Tag Archives: antibiotics

From the desk of Doc Smo – Rx Trends in Children (Article)

Who would have ever thought when I was in medical school that I would be touting my pediatric colleagues’ reduction in the use of antibiotics–one of the greatest medical discoveries of all time–as a major accomplishment. I remember to this day the lecture in med school when the Professor of Pharmacology described how the pioneers of antibiotics felt that they had discovered the “Silver Bullet”: the cure for all infectious diseases. But alas, like all great technological advances, they come with limitations and problems. The past 25 years, doctors have developed a new found respect for the amazing little creatures we call bacteria, viruses, parasites, and fungi. Nimble is an understatement for how amazingly fast these creatures can adapt to all sorts of medications meant to halt their growth. The more doctors use antimicrobial drugs, the faster they become irrelevant.

This brings us to the subject of children and drug use. Children are big consumers of antibiotics, because infectious diseases are their main source of illness. Experts have been very anxious to find safe ways for pediatricians and family doctors to use fewer antibiotics, especially in children. In the July 2012 issue of Pediatrics, epidemiologists at the FDA reviewed data on the use of antibiotics as well as other medication classes in children during the period from 2002-2010.  Here is the breakdown:

Antibiotic usage down 14%                                                         Asthma medication usage up 14%

Allergy medication usage down 61%                                         ADHD medication usage up 46%

Pain medication usage down 14%                                             Contraception usage up 93%

Depression medication usage down 5%

Cough/Cold medication usage down 42%

The conclusions that I draw from this data are that pediatricians continue to make progress in the judicious use of antibiotics. This is great news for everyone. Hopefully keeping our antibiotic “powder dry” will make these medications more effective in the future, especially for children with serious infectious diseases. As for the rest of this data, that is a subject for another memo or two.

I welcome your comments so feel free to go to  www.docsmo.com  and voice your thoughts. Until next time.


Probiotics Update with Dr. Sheila Kilbane (Pedcast)

The “Let’s Talk Kids” podcast is fortunate to have as our returning guest, Dr. Shelia Kilbane who is an expert in integrative medicine.  She focuses her expertise in this Pedcast on teaching us about the role of  microbial life in maintaining your children’s good health.  You don’t want to miss her perspective on the topic of probiotics. As always, Dr Kilbane is informative, practical, and up to date.  Join us won’t you.


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1.    Weizman Z, et al.  Pediatrics (2005)115:5-9.

2.    Isolauri E, Arvola T, Sutas Y, et al.  Probiotics in the management of atopic eczema.  Clin Exp Allergy (2000);30:1604-10.

3.     Isolauri E, Juntunen M, Rautanen T, Sillanaukee P,Koivula T.  A human Lactobacillus strain (Lactobacillus casei sp strain GG) promotes recovery from acute diarrhea in children. (1991) Pediatrics 88:90-7.

4.     Kalliomaki M, Salminen S, Arvilommi H, et al.  Probiotics in primary prevention of atopic disease:  A randomized placebo-controlled trial.  Lancet (2001)357:1076-9

5.     Vanderhoof J, Young R.  Probiotics in Pediatrics.  Pediatrics (2002)109;5:956-8.

6.      Szajewska H, Mrukowicz J.  Probiotics in the Treatment and Prevention of Acute Infectious Diarrhea in Infants and Children:  A Systematic Review of Published Randomized, Double-Blind, Placebo-Controlled Trials.  J of Ped Gastroenerology and Nutrition (2001)33:S17-S25.

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The Naked Truth about Acne from Dr. Primmer (Pedcast)

Dr Primmer brings her wisdom and humor to the subject of acne in teens. Check out Dr Sue’s advice regarding acne!

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