore throat, often
with marked tonsillitis.

In infants, toddlers, and preschoolers, the most frequent cause of sore
throats is a viral infection. No specific treatment is required when a
virus is responsible, and your child should get better over a three- to
five-day period. Often, children who have sore throats due to viruses also
have a cold at the same time. They may develop a mild fever, too, but they
generally aren't very sick.

One particular virus (called Coxsackie), seen most often during the summer
and fall, may cause the child to have a somewhat higher fever, more
difficulty swallowing, and a sicker overall feeling. If your child has a
Coxsackie infection, she also may have one or more blisters in her throat,
which your pediatrician will look for during the examination.

Strep throat is caused by a bacterium called Streptococcus pyogenes. To
some extent, the symptoms of strep throat may depend on the child's age.
Infants may have only a low fever and a thickened, bloody nasal discharge.
Toddlers (ages one to three) also may have a thickened, bloody nasal
discharge with a fever. Such children are usually quite cranky and have no
appetite and often swollen glands in the neck. Children over three years
of age with strep are often more ill; they may have an extremely painful
throat, fever over 102 degrees Fahrenheit (38.9 degrees Celsius), swollen
glands in the neck, and pus on the tonsils. It's important to be able to
distinguish a strep throat from a viral sore throat because strep
infections must be treated with antibiotics.

Any time your child has a sore throat that persists (one that doesn't go
away after her first drink of juice in the morning), whether or not it is
accompanied by fever, headache, stomachache, or extreme fatigue, you
should call your pediatrician. That call should be made even more urgently
if your child seems extremely ill, or if he has difficulty breathing or
extreme trouble swallowing (causing him to drool). This may indicate a
more serious infection.

The pediatrician will examine your child and may perform a throat culture
to determine the nature of the infection. To do this, he will touch the
back of your child's throat and tonsils with a cotton-tipped applicator
and then smear the tip onto a special culture dish that allows the strep
bacteria to grow if they are present. The culture dish usually is examined
24 hours later for the presence of the bacteria.

Most pediatric offices now are doing quick-result strep tests that provide
findings within minutes. However, when these tests are negative, their
results still need to be confirmed with a 24-hour culture. If the result
of the culture is still negative, the infection usually is presumed to be
due to a virus. In that case, antibiotics will not help and should not be
prescribed.

If your child's strep test is positive, your pediatrician will prescribe
an antibiotic to be taken by mouth or by injection. If your child is given
the oral medication, it's very important that she take it for the full
10-day course, as prescribed, even if the symptoms get better or go away.

If your child's strep throat is not treated with antibiotics or if she
doesn't complete the treatment, the infection may worsen or spread to
other parts of her body, causing more serious problems such as ear and
sinus infections. If left untreated, a strep infection also can lead to
rheumatic fever, a disease that affects the joints and the heart.

© Copyright 2000 American Academy of Pediatrics

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