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Notes on antibiotics for the elderly

Most of the elderly (the elderly) the functions of the body are reduced, aging gradually over the years. So when to take antibiotics for the elderly must be very careful.



The problems the elderly face when antibiotics

Previously elderly people infected may have used an antibiotic that, today again the same type of antibiotic that is the less restrictive effect or effects reduced circumstances.

When the body was old, the body parts are also aging. The extent of absorption of antibiotics decreased more or less depending on the degree of aging of the body each. If the degree of aging at the better absorption than body aging more. And the degree of aging increases, the ability to bind to plasma proteins also decreased.

Due to the use of antibiotics excreted by the digestive tract stretching would destroy some bacteria make vitamin K NCT lacks significant amounts of vitamin K, vitamin often complicated by a number of intestinal syntheses.

The excreted by the kidney, antibiotics will also decrease, especially antibiotics, beta-lactam group, aminoglycosides, sulfonamides, co-trimoxazole ... NCT phenomenon due to declining nephrons leads to impairment kidney, affecting the health of the elderly.

On the other hand, some intestinal bacteria capable breakdown of digoxin in the gastrointestinal tract, if antibiotics excreted by the gut too much will increase the absorption of digoxin and make digoxin concentration in plasma increased, as toxicity also increase the body NCT.

In the elderly, kidney function has declined so easy antibiotic toxic to the liver, kidneys; if needed to reduce the dose required. Body elderly have increased fat mass, decreased lean mass, reduces the drug delivery into the tissue cavity, the drug is distributed unevenly. Doctors easy to assess efficacy if only mistaken view of the drug concentration in the blood.

When antibiotics for the elderly with high doses and prolonged time can be toxic for the elderly due to a number of antibiotics that contain Na +, K + as carboxypenicillin, penicillin.

For Physicians

After the patient medication doctor should regularly check the results of antibiotics on patients. If found not to be effective, must review the diagnosis because the disease often has multiple simultaneous appearances on the body of the elderly. Review the selection of antibiotics, dosages, antibiotics access conditions to drive on a sick body was aging, consider the status of antibiotic-resistant bacteria. When antibiotics for the elderly, should choose to use an antibiotic. If the necessary combination of drugs must be considered antagonistic drug or the contract.

Mastering the location, history of drug allergy of the patient to accurate drug prescriptions for patients.

For the elderly

Elderly people need to adhere to the instructions of your doctor about treatment options like Doxycilin drink in between meals with half a cup of water to drink in a sitting position or standing to avoid irritation of the gastric mucosa, ulceration listing the opening of the esophagus. Augmentin, color ... need to drink at the beginning of the meal.

Elderly people must not purchase and use of antibiotics, although previously they had been used in the hospital. Immediately stop the medication and health facilities to explore when they see the unusual expression.

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