Beware of irrational provision of drugs in children 

This is a piece of the story of my colleagues who have not lived a month in the Netherlands. His son, Malik, high fever, lying limp. His eyes were glazed. Her lips were chapped. Increasingly gaunt face. He turned like a malnourished child two years. Usually he is talking and laughing in the morning. Now he did not want to smile too. Occasionally he vomited. Stomach is like a wrung-out coconut am no longer fit to issue a coconut. After three days was also no improvement he brought him to huisart (family doctor), the doctor called Knol."Just wait and see. Do not forget to drink a lot. Mostly this is a viral infection." The old doctor said."Drug fever Doc?" my friend asked again."Actually That Is not Necessary if the fever is below 40 C."A piece of this conversation makes me restless heart. Because, if in Indonesia, would have given a febrifuge and vitamins. Minimal home to take medication. Why does this seem stingy Dutch physician member of drugs? What about the doctor Indonesia that "generous" to prescribe the drug?In the article belongs to Prof. Iwan Darmansjah, an expert on medicines from the Faculty of Medicine, University of Indonesia stated: "Cough - colds along with the fever is once again in 6-12 months is still considered reasonable. But observation shows that visits to the doctor can occur every 2-3 weeks over the years. When this happens, then there are two possible misunderstandings in the handling. First, the treatment given is always contain antibiotics. Whereas 95% of cough and cold attacks with or without fever is caused by viruses, and antibiotics can not kill the virus. In other hand, antibiotics actually kill the good bacteria in the body, which serves to maintain balance and avoid the bad germs invade the body. It also reduces the child's immunity, thus decreasing its durability. As a result of children falling sick every 2-3 weeks and need to be treated again. vicious circle is: sick -> Antibiotic-> immunity declines -> sick again, will make the child bullied hot-cold throughout the year, over the years. "So, what about the parents in Indonesia? Those who live in villages or marginalized people who may not have enough information so that it does not necessarily always take medicine for a sick child to "hold up" the drug. The question, we who live in big cities, rich enough, has the school literacy, the Internet and knowledge, in fact almost always physician-minded and easily targeted by the drug companies and the media. Cough, runny nose slightly to the doctor, the doctor a little fever, diarrhea, a little to the doctor. If you go to the doctor and was given no medication, usually we even grumble, grumble, 'force' that the doctor gives medicine. Drug advertisements were scattered in the media, in fact rarely doctors 'sell' a particular drug through the media. Doctor who is supposed to advertise a product banned drug.In addition, how it is with colleague friends and my teachers are often given antibiotics and drugs that are not necessary in patients with cough, runny nose, fever, diarrhea? In fact, I myself once did so because senior cheating. Are the benefits greater than the risks? Of course not. Treatment costs swell, even easy to get sick child and unnecessary drug exposure. Not to mention the great danger threatens all of humanity: superbug, an antibiotic-resistant infections? But why all this happened?Lord, I know you really do not like something in vain and no benefits. But so far I have been negligent. But definitely I am now aware, there have been mistakes in many of us diIndonesia paradigm in dealing with sick children. 

In the Netherlands, my friend used to come home from the doctor without taking drugs. He was a doctor usually 'only' for consultation, confirm the diagnosis and treatment of disease best son, and assured him that his son was fine.But in Indonesia, is not a paradigm that is still often held to be a doctor = medicines? Thus, doctors often can not act rationally because of the demands of patients. I am aware of the health system in Indonesia is still complicated. National drug policy has not been in favor of the people. Drug companies are free to act without any strict rules and regulations of the government. Doctors are free to prescribe any medication without a doubt have horrified. In essence, the existing health system in Indonesia at this time make it difficult for doctors to be rational.Then the end of the base where the harm? It was useless to look for wrong end of the base. Designate who was at fault was not any good. But the conditions obviously can not be tolerated. Who should initiate the change? Government, doctors, health workers, drug companies, would all have to change.However, in these conditions, expected changes in government policy in the near future as pungguk really missed the moon. To be sure, as our patient could not remain silent. Who said the patient had no power to change the health system? At least, when the patients 'move', a health problem in Indonesia, the main events that are not rational use of drugs and medical errors would be reduced. Not only that, health care financing can be saved, so it is no longer happening unnecessary waste.In public health science there are 5 stages of treatment in patients that is promotive, preventive, curative, rehabilitative, and palliative care.A. Promotive health information that is disseminated to the public so that people have the power to prevent the disease.2. Preventive action is undertaken by the public and health professionals to prevent the occurrence of such diseases with vaccines or with the police.3. The curative actions taken by physicians to treat patients who have been ill.4. Rehabilitative actions taken by the health workers to prevent further occurrence of physical disability due to an illness.5. Palliative, given the actions of health workers to reduce pain in patients who may not survive. As well as possible treatmentBest treatment is time before we become ill, on promotive and preventive action. Rather than rush to give drugs that are less necessary in children, she should be more careful to follow the articles about health can prevent disease in children (eg provide a balanced nutritional intake, maintaining a clean healthy lifestyle in children, etc.). Let us wiped out the irrational treatment of the children in this country right now.
REFERENCESDarmansjah, Iwan. , 2005. Why Kids Continue to heat-cold?. Popular article; http://www.iwandarmansjah.web.id/popular.php?id=21Guyton. , 2009. Textbook Physiology. EGC: Jakarta.Team HPI. Of 2011. Public Health guide. FKUII: Yogyakarta.