The first thing to be aware of is that antibiotics are not effective in the treatment of viruses. They only treat bacterial infections, certain fungal infections and parasites. For diseases such as the common cold, flu or bronchitis, antibiotics are completely ineffective and their use in cases such as these will only contribute to the development of antibiotic-resistant bacteria. You should not ask your doctor to prescribe antibiotics if you have a sore throat or the stomach flu, for instance. According to the Centers for Disease Control and Prevention (CDC), antibiotics were prescribed for an acute respiratory infection in 68% of visits to the doctor. However, 80% of those prescriptions were unnecessary.
Antibiotics are often an appropriate treatment for conditions such as severe sinus infections that last longer than two weeks, ear infections, bladder infections and skin infections. These are frequently due to a bacterial or fungal infection, and treating them with antibiotics is effective.
If you have been prescribed an antibiotic, it is very important that you take it exactly as directed by your physician. If your symptoms happen to clear up before the entire course of antibiotics is completed, you must still continue to take them as prescribed. This is because there may still be a few lingering bacteria in your system, and—if they are not all killed—the strongest ones may survive to produce new generations of ever stronger bacteria that might make current antibiotics less effective.
Some doctors feel pressured by their patients to prescribe something, whether it’s really going to be helpful or not. A study published in the journal Pediatrics found that pediatricians will prescribe antibiotics for children 62% of the time if parents expect them to, and only 7% of the time if the parents do not expect an antibiotic prescription. Do not put pressure on your doctor to prescribe antibiotics for your condition. He or she is the best judge as to whether antibiotics are appropriate.
Also, keeping adjusted helps keep your immune system at its best. To avoid catching colds and other viruses, be sure to keep you and your family adjusted! Call our office at 406-652-3553 if you need to schedule an appointment with Dr. Oblander!
]]>According to the U.S. Centers for Disease Control and Prevention (CDC), there’s a good reason for this. “Schools inherently foster the transmission of infections from person to person because they are a group setting in which people are in close contact and share supplies and equipment.”
The CDC also provides some statistics that puts this issue in perspective: “Infectious diseases account for millions of school days lost each year for kindergarten through 12th-grade public school students in the United States:
Naturally, schoolchildren aren’t the only ones who are affected when even common illnesses are passed from child-to-child in the classroom environment. Those same illnesses (or the microorganisms that cause them) ride home with kids on the bus or in the neighborhood carpool. And when they do, the whole family is at risk. Plus, parents are left to cope with the inconveniences and costs that come with sick days and doctor visits.
Communicable diseases that spike at the beginning of the school year are numerous and include the common cold (aka rhinovirus), the flu, strep throat, Fifth disease (a viral infection caused by the parvovirus), pinkeye, whooping cough (aka pertussis), mono, chicken pox, meningitis, lice, scabies, pinworm, ringworm, jock itch, and athlete’s foot.
Some areas of the country are also concerned with two other viral infections that thrive in crowded areas such as schools. According to Indiana news station WTHR.com, “The first is a viral infection called ‘hand, foot and mouth disease.’ ”
Noted pediatrician Dr. Michael McKenna from the Riley Hospital for Children at IU Health says in regard to hand, foot, and mouth disease, “The rash looks ugly, kids feel uncomfortable, and they can have fevers. The one concern is if they have so many ulcers in their mouth that they refuse to eat or drink, that they can become dehydrated. This year, it’s much more prominent and the rash is much more severe.”
The article continues: “Doctors are also seeing many more cases of shigellosis, a bacterial infection spread when people do not wash their hands after using the bathroom. It can cause diarrhea, nausea and vomiting.”
Children aren’t the only ones at risk for transmittable infections and diseases in and around the classroom—teachers and administrators are also susceptible to many viruses and bacterial infections, which range from simply annoying to very serious. In fact, many teachers quickly get sick upon the arrival of a new school year. For these people, it is important to practice prevention. Minimize contact with students, urge them to cough and sneeze into their elbow, and send them to the nurse if they look as if they may be coming down with something.
So else can parents do to try to keep their kids healthy and at school during the fall and winter months? Here are a few thoughts we’d like to share:
Last winter was a particularly tough one across much of North America, given the combination of the freakish “Polar Vortex” winds and snowstorms possibly brought about as a result of climate change. Hundreds of people died, either in transportation-related accidents or from exposure to the cold temperatures. But did you know that your health is at greater risk any time the weather gets cold, not just when near-blizzard conditions strike?
The most obvious health risks from low temperature are hypothermia and frostbite. Hypothermia occurs when you allow your body temperature to drop below 95°F (35°C) and can be very dangerous—it can result in disorientation and can actually stop your heart. About 700 Americans per year die from hypothermia. Frostbite—when your nose, ears, cheeks, fingers or toes are exposed to extreme cold—is not usually fatal, but can result in gangrene and the loss of the frostbitten limbs. To protect against both, “layer up” with warm clothing, keep dry, and don’t stay outside too long.
