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Original Abstract of the Article

Main Research Findings

Cefixime has been shown in multiple studies to be effective in treating bacterial infections in children. 21 , 22 , 7 , 6 , 3 , 23 , 30 , 11 Cefixime has been shown to be effective against many bacteria, particularly Streptococcus pneumoniae, Haemophilus influenzae and Streptococcus pyogenes. 22 , 6 , 20 Cefixime has also been shown to be effective in treating urinary tract infections. 16 , 26 , 17 , 28 Cefixime also has the advantage of having fewer side effects compared to other antibiotics. 13 Cefixime has been shown to be safe for administration to children. 21 , 7 , 6 , 3 , 23 , 30 , 11 , 18 However, cefixime is not safe for all patients to take. You should talk to your doctor before taking cefixime.

Reason for Side Effects

Side effects of cefixime can be caused by the mechanism of action of the drug, as well as the patient's constitution and physical condition. Cefixime exerts its bactericidal effect by inhibiting the synthesis of bacterial cell walls. When the synthesis of bacterial cell walls is inhibited, bacteria die due to rupture of the cell membrane. The side effects of cefixime occur when the drug affects cells other than bacteria. Cefixime tends to affect digestive system cells, making digestive system side effects more likely. Cefixime is also metabolized in the liver, so it can affect the liver. The side effects of cefixime also vary depending on the patient's constitution and physical condition. Elderly people and patients with impaired kidney function are more likely to experience side effects.

Common Side Effects

Gastrointestinal

The most common side effect of cefixime is gastrointestinal symptoms. Cefixime tends to affect digestive system cells, which can cause symptoms such as diarrhea, soft stools, abdominal pain, nausea and vomiting. 21 , 7 , 3 , 23 , 30 , 11 , 19 , 18 , 20 , 12 , 24 , 5 , 14 , 9 These gastrointestinal side effects often improve when you stop taking cefixime.

Liver

Cefixime is metabolized in the liver, so it has the potential to affect the liver. Taking cefixime can cause elevated liver function test values such as GOT and GPT. 21 , 22 , 11 However, elevated liver function test values usually return to normal when you stop taking cefixime.

Blood

Cefixime can also affect the blood. Taking cefixime can cause symptoms such as leukopenia and thrombocytopenia. 3 , 30 Leukopenia and thrombocytopenia can make you more susceptible to infections or make you more likely to bleed. These side effects usually go away when you stop taking cefixime.

Allergy

Cefixime can cause allergic reactions. Taking cefixime can cause symptoms such as rash, itching, and difficulty breathing. Allergic reactions can be life-threatening if they become severe. If you have an allergic reaction, stop taking cefixime immediately and consult your doctor.

Countermeasures for Side Effects

Gastrointestinal

To reduce gastrointestinal side effects, it is effective to take cefixime after meals or with milk. Cefixime is more likely to cause gastrointestinal side effects when taken on an empty stomach. Taking it after meals or with milk can reduce the burden on the digestive system. If you experience symptoms such as diarrhea, drink plenty of fluids and take antidiarrheal medications, etc.

Liver

If your liver function is impaired, you should avoid taking cefixime. Talk to your doctor about your liver function before taking cefixime. If your liver function test values are elevated, you need to stop taking cefixime.

Blood

If you have any blood abnormalities, you should stop taking cefixime. Talk to your doctor about blood tests before taking cefixime.

Allergy

Cefixime can cause allergic reactions. Talk to your doctor about your history of allergies before taking cefixime. If you have an allergic reaction, stop taking cefixime immediately and consult your doctor.

Comparison between Studies

Common Points of Studies

Cefixime has been shown in multiple studies to be effective in treating bacterial infections in children. 21 , 22 , 7 , 6 , 3 , 23 , 30 , 11 Cefixime also has the advantage of having fewer side effects compared to other antibiotics. 13 Cefixime has been shown to be safe for administration to children. 21 , 7 , 6 , 3 , 23 , 30 , 11 , 18

Differences between Studies

There are differences in the frequency and types of side effects reported in studies on cefixime. For example, some studies report frequent gastrointestinal side effects, while others report fewer gastrointestinal side effects. Some studies also report elevated liver function test values, while others do not. These differences are likely due to differences in the age and condition of the patients in the studies, the dosage of cefixime, and the study methods.

Precautions for Real-Life Applications

Cefixime has been shown to be an effective drug for treating bacterial infections in children, but it is not safe for all patients. Talk to your doctor before taking cefixime. Also, if you experience side effects while taking cefixime, stop taking cefixime immediately and consult your doctor.

Limitations of Current Research

Research on the side effects of cefixime is still insufficient. In particular, there is still much that is not known about long-term side effects. More research on the long-term side effects of cefixime is needed.

Future Research Directions

Research on the side effects of cefixime needs to be further advanced. In particular, research on long-term side effects and research to reduce the side effects of cefixime is needed. Research to clarify individual differences in side effects to cefixime is also needed.

Conclusion

Cefixime has been shown to be an effective drug for treating bacterial infections in children. Cefixime also has the advantage of having fewer side effects compared to other antibiotics. However, cefixime is not safe for all patients to take. Talk to your doctor before taking cefixime. Also, if you experience side effects while taking cefixime, stop taking cefixime immediately and consult your doctor.


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Literature analysis of 32 papers
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