JAKARTA - The use of paracetamol in stolen children is the cause of mysterious acute kidney failure in children. Therefore, the Indonesian Pediatrician Association (IDAI) recommends parents not to give paracetamolāketerangans for children if they have a fever.
"The allegation from Gambia, Africa, is that there are dietilen glycol and ethilen glycol in drugAMps. For early vigilance, we first avoid mild drugs while monitoring whether the drug is in Indonesia," said Head of the Central Management of the Indonesian Pediatrician Association (IDAI) Piprim Basarah Yanuarso quoted from Antara, Wednesday, October 19.
According to Piprim, currently too many antibiotic medicinal products are circulating in the market, including those containing paracetamol. In fact, these products are often an instant path for parents in reducing child fever.
"What is being faced now is the therapeutic drug paracetamol or other cough cold drugs that have a mixture of dietilen glycol and ethilene glycol," he said.
The recommendation is an early alert system that can be applied by parents based on learning from the case of acute kidney failure in Gambia.
"IDAI recommends to the Ministry of Health to avoid taking the drug first," he said.
However, Piprim Basarah Yanuarso emphasized that cases of acute kidney problems in Indonesia did not occur in Indonesia.
"Of the 192 cases of acute kidney problems in Indonesia, not a single one has narrowed to a single conclusion," said Piprim Basarah Yanuarso.
Piprim, who is a pediatrician, said that IDAI and the Indonesian Ministry of Health are still investigating a number of theories related to acute kidney disorders in Indonesia.
The theory in question includes the influence of Adenovirus on COVID-19 survivors, Leptospirosis, to a mixture of dietilen glycol and ethilen glycol in solubles ofORous drugs containing paracetamol which is suspected to trigger the death of toddlers in Gambia, Africa.
"Learning cases in Gambia, the ethylene glycol content in soluble cough medicine has triggered many acute kidney disorders. At that time it was stopped, cases decreased," he said.
Based on the report, IDAI as an organization that accommodates pediatricians in Indonesia has a professional responsibility to provide maximum protection to children from all risk of disease.
One of them is by making the information that occurs in Gambia as a means of educating the public to rationalize drug use and get used to consulting doctors regarding drug consumption.
"IDAI is early vigilance. There are also many cases of acute kidney disorders that do not survive. Whatever there is suspicion, must be vigilant," he said.
According to Piprim, his party does not have the capacity to stop the use of drugs, but instead provides advice to the public to be wiser in taking drugs, including to children.
Symptoms of fever in children, said Piprim, are a body defense mechanism to get rid of the virus, so they can be tried with a warm compress. "Don't give medicine quickly," he said.
He said that the paracetamol circulating freely in the Indonesian market at this time is not necessarily the cause of acute kidney problems in Indonesia.
"For example, this morning I was contacted by one of the mothers of four children. He said his son was 7 months old," he said.
The child who died had three older siblings with the same symptoms of fever. The difference is that his brother took a drug containing paracetamol, while their younger brother who died did not.
"The evidence that the paracetamol drinks is okay. Even those who die do not consume paracetamol," he said.
IDAI still allows people to consume paracetamol as long as they meet the doctor's advice if they experience symptoms of fever, because the results of research related to acute kidney failure have not been conclusive in Indonesia.
"If there are findings from the Food and Drug Supervisory Agency (BPOM) stating that certain products contain dangerous materials, please," he said.
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