There are other cold weather health risks that are even more common:
Additional Resources
Winter fitness: Safety tips for exercising outdoors. http://www.mayoclinic.org/healthy-living/fitness/in-depth/fitness/art-20045626
Everyday Preventive Actions That Can Help Fight Germs, Like Flu. http://www.cdc.gov/flu/pdf/freeresources/updated/everyday_preventive.pdf
Are You SAD This Winter? Coping with Seasonal Affective Disorder. http://psychcentral.com/lib/are-you-sad-this-winter-coping-with-seasonal-affective-disorder/00010241
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First of all, we tend to spend a lot more time indoors when it’s cold outside. Germs are spread far more easily in a crowd or within enclosed spaces. The more people in an enclosed space with a sick person, the more people with an opportunity to become infected. However, this doesn’t explain why children in crowded classrooms get sick more often during winter months, even when the number of students present in the classroom may not change much (or at all) from season to season.
One aspect of winter conditions is that the air is colder and drier. Dry air dehydrates our nasal passages and makes it more difficult for the mucus membranes in our respiratory system to trap and sweep away pathogens, which it typically does more effectively in a warmer, more humid environment. This is one reason why travelers often become ill after enduring a long plane flight– the atmosphere of the cabin is very dry. Add this to the combination we talked about before (lots of people in an enclosed space for a prolonged period of time), and it’s easy to see why a cold virus or flu virus would have a much easier time infecting more individuals in this sort of situation.
In addition, a study has shown that the flu virus in particular survives far longer in cool, dry conditions than in warm ones. Peter Palese and colleagues at the Mount Sinai School of Medicine in New York conducted an experiment on guinea pigs. They found that when guinea pigs were exposed to the flu virus they infected each other quite easily in cool, dry air, but when the temperature was 86°F the guinea pigs could not infect one another at all.
Another theory advanced by some scientists is that in winter our bodies are often low in stores of vitamin D due to a lack of sunlight. Vitamin D deficiency has been shown to cause a reduction in immunity. Given that much of the population in the developed world lives at latitudes where even direct sun is often weak in winter and that these same people are more likely to use sunscreen, it’s not surprising that many don’t have enough vitamin D. Studies show that flu season in different parts of the world correlates with cold weather and short hours of daylight. In the northern hemisphere, cold and flu season runs from November to March, and in the southern hemisphere from May to September. Meanwhile, the tropics have no cold and flu season at all.
Another contributor to a lowered immune system is sugar intake. Around the holidays, people not only find themselves gathering in large groups more frequently (think about office festivities, family celebrations, crowded shopping malls, etc.), but there are also more sweets to be had, which also works to suppress our immune system.
According to health experts, the best thing you can do to avoid winter colds and flu is to wash your hands frequently, since germ-covered hands are the most common way we infect ourselves. It’s not necessary to keep your house at tropical temperatures, but a humidifier may help reduce the drying out of your respiratory passages. Finally, taking a vitamin D supplement and keeping the sweets to a minimum may help reduce the number of times you get sick each year.
]]>We would all like to believe there’s some easy way of reducing the length or severity of our suffering as we sniffle and cough our way through the aches, pains and lack of energy brought on by a cold or flu. However, there are not really very many things that can be done about it, apart from getting plenty of rest and drinking lots of fluids. But what role does eating-or not eating-actually play?
There was one study in 2002 performed by Dutch researchers and published in the journal Clinical and Diagnostic Laboratory Immunology that tested the validity of the concept. They found that fasting was better at fighting the infections that caused fevers, and eating a meal better fought off viruses associated with colds. However, it used a very small sample of subjects and its results were not reproducible in further studies.
Most people do not feel particularly hungry when they are sick with a cold or fever anyway, as the body naturally regulates the amount of food we eat when ill. Certainly, eating a large heavy meal will use some reserves of energy that would be better used in fighting off pathogens. However, keeping a steady stream of nutrients flowing through your system is a good idea and provides your body with the tools it needs to kill invading viruses.
Concentrate on getting nutrient- and antioxidant-rich foods in your diet as best you can, along with plenty of sugar-free fluids. Many people drink a lot of juice, thinking it will provide them with vitamin C, but you would be better off eating strawberries or red peppers (both of which are high in vitamin C) or taking a supplement, as juice comes with a lot of sugar. Sugar has been proven to suppress the immune system, which is exactly the opposite of what you need when you are ill.
Warm broths are also excellent when you are sick. The prescription of chicken soup for upper respiratory symptoms has been around since the time of the ancient Greeks, and the practice was adopted by the Jewish physician and philosopher Maimonides. There’s a reason your mother brought you chicken soup when you had a cold or flu. Far from being an old wives’ tale, a study performed by Dr. Stephen Rennard from the University of Nebraska Medical Center showed that chicken soup inhibited the movement of neutrophils (a type of white blood cell) in the body so they could not travel to the upper respiratory area and induce inflammation.
Chicken soup is only effective as a treatment if it is prepared using both chicken and a variety of vegetables such as onions, celery, carrots, parsnips, sweet potatoes, turnips and parsley (and then filtered). Whatever its activity against pathogens, at the very least it provides your body with plenty of nutrients and warm liquids that will help get you feeling well again soon.
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