Antibiotics for common respiratory tract infections in adults

被引:37
作者
Hirschmann, JV [1 ]
机构
[1] Univ Washington, Sch Med, Puget Sound Vet Affairs Med Ctr, Med Serv 111, Seattle, WA 98108 USA
关键词
D O I
10.1001/archinte.162.3.256
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A thorough review of the published information indicates that antibiotics rarely benefit acute bronchitis, exacerbations of asthma and chronic bronchitis, acute pharyngitis, and acute sinusitis, although they are commonly prescribed for these illnesses. Rather than prescribing them for these conditions, practitioners should explain to their patients that antibiotics, which have numerous adverse effects, will not hasten resolution of their symptoms, which will often respond to other medications. Most patients will accept this approach if the clinician addresses their concerns, shows a personal interest in theta, discusses the expected course of the ailment, and explains the treatment.
引用
收藏
页码:256 / 264
页数:9
相关论文
共 154 条
[81]  
King DE, 1996, J FAM PRACTICE, V42, P601
[82]   PREVALENCE OF PHARYNGEAL GONORRHEA IN GENERAL MEDICAL PATIENTS WITH SORE THROATS [J].
KOMAROFF, AL ;
ARONSON, MD ;
PASS, TM ;
ERVIN, CT .
SEXUALLY TRANSMITTED DISEASES, 1980, 7 (03) :116-119
[83]   Effect of antimicrobial use and other risk factors on antimicrobial resistance in pneumococci [J].
Kristinsson, KG .
MICROBIAL DRUG RESISTANCE, 1997, 3 (02) :117-123
[84]  
Lahdensuo A, 1996, BRIT MED J, V312, P748
[85]   MONITORING TRENDS IN ACUTE RHEUMATIC-FEVER IN THE UNITED-STATES [J].
LEVINE, OS ;
SCHWARTZ, B .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1995, 14 (09) :823-824
[86]   A PERSPECTIVE ON PENICILLIN ALLERGY [J].
LIN, RY .
ARCHIVES OF INTERNAL MEDICINE, 1992, 152 (05) :930-937
[87]  
Lindbaek M, 1996, Fam Med, V28, P183
[88]   Randomised, double blind, placebo controlled trial of penicillin V and amoxycillin in treatment of acute sinus infections in adults [J].
Lindbaek, M ;
Hjortdahl, P ;
Johnsen, ULH .
BMJ-BRITISH MEDICAL JOURNAL, 1996, 313 (7053) :325-329
[89]  
Lindbaek Morten, 1998, Rhinology (Utrecht), V36, P7
[90]  
Little P, 2000, BRIT MED J, V320, P1666