Do you know? Sometimes, antibiotics not only do not save lives, but can become the "murderers" of death! Today, I'm going to tell you about a sad case of a 60-year-old male patient who ended up ...... because of prolonged antibiotic use
This is a 60-year-old male patient who was admitted to the hospital with nephropeteral stones with fluid accumulation and infection, as well as a bunch of complications: sepsis, hypertension, acute kidney failure, type 2 diabetes, ...... The condition is complicated and painful. Our team actively fought infection, left nephrostomy, rehydration, and hypoglycemia, and after some efforts, the condition finally improved. However, the good times did not last long, and the patient developed poor appetite and fatigue again, and was transferred to our hospital for further treatment. I thought it was just routine rehydration and nutritional support, but I didn't expect that it was just the calm before the storm.
The patient's kidney function is like a roller coaster, creatinine and urea are high and low, and blood gas is also worrying. The blood sugar of diabetes is well controlled, but the lung infection is like an uninvited guest, coming again and again. We used ceftazidime, and we managed to control the infection, but then generalized shingles came out.
The treatment process is really twists and turns, the patient coughs and coughs up sputum aggravated, and diarrhea also comes to find trouble. We stopped antibiotics and used montmorillonite powder and bifidobacteria to regulate the intestinal flora, and the diarrhea was finally cured. However, the lung infection returned, and this time we took ampicillin sulbactam, but the fever did not go away.
After checking and checking, I just couldn't find the source of the infection. We guessed it might be an intestinal problem, but the patient was already diarrhea-free. Levoxia and amikacin could not be used because of poor kidney function, so we had to switch to ceftazidime again. Unexpectedly, the diarrhea came again, this time it was watery. We tried a variety of methods, but the symptoms were still mild.
The patient's condition became more and more complicated, and we began to suspect a fungal infection, and fluconazole was used, but it didn't work. The body temperature is getting higher and higher, but the blood pressure is starting to drop. We considered that there was still a high possibility of intestinal infection, and after using piperacillin sulbactam, the vital signs finally stabilized. But the diarrhea is more severe, with mucus-like stools, nasal discharge, and pus and bloody stools......
We tried our best, but the patient's condition took a turn for the worse. oliguria, tachypnea, acidosis, and progressive decline in hemoglobin...... In the end, the patient left us because of respiratory and circulatory failure.
This case made me realize that antibiotics are not a panacea. Prolonged use of broad-spectrum antimicrobials can lead to dysbiosis of the intestinal flora and lead to a variety of unpredictable infections. This patient suffered from antibiotic-related diarrhea, intestinal infection, gastrointestinal bleeding and other problems, which ultimately led to an unfortunate outcome.
Therefore, I would like to remind everyone that antibiotics must be used with caution! Not all infections require antibiotics, and antibiotics don't always get better. During use, it is necessary to pay close attention to the changes in the patient's condition and adjust the treatment plan in time. At the same time, it is also necessary to pay attention to protecting the patient's intestinal flora to avoid similar tragedies.
The above patient's story is actually a cautionary record about antibiotics. So, why do antibiotics cause intestinal dysbiosis? This is actually a complex physiological process. Our gut is home to a large number of microorganisms, which are interdependent and mutually restrictive with our body to maintain the health of our gut. However, when we use antibiotics, these microorganisms are also killed, resulting in an imbalance in the intestinal flora.
When the intestinal flora is out of balance, some harmful bacteria will take the opportunity to multiply in large numbers and cause various intestinal infections. This patient suffered from antibiotic-related diarrhea, intestinal infection, gastrointestinal bleeding and other problems, which ultimately led to an unfortunate outcome.
Therefore, I would like to remind everyone that antibiotics must be used with caution! Not all infections require antibiotics, and antibiotics don't always get better. During use, it is necessary to pay close attention to the changes in the patient's condition and adjust the treatment plan in time. At the same time, it is also necessary to pay attention to protecting the patient's intestinal flora to avoid similar tragedies.
So, how to protect the intestinal flora? Actually, it's not that hard. First of all, we need to use antibiotics rationally and avoid using them for a long time and in large doses. Secondly, we can regulate the intestinal flora through diet. For example, eat more foods rich in probiotics, such as yogurt, kimchi, etc. In addition, maintaining a regular routine and proper exercise also contribute to the balance of intestinal flora.
Of course, in addition to intestinal dysbiosis, this patient's case involved many other health problems. For example, his kidney failure, high blood pressure, diabetes, etc. These problems are closely related to his lifestyle habits and eating habits.
Long-term high-salt, high-sugar, and high-fat diets can lead to the occurrence of chronic diseases such as hypertension and diabetes. These diseases, in turn, can further damage our kidneys and other organs. Therefore, in order to maintain health, we must not only use antibiotics rationally, but also pay attention to adjusting our lifestyle and eating habits.
During the treatment of this patient, we also encountered a question: how to choose the right antibiotic? Actually, this is a very professional question. Different antibiotics have different bactericidal effects against different bacteria. Moreover, the same bacteria may also develop different drug resistance in different parts and different environments.
Therefore, when choosing antibiotics, we must consider them comprehensively according to the specific situation of the patient and the results of drug susceptibility tests. Antibiotics should not be used blindly, let alone changed at will. Failure to do so can not only lead to treatment failure, but also lead to more health problems.
In addition to the choice of antibiotics, this patient's case involved a number of other treatment issues. For example, how to control infection, how to improve kidney function, how to adjust blood sugar, etc. These issues require our doctors to develop a personalized treatment plan based on the specific situation of the patient.
During treatment, we also need to pay close attention to the changes in the patient's condition. Once an abnormality is detected, the treatment plan should be adjusted in time. For example, when this patient had diarrhea, we stopped antibiotics in time and used drugs such as montmorillonite powder and bifidobacteria to regulate the intestinal flora.
However, despite our best efforts, this patient eventually left us. This makes us deeply saddened and helpless. But it also makes us more aware of the importance of rational use of antibiotics and the protection of intestinal flora.
So, I want to remind you once again: antibiotics are not a panacea! When using antibiotics, be cautious and cautious! At the same time, you should also pay attention to protecting your intestinal flora and physical health. Only in this way can we stay away from the "trap" of antibiotics and have a healthier and better life!
In closing, I would like to say: health is not everything, but there is nothing without health! Let's work together to cherish, protect and enjoy health