How to Prevent Antibiotic Resistance

Antibiotic Resistance pic
Antibiotic Resistance
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Dr. Zachary Lutsky has been a practicing emergency physician for 15 years. Due to his experience, Dr. Zachary Lutsky has become familiar with antibiotic resistance.

Antibiotics inhibit the growth of bacteria that cause infections in the body. Over time, however, bacteria may become resistant to these antibiotics.

To prevent this from happening, doctors recommend being cautious about antibiotic use. According to the CDC, about half of all antibiotic use is unnecessary.

Reducing the widespread use of antibiotics is the responsibility of both physicians and patients. Medical professionals should not prescribe antibiotics unless their use is necessary.

Patients should take their antibiotics only as prescribed by their doctors. They should make sure to finish thew course of antibiotics prescribed. Patients should not take any leftover antibiotics or take anyone else’s antibiotics. Medication taken carelessly will promote antibiotic resistance.

In addition to limiting antibiotic use, the general public can prevent the need for antibiotics by staying immunized. Vaccination programs are important in stopping the spread of diseases, the use of antibiotics, and as a result, antibiotic resistance.

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Lifestyle and Medical Risk Factors of Stroke

 

Stroke pic
Stroke
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Dr. Zachary Lutsky completed his MD in emergency medicine at Rosalind Franklin University’s Chicago Medical School and residency at Harbor-UCLA Medical Center in Torrance, California. Dr. Zachary Lutsky served for 12 years as an attending physician in the Emergency Department at Cedars-Sinai Medical Center, where he saw a variety of medical conditions, including stroke.

Stroke occurs when part of the brain stops getting blood. Below are some of the lifestyle and medical risk factors of stroke to which you should pay attention.

Lifestyle factors

Unhealthy diet. Eating oily foods will increase the level of fat in the blood, which can result in blockages in the arteries.

Smoking and tobacco use. Smoking increases clot formation and thickens the blood, which increases the amount of plaque formation in the arteries.

Alcohol use. Heavy consumption of alcohol increases the blood pressure and risk of stroke. Alcohol can also create problems as it interacts with other medications.

Drug use. Recreational drug use is also a risk factor for stroke. If drug use triggers a stroke, it usually happens within a few hours.

Stress. Stress exerts a high toll on the body. Individuals with high levels of stress also often have high cholesterol and blood pressure, which makes them more likely to experience narrowing of the arteries, thus increasing their chances of having a stroke.

Medical factors

Hypertension (high blood pressure). High blood pressure causes the heart to pump harder in order to circulate blood throughout the body. It ultimately weakens the blood vessels and may also damage important organs such as the brain.

High cholesterol. High cholesterol in the blood can block the normal flow of blood to the brain by creating a narrowed pathway or even a blockage in the blood vessels, thereby causing a stroke.

Irregular pulse. Atrial fibrillation, the medical term for an irregular pulse, is also among the risk factors for stroke. If the heart beats irregularly and rapidly, blood cannot be circulated quickly enough, causing slow blood flow and increased chances of a stroke.

Antibiotics Save Children’s Lives While Boosting Drug Resistance

 

Zachary Lutsky
Zachary Lutsky

A well established California emergency medical care provider, Zachary Lutsky, MD, maintains active membership with the American Board of Emergency Medicine. Experienced in diverse aspects of medical treatment, Dr. Zachary Lutsky has a personal interest in the overprescription of antibiotics and how this is leading to antibiotic resistance.

A recent article in Wired examined the “Catch-22” involved in this issue, with a recent article published in The New England Journal of Medicine pointing toward decreased mortality among African children from trachoma when provided with annual doses of the antibiotic azithromycin.

The issue is that, while saving lives, the practice of healthy children being given antibiotics is generally proscribed because it expedites the process of bacteria adapting to medicines and developing resistance. The question starkly presented is whether the trade-off of one child’s current survival vs. a potential future death from drug-resistant infection is worth it.

This very issue was documented within the study, with the children taking antibiotics no longer susceptible to trachoma, yet experiencing greater resistance from pathogens such as E. coli and streptococcus pneumoniae. The bottom line is that in order to minimize use of antibiotics in the developing world, aspects of health such as nutrition, sanitation, and water must be emphasized.

Indispensible First-Aid Skills

 

Heimlich Maneuver pic
Heimlich Maneuver
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In 2006, Dr. Zachary Lutsky began his career as an emergency physician, and has spent most of his carereers handling the sickest of patients at Level 1 trauma centers including the Harbor-UCLA and Cedars Sinai medical centers.

In addition to calling for 911 and securing the scene of the accident or trauma, bystanders can act as first-responders and provide care until help arrives. The key to providing meaningful aid during an emergency is to obtain adequate training in advance. The actions of a trained bystander can mean life or death. First-aid courses are offered around the country at hospitals and medical centers, by public safety agencies, and by the Red Cross, to help people learn skills such as the following:

Heimlich Maneuver – This involves pressure on the abdominals from behind to dislodge an object that is blocking a choking victim’s airway. The Heimlich can also be performed alone, using a chair.

Treating Deep Wounds – The most vital step is to stop the bleeding by applying pressure and elevating the wounded area. First-aid providers should try to be as sterile as possible, using gloves and bandages if available.

Managing Shock – People can go into shock after a sudden injury. Some symptoms include sweating, confusion, and shallow breathing. Bystanders who recognize these signs in an accident victim should help him/her lie down and provide a blanket to help stabilize body temperature.