Antibiotics are not anti -inflammatory drugs, most inflammation does not require antibiotics

The World Health Organization has recently updated a lot of suggestions on the new crown, two of which have attracted my attention:

1. Antibiotics cannot prevent new crown pneumonia

2. I also mentioned in things that should not be done. Do not smoke, do not wear multi -layer masks, do not take medicine by yourself, such as antibiotics.

This can’t help but remind me of a paper that I saw before the illness and therapeutic drugs of 138 patients who admitted to the hospital.

All patients received antibacterial drugs, 90%received antiviral therapy, and 45%received hormone drugs.Antibacterial drugs are invalid, and antiviral drugs are not effective (including SARS and MERS).The amount of hormones vary according to the symptoms, but it is not observed.

Although the application of antibiotics has become more and more standardized in recent years, antibiotic abuse is still a serious problem in the world.

Antibiotics are often used in pneumonia, but it is by no means all pneumonia needs to use antibiotics.Pneumonia caused by virus infections is not used to use antibiotics.

Recently, I took my dad to look at the teeth. The old man silently finished eating antibiotics brought from China and still told me very much.Although Dad’s teeth are inflamed, antibiotics should not be used!

"The old man thinks,

Where it hurts to be inflammated and has inflammation, use anti -inflammatory drugs ""

"Anti -inflammatory drugs are not equal to antibiotics,

So the throat pain, toothache, you need to use Bu Luofen, not cephalosporins, etc. "

The above is two comments received by the public account not long ago, so I decided to write the difference between antibiotics and anti -inflammatory drugs for everyone.

Many people think that antibiotics are anti -inflammatory drugs and can treat all inflammation, and I have been convinced of this.When I was a kid, I often caught a cold. I still remember that when I met my throat at that time, I ate Amoxicillin almost every time.

It was not until later that I started to learn medical knowledge that I realized that antibiotics and anti -inflammatory drugs were two different concepts.Since childhood, I have eaten too much antibiotics …

Although I recognize the difference between antibiotics and anti -inflammatory drugs, there are too many people who don’t know.Many people still treat antibiotics as psychic medicine, whether they have a cold, sore throat, runny nose, or toothache, all use antibiotics.This not only does not help to relieve the condition, but also makes the already very severe antibiotic resistance.

It is precisely because of drug resistance that our ability to treat common infectious diseases has been threatened.Many infections, such as pneumonia, tuberculosis, sepsis, etc., are now increasingly difficult to cure, and sometimes even useless.For example, fluoroginone antibiotics are one of the most commonly used drugs for urethra infections caused by E. coli.However, E. coli has a wide range of resistance to such drugs. In many countries, Flugonone antibiotics have even been invalid for more than half of patients.

Picture source: pixabay

According to the World Health Organization, if you do not take action against antibiotics, in the next 30 years, antibiotic resistance may lead to 10 million people worldwide every year, which is equivalent to one person died every 3 seconds.many.

Therefore, I wrote this article about antibiotics and anti -inflammatory drugs. I hope that more people can recognize the difference between the two and reduce antibiotic abuse.

1 What is inflammation?

Anti -inflammatory drugs, as the name suggests, are drugs to eliminate inflammation.

Inflammation does not specifically refers to a certain disease, but a series of chemical reactions that occur in the body’s immune system. It is a self -protection mechanism of human body against damage.

There are many factors that cause inflammation, including viral infections, bacterial infections, fungal infections, parasitic infections, toxins, trauma (such as sprains, frostbite, burns), allergies, and so on.

As long as our body tissue is harmful, the immune system will turn on the "preparation state" to prepare to fight damage and promote damage repair.At this time, the blood flow of the injured parts increased and the vascular permeability increased, which caused a large number of substances such as white blood cells, antibodies, liquids and other substances in the area to prepare for the next battle.In battle, white blood cells are activated, and its ability to devour microorganisms is greatly enhanced, and the inflammatory medium is produced. The inflammatory medium has the effect of amplify the inflammatory response, and then more white blood cells reach the battlefield.

In this process, with the increase of blood flow, the inflammation of the body often becomes red, swollen, heated, and even stimulates nerves and makes people feel pain.Therefore, the typical manifestation of acute inflammation is "red, swollen, heat, and pain".

Picture source: pixabay

2 Antibiotics are not anti -inflammatory drugs

Antibiotics, also known as antibiotics/antibacterial drugs, is a drug that eliminates or inhibit bacterial growth and is used to treat or prevent diseases caused by bacterial infections.

As mentioned above, the source of human infection or injury to then cause inflammatory response is far more than one bacteria. It may also be viruses, fungi, parasites, allergies, trauma, etc.However, antibiotics can only deal with bacteria, thereby indirectly alleviating the inflammatory response caused by bacteria and invalidation for other causes. Therefore, antibiotics are not anti -inflammatory drugs.

