Study Urges Caution Giving Antibiotics to Kids (Pedcast)

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There It is a fascinating new study in the April 2015 Pediatrics that raises new questions about a medical instrument that has existed for almost 100 years, antibiotics. First discovered in the 1930s, antibiotics have saved millions of lives, no doubt, and have been a great tool for medical science. Until recently, doctors and scientists thought of antibiotics as directed weapons that are capable of selectively killing the germs that our bodies were fighting, invading germs, and leave the host, his son, with a balance of healthy bacteria, called normal flora.

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Recently these cases have begun to be questioned because of an observation that farmers have known for 60 years, which is … that the administration of small amounts antibiotics to farm animals growing ago fattened and larger than those animals that do not receive them. I think until recently that farmers assumed that these antibiotics just made sick animals and therefore less able to grow bigger, but now scientists are changing their minds about that. The new thinking, supported by the latest data in the journal Pediatrics, suggests that very young children receiving broad-spectrum antibiotics early in life, are at increased risk of being obese than two years that children around them raised in similar circumstances. Only an association, but interesting.

If we assume that this is true why should this be? What’s on antibiotics early in life that make animals and older children? The current belief is that many of these antibiotics change the type of “normal flora” of the child or animal carries in her intestine and changes the way the child digests food. For listeners hard core, you may remember that we discussed in the review of a book I did the book of Dr. Martin Blaser Missing microbes. It seems that the latest data is validated that thought. Not only find data that antibiotics had a promoting effect of growth in children, but the most powerful antibiotics and increased exposure, the greater the effect of promoting growth. I think this is powerful evidence that this is not just an effect of association, but also a real effect antibiotics.

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So What useful information can reach parents of all this. This is what I think; If you have a child under two years of age who is sick and needs antibiotics, have a conversation with your child’s pediatrician about the potency and duration of treatment to be used. Antibiotics are here to stay when it comes to children, but in the last 10 years, pediatricians are trying to pull back on their use, trying to hit the minimum without compromising the health of a child. I know those parents who oppose vaccines do not want to hear, but vaccines are our best way to reduce exposure to antibiotics by preventing infection from happening again. You know Doc Smo pearl; Prevention trumps treatment, every time! certainly true here.

As always, thanks for joining me today. I’d love to hear from you and would appreciate it if you take a minute to sign up on my website or iTunes. This is Dr. Paul Smolen, hoping it can stay on loop , with the latest medical tablespoon . Until next

Notes: Smo.

1.Antibiotic exposure in childhood and risk of overweight in the first 24 months of life

Pediatrics Volume 135, No. 4, April 2015

2 . Lack of microbes Martin Blazer, Henry Holt and Company, New York, 2014

3. missing, Martin Blaser, MD microbes (book review Pedcast) – See more at:

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