Antibiotic for children added to list of out-of-stock drugs
Most infections in children do not require antibiotics, recalls Dr. Benoît Heppell.
It is increasingly difficult to obtain amoxicillin clavulanic acid, a children's antibiotic commonly known as clavulin.
It is an antibiotic that is commonly used for bacterial infections in children. This is not our first line. Our first line is half of the antibiotic [clavulin], the amoxicillin part, the famous banana syrup that is often prescribed for superinfected rhinosinusitis, for otitis, pharyngitis, pneumonia. Sometimes you can't get rid of the infection and you have to go to the second line, explains Dr. Benoît Heppell.
According to the latter, it is not the only antibiotic in suspension (in liquid form) that is out of stock. I am thinking of Cefzil, which is a close family of penicillins. Fortunately, to treat bacterial infections, we don't just have one tool. There are plenty of antibiotics of different classes. You can go for other options.
However, in some cases, it is important to have access to all kinds of antibiotics, recalls the Dr Heppell. There are children who have allergies or, sometimes, they have taken antibiotics in the last few weeks, which forces us to use another class to avoid resistance.
“When you have a tool like the clavulin amputated, you have less choice on the table and, sometimes, it complicates it. »
— Dr. Benoît Heppell
Dr. Heppell says he frequently faces complex situations brought on by drug shortages. I saw a child last week who has taken countless antibiotics in the past year for recurrent infections. Clavulin was not available. He had an allergy to something else. You end up having fewer ideas and you don't want to go to intramuscular or intravenous antibiotics for such mundane conditions.
Dr. must lead physicians to reflect on the proper use of antibiotics. The majority of infections seen in children are viral and do not require antibiotics. […] We must not be too early in the use of antibiotics because we develop resistance and because perhaps we will use them for nothing while we miss it.
Dr. Heppell also reminds us that it is not only doctors who must be made aware, but parents too. There is a lot of education to be done also among the people who come to see us. Often they expect to have antibiotics [when it is not necessary].