Seeing that some people may be doubtful: "Since antibiotics can indirect inflammation by eliminating bacteria, it can be regarded as anti -inflammatory. Why not be counted as an anti -inflammatory drug?"

We might as well think about it. If a patient seriously affected his life and work due to bacterial infections, he asked for leave every day. The boss was about to expel him, and the patient suffered from depression.Finally, one day, his bacterial infection was completely cured by antibiotics, and the patient’s mood became better, and depression was no longer.If the logic of "antibiotics can indirectly eliminate inflammation, even anti -inflammatory drugs", then antibiotics indirectly help patients feel better, can it be regarded as antidepressant drugs?The drug is obviously not classified like this.

3 Which is an anti -inflammatory drug?

The current commonly used anti -inflammatory drugs are roughly divided into two types:

Steroid anti -inflammatory drug

Non-steroid anti-inflammatory drug

Steroids are also called "adrenal cortexins". It is a hormone secreted by the human body. It can regulate glucose, fat, protein, and electrolyte balance in the body.Under some special circumstances, the human body may also secrete steroids in large quantities, so that the body can deal with some emergencies, so steroids are also a type of pressure hormone.

Common oral steroids include sedematone, Porononona, Pastonett, Beamone, and hydrogenation.

Steroids have very good anti -inflammatory effects. They are a strong anti -inflammatory drug. They are often used to treat allergic reactions (such as urticaria, eczema, etc.), and their own immune system diseases (such as rheumatoid arthritis, erythema lupus erythematosus, etc.).Essence

Although steroids are very effective, it can also cause serious side effects. Therefore, doctors usually need to weigh the risk of drugs and the benefits of treatment.

Note: The concentration of infant eczema is very low, and it is safe to use under the guidance of a doctor.

Under normal circumstances, the side effects of low -dose or exterior steroids are low.Long -term oral risks will increase adverse reactions. Full moon faces, acne, cataract, glaucoma, hyperglycemia, high blood pressure, increased risk of infection, osteoporosis, etc.

Picture source: pixabay

Non-teroid anti-inFlammmatical Drugs (NSAID) has significant pain relief, anti-inflammatory (reducing red swelling and heat reaction of damaged parts) and antipyretic effects.It is a class of anti -inflammatory drugs that most people often come into contact with.

It is often used for:

Relieve general pain, such as toothache, dysmenorrhea, headache, migraine

Reduce fever caused by various reasons, such as colds, influenza, etc.

Relieve that muscle inflammation and pain, such as the pain and swelling of rheumatoid arthritis, swelling, strain, and sprain

Others, such as neuralgia, gout, soft tissue inflammation, postoperative pain, etc.

Commonly used non -sterolic anti -inflammatory drugs include aspirin, ibuprofen (ibuprofen, Merrill for children is ibuprofen), INDOMETHACIN (anti -pain), and NaproxenTo.

The left is adult medicine, and the right is children’s medicine

Since ibuprofen appears, it has to be mentioned for acetamol.Acetaminol is also a commonly used heat -relieving analgesic drug. However, its anti -inflammatory ability of peripheral tissue is poor, so it is not a "antipyretic analgesic anti -inflammatory drug".As an antipyretic medicine with ibuprofen, the antipyretic effect of acetylphenol is also very good and safe.

The left is adult medicine, and the right is children’s medicine

We don’t have to worry about the addiction of anti -inflammatory drugs. They are different from morphine drugs and will not make people addiction.

The risk of adverse reactions in non -steroidal anti -inflammatory drugs mainly depends on the length of drug types, dosage and use time.Common adverse reactions include nausea, vomiting, diarrhea, constipation and loss of appetite.

Some special groups, including pregnant and lactating women, elderly people, gastric ulcer or gastric hemorrhage, patients with cardiovascular disease and nephropathy, and asthma patients, should be cautiously treated with non -sterolic anti -inflammatory drugs.Suggestions.For example, it is not recommended to take any non -sterolic anti -inflammatory drugs during pregnancy, especially after 30 weeks of pregnancy, and should not be taken.Topical use must be obeyed.

In addition, children under 18 should avoid using aspirin.

Picture source: pixabay

4 Use antibiotics correctly

The antibiotics and anti -inflammatory drugs each perform their duties. The use of antibiotics in clinical use is divided into therapeutic drugs and preventive medications.

Preventive use, generally used before surgery (commonly used in intestinal, orthopedic surgery, etc.) to prevent bacterial infections that may cause surgery.

Therapeutic medication is used when determining bacterial infections or highly suspected bacterial infection, such as pneumonia and sinusitis; if it is virus infection, antibiotics are not required, such as normal colds and flu.

