homeopathy as an alternative to antibiotics · rhinopharyngitis in children trichard m, chaufferin...
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HOMEOPATHY AS AN ALTERNATIVE TO
ANTIBIOTICS
Professor Dr. Michael FRASS Medical University of Vienna, Department Medicine I
Doctor´s Asscociation for Classical Homeopathy www.aekh.at
President, Umbrella Organization of Austrian Doctors for Holistic Medicine
www.ganzheitsmed.at 1. Chairman of Scientific Society for Homeopathy
www.wisshom.de
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PROBLEMS WITH ANTIBIOTICS
• Resistance against antibiotics (AB) increasing • Upper airway infections caused by viruses in 90% • AB do not help against viral infections • 75% of AB prescribed for upper airway infections
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PROBLEMS WITH ANTIBIOTICS
• Diarrhea (up to 47.8% rate in children treated for definite otitis media) • Diaper dermatitis • Anaphylaxis and other allergic reactions
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PHARMACOECONOMIC COMPARISON BETWEEN HOMEOPATHIC AND ANTIBIOTIC TREATMENT STRATEGIES IN RECURRENT ACUTE RHINOPHARYNGITIS IN CHILDREN TRICHARD M, CHAUFFERIN G, NICOLOYANNIS N HOMEOPATHY 2005;94:3-9
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OBJECTIVES
Pharmacoeconomic study comparing: • medical effectiveness • quality of life • costs of 'homeopathic strategy' vs 'antibiotic strategy‘ in routine medical practice by allopathic and homeopathic GPs in treatment of recurrent acute rhinopharyngitis in 18-month to 4-year-old children.
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METHODS
499 patients, 6-month prospective, pragmatic study Patients regrouped according to type of drug prescribed Medical effectiveness assessed: • episodes of acute rhinopharyngitis • complications • adverse effects • Quality of life: Parents-ENT-Qol
scale
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RESULTS
Homeopathic strategy: significantly better results than antibiotic strategy: • medical effectiveness (number of episodes of rhinopharyngitis: 2.71 vs 3.97, P<0.001 • number of complications: 1.25 vs 1.95, P<0.001 • quality of life, global score: 21.38 vs 30.43, P<0.001
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RESULTS
Homeopathic strategy: • lower direct medical costs covered by Social Security (88 vs 99 Euros, P<0.05) • significantly less sick-leave (9.5% vs 31.6% of parents, P<0.001)
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CONCLUSION
Homeopathy may be a cost-effective alternative to antibiotics in the treatment of recurrent infantile rhinopharyngitis.
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CASE REPORT: CHILD 5 Y
• Mother desperate on weekend: little daughter fever up to 38°C together with pain in region of umbilicus. • Pain extends transversely across abdomen to right side, no extension to scapulae
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CASE REPORT: CHILD 5 Y
• Repertorization: Abdomen pain
umbilicus, abdomen pain region of umbilicus transversely across.
• Therapy: Chelidonium C30
• 10 min later: no more pain • 1 h later: no more fever • No antibiotic needed
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FISTULA LEFT EAR: CHILD 16Y
Innate. Surgery unsuccessful. Ear swells, red, hot, painful: Belladonna C30
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FISTULA LEFT EAR: CHILD 16Y
Spontaneous opening of fistula with suppuration. Discharge stops without further antibiotic treatment.
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Septic fever caused by submandibular abscess cured without antibiotics. Opening of abscess with discharge of putride liquid without surgical intervention (Day 5) („Take it easy“)
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METAANALYSIS INFECTIOUS DISEASES: 17 STUDIES WITH BINARY ENDPOINT
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METAANALYSIS INFECTIOUS DISEASES: 10 STUDIES WITH CONTINUOUS ENDPOINT
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RANDOMIZED CONTROLLED PILOT STUDY TO COMPARE HOMEOPATHY AND CONVENTIONAL THERAPY IN ACUTE OTITIS MEDIA. Sinha MN, Siddiqui VA, Nayak C, et al. Homeopathy 2012;101:5-12
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ACUTE OTITIS MEDIA
• Doubleblind placebo-controlled trial of homeopathy vs conventional
treatment in AOM (n = 81) • Both groups: equivalent recovery
rates by end of study • Homeopathy group: - more rapid onset of symptom improvements - much lower rates of antibiotic prescriptions (0%) than conventional group (97.5%)
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ADJUNCTIVE HOMEOPATHIC TREATMENT IN PATIENTS WITH SEVERE SEPSIS: A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL IN AN INTENSIVE CARE UNIT M Frass, M Linkesch, S Banyai, et al. Homeopathy 2005; 94: 75-80
Background: Mortality in patients with severe sepsis high despite several therapeutic strategies Aim of this randomized, double-blind, placebo-controlled trial: to evaluate whether homeopathy is able to influence long-term outcome in critically ill sepsis patients
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ADJUNCTIVE HOMEOPATHIC TREATMENT IN PATIENTS WITH SEVERE SEPSIS: A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL IN AN INTENSIVE CARE UNIT
Methods: Ò 70 patients with severe sepsis received homeopathic treatment (n = 35) or placebo (n = 35) Ò Five globules in a potency of 200c given at 12 h interval during stay at ICU Ò Survival after a 30 + 180 days recorded
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SURVIVAL IN SEPSIS
Significant better survival with additive homeopathy
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ADVANTAGE OF HOMEOPATHY
• Homeopathic medicines are generic and low-cost in comparison with antibiotics
• No side effects • Metabolism of patient not affected • If number of conventional drugs
(especially in elderly) patients can be reduced, the number of potential interactions between conventional drugs can be reduced
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HOMEOPATHY ALTERNATIVE
• Homeopathy can be an alternative to AB
• Existing literature supports evidence