[Use of antibiotics in ambulatory pediatric care during the economic blockade].

Antibiotics are the most frequently prescribed drugs in the pediatric out-patient practice. The author, on the base of his personal experience, identifies and discusses relevant factors for the proper usage of antibiotics, through their behaviour under the conditions of economic blockade. These factors are: pharmaceutical industry, physician, patient and pharmacist. The shortage of many antibiotics as well as reduced communications of pharmaceutical companies with physicians, significantly disturb the therapeutical decision making process. Because of that, a physician has to confront optimal therapy, present situation in pharmacies, but also the economical power of patients--the availability of most antibiotics is possible only in the private sector. Wrong attitudes and habits of patients and of some physician with superficial approach to antibiotics irresponsible exchanges of antibiotics by some pharmacists and issuing antibiotics without prescription in the private sector, potentiate possibilities for misuse. Interaction of the mentioned factors determines present and future validity of antibiotics. The paper warns about the climate of their uncontrolled ways and suggests measurements for possible correction of present situation.