The American Centers for Disease Control and Prevention (CDC) gives a form on its website to tell you whether some common diseases need to use antibiotics.

* Acute bronchitis is sometimes caused by bacteria, but even in this case, antibiotics are still invalid

Most pneumonia is caused by pneumonia infection. There are fewer pneumonia caused by viruses, and fungal is rare.Mild pneumonia does not require hospitalization. Generally, oral antibiotics, rest and drinking plenty of water can be quickly relieved.If it is still not relieved after taking the doctor for three days, it may be pneumonia caused by drug -resistant bacteria, or caused by the virus.

Friends often ask, the above table does not need to use antibiotics, but!

The doctor prescribed antibiotics, is it still not used?

To reduce the opportunity of children’s abuse of antibiotics, you can ask the doctor a word: What kind of medicine is considering the disease?

As parents, we need to understand some common diseases of antibiotic applications:

Coccus laryngitis needs to be used with antibiotics, and other sore throats do not need.It is confirmed whether it is a splin laryngitis. The doctor can roughly judge the throat when you see the throat. If you have relevant symptoms, you need to do a fast antigen test or bacterial culture of the throat.General sore throat, without the symptoms of splinry laryngitis, do not need to be tested or antibiotics.

Acute bronchitis does not need to be healthy people (Related Reading: Does acute bronchitis need antibiotic treatment?);

Diarrhea usually does not require antibiotics.For people with normal immune function, they do not even need to test stools, unless there is a bloody stool (detected by the pathogenic bacteria), or it is highly suspected of cholera.What kind of pus is pus such as antibiotics is completely nonsense (related reading: what to do with baby diarrhea and vomiting? Roman virus vaccine, oral tonic salt salt, probiotic, zinc supplement … which is more reliable?);

Colds and influenza do not need (colds and influenza are caused by viruses, antibiotics are invalid);

Sinusitis and otitis media are required in some time (viral infection can also cause sinusitis and otitis media, and doctors need to judge);

Urinary tract infection is usually required (antibiotics often need to be taken according to the treatment after confirmation).

Correctly using antibiotics can reduce bacteria to produce drug resistance and effectively control infection.Once the antibiotics fail, it will be the disaster of all human beings. Each of us is responsible for preventing the continued spread of antibiotics.

If you need to use antibiotics, you should follow the following points:

1. Use it with prescriptions.Antibiotics are prescribed medicines, do not buy it from the pharmacy.If you are suspected of being infected with bacterial infections, you need to use antibiotics to be checked and judged by professional and reliable doctors, so as to know if antibiotics need to be used and choose appropriate antibiotics.

2. Take the medicine on time.Although "taking medicine on time" is not difficult to understand, there may not be many people who can really do.For example, if you eat antibiotics three times a day, you should eat it every 8 hours (not in the morning, middle, and late in the middle), so as to help maintain the concentration of drugs in the blood, thereby completely eliminating bacteria.

3. After taking the course of treatment.In accordance with the doctor’s order, even if you feel that your condition is improved early, you must persist, which can increase the chance of killing all bacteria and reducing the risk of drug resistance.Oral antibiotics do not wait, depending on the needs of the condition and the type of antibiotics.The type and treatment length of the doctor should be based on the best evidence.

If it is confirmed that you should not take antibiotics, but you are already eating, just stop.If you have eaten the wrong, there is no need to make mistakes and wrong.

4. Do not share antibiotics with others.Although sometimes the symptoms are similar, it is not necessarily the same disease. If you take it casually, you may not only delay the condition, screen out resistant bacteria, but also cause adverse reactions, causing danger.In the same way, we should not store antibiotics and keep it next time.


Antibiotics can only deal with bacteria, which is helpless to inflammation caused by any other form. Therefore, antibiotics are anti -inflammatory.

When toothache, headache, muscle pain, sprains, and sore throat most of the time, we need anti -inflammatory drugs, not antibiotics.

The problem of resistance to antibiotics is very serious. Only when each of us try to use antibiotics correctly as possible can we prevent the future from one day.


[1] CENTERS for Disease Control and Prevention. Get Smart: Know When Antibiotics Works in Doctor’s Offices. Viruses or BACTERIA – What’s Got You Sick? Https : // references/print-Materials/Everyone/Virus-Bacteria-Chart.html

[2] Medical News TODAY, Everything You Need to Know About Inflammation,

[3] Medical News TODAY, Antibiotics: All you need to know,

[4] World Health Organization, antibiotics resistance,

[5] The health information of the Hong Kong Special Administrative Region Government, the Department of Health, Drug Office, oral cortical steroids,

[6] The Hong Kong Special Administrative Region Government, the Department of Health, Drug Office, orally non -steroid anti -inflammatory drugs,


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