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Acute respiratory tract infections: When are antibiotics indicated?
JAAPA, 04/14/09
Werner K et al. - The inappropriate use of antibiotics for acute respiratory tract infections is believed to contribute to the rising incidence of antibiotic resistance. ARIs are common illnesses that are treated by PAs. The term acute respiratory tract infection refers to several conditions, including the common cold, rhinosinusitis, pharyngitis, acute bronchitis, and acute otitis media. More than half of all antibiotics prescribed for ARIs are unnecessary because these infections are most likely viral and therefore not treatable with antibiotics. Clinicians in ambulatory-care settings prescribe antibiotics for patients with a viral ARI in 40% to 50% of cases. PAs and nurse practitioners (NPs) in office-based settings prescribe antibiotics to patients more often than do physicians. This article will review ARIs and the effective treatment of these infections. In addition, the CDC's "Get Smart: Know When Antibiotics Work" campaign is introduced to PAs.
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