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Let nature take its course when it comes to most eye infections, researchers urge

Stephen Gadd
June 11th, 2018


This article is more than 6 years old.

Resistance to antibiotics is a growing problem and nearly everyone agrees that we should be using less of these drugs if they are to retain their effect

An eye with bacterial conjunctivitis (photo: Tanalai)

Most parents will recognise the symptoms: their child wakes up with eyes glued together with pus and their eyes are red and itching. The temptation is to call the doctor as soon as possible to get something to treat the complaint, because otherwise they might not be able to drop their child off at an institution.

Danish doctors are very generous when it comes to prescribing antibiotics for children’s eye infections compared to their Nordic neighbours.

Researchers from the eye clinic at Glostrup Hospital have just published a study revealing that from 2000-2015, Danish children 0-4 years old were prescribed 271,980 courses of antibiotics for eye complaints such as infectious conjunctivitis, reports DR Nyheder.

That figure equates to 210 children out of every 1,000 being given drugs. The equivalent figures from Sweden and Norway are 50 out of every 1,000 and 150 out of every 1,000 respectively.

Wait and see
However, it seems as if much of the prescribed medicine is unnecessary.

“The vast majority of eye infections amongst children are not harmful and go away by themselves in a couple of days, so antibiotics are superfluous,” said Jasmine Andersson, a doctor and PhD student responsible for the study.

READ ALSO: Ordinary infections don’t damage young brains, study shows

Infectious conjunctivitis is caused either by a virus or bacteria, and mild forms are no more catching than a cold. Also, antibiotics don’t have any effect on the form caused by a virus.

Just coping in the busy working day
So why does Denmark stand out when it comes to treatment methods? One reason could be because parents feel they can’t drop their child off at an institution if the child has conjunctivitis.

However, Andersson emphasises that in the general guidelines for institutions, there are no requirements for the child to be undergoing treatment unless it a serious case.

“It appears there is a fundamental difference in the perception of the nature of the problem,” said Anders Beich, the chair of the Danish college of general practitioners.

“This could be both with regard to doctors and patients, but also at the institutions where the children are looked after – and also society in general, which sets the norms for family life where families with children are under pressure,” added Beich.

Beich adds that institutions should be made more aware that conjunctivitis is no more infectious than a cold. He also feels that things are changing as the trend is already to prescribe fewer antibiotics to small children.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”