This medicine is gentamicin.
There are not few children who have used gentamicin. Gentamicin may be found in prescriptions for gastroenteritis, upper respiratory tract infection, pneumonia, etc.
But this medicine has great hidden dangers.
About 30,000 children in our country suffer from toxic deafness due to improper drug use every year, of which more than 95% are aminoglycoside drugs. Gentamicin is the most commonly used aminoglycoside antibiotic.
Under normal circumstances, don’t give children this drug!
Gentamicin has ototoxicity, so inject it carefully.
Gentamicin, an aminoglycoside antibiotic, has serious ototoxicity and nephrotoxicity.
Poisoning symptoms of ototoxicity include vertigo, tinnitus, deafness, etc.
Nephrotoxicity is manifested as kidney injury or acute renal failure, and serious death due to uremia.
The instructions for gentamicin injection also said:
In pediatrics, this drug should be used with caution.
Once, thousands of children could not hear because of gentamicin injection. In recent years, cases of deafness and even death of children caused by random use of gentamicin still occur from time to time.
Oral administration and atomization of gentamicin also have certain risks.
In children’s medication, oral gentamicin is also often used to treat diarrhea.
Studies may show that:
Not only gentamicin for injection, gentamicin can cause toxic deafness at any dose, any treatment plan and any serum level.
In 2006, CCTV reported a real case in its Weekly Quality Report:
The 8-month-old boy was diagnosed with antibiotic deafness by experts in Beijing.
Unfortunately, the little boy’s four-year-old brother was deaf two years ago due to the same disease and the same antibiotic.
The antibiotics taken orally by both children are gentamicin.
Antibiotics are not required for common diarrhea.
Even if enteritis is clearly caused by bacterial infection, gentamicin is not the only antibiotic to choose from, and relatively safer penicillins or cephalosporins can be selected for treatment.
In addition, the abuse of gentamicin in children’s atomization is also very common.
At present, there is no atomized dosage form of gentamicin in our country. The atomized dosage form is injection form, which is not within the scope of use in the drug instructions.
Aerosol inhalation of gentamicin is completely beyond the instructions. Not only is there no definite curative effect, but also there is a lack of standardization. The dosage of drugs is difficult to grasp and there are risks.
In 2016, < < Expert Consensus on Application of Atomization Inhalation Therapy in Respiratory Diseases > >, gentamicin injection atomization was identified as nonstandard usage.
Again, gentamicin should not be abused.
Gentamicin has great toxic and side effects on children. Why is it still abused by various kinds?
On the one hand, many parents do not know about gentamicin medication and blindly use it for their children.
On the forum of Clove Garden, many doctors said that the use of gentamicin was [a necessity].
In addition, in many guidelines and teaching materials guiding clinical medication, the labeling of gentamicin is not consistent, resulting in many [blind spots] in clinical medication.
Some people say that any medicine has side effects, as does gentamicin.
Some people also said: I used it when I was a child (my children used it), no problem.
Because the side effects of gentamicin are largely related to heredity, survey data show that about 4-5 out of every 100 Chinese carry deafness genes.
People carrying this gene are more likely to suffer from deafness after medication. However, the popularity of deafness gene screening in China is limited and the public awareness is very low. How many parents will want to do a deafness gene screening for their children after their children are born?
The probability of side effects of gentamicin may be a few in 1,000, but it is 100% on children.
Under normal circumstances, children have diarrhea or fever and pneumonia, which have the same effect but are much less risky drugs to choose from.
Remind parents to pay attention:
Don’t give your child gentamicin at will.
Protect children and don’t let them take risks in vain.