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Antibiotics for Common Respiratory Tract Infections in Adults
J. V. Hirschmann, MD
Arch Intern Med. 2002;162:256-264.
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 them, discusses the
expected course of the ailment, and explains the treatment.
From Puget Sound Veterans Affairs Medical Center, University of Washington
School of Medicine, Seattle.
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