Helpful Hint From a Sage

PEDIATRICS ◽  
1976 ◽  
Vol 58 (5) ◽  
pp. 775-775
Author(s):  
Reginald Lightwood
Keyword(s):  
Respiratory Tract ◽  
Antibiotic Therapy ◽  
Antibiotic Treatment ◽  
Respiratory Tract Infections ◽  
Good Evidence ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Viral Illness ◽  
Upper Respiratory ◽  
Tract Infections

Most pediatricians question the wisdom of random use of antibiotics for upper respiratory tract infections in children. However, there are still many physicians who make routine recourse to such treatment, perhaps without awareness that most upper respiratory tract infections are viral illnesses unaffected by antibiotic treatment. The results and conclusions by Soyka et al.1 provide good evidence. Their conclusions are that "Indiscriminate antibiotic therapy cannot substitute for proper diagnostic evaluation of the patient who may have a bacterial or, far more likely, a viral illness."

Antibiotic therapy of acute upper respiratory tract infections and otitis media in adults

2018 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Aleksandra Paź ◽  
Magdalena Arimowicz
Keyword(s):  
Respiratory Tract ◽  
Antibiotic Therapy ◽  
Respiratory Tract Infections ◽  
Viral Infections ◽  
Respiratory Infections ◽  
Symptomatic Treatment ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Upper Respiratory ◽  
Tract Infections

An estimated 50% of antibiotic prescriptions may be unjustified in the outpatient setting. Viruses are responsible for most acute respiratory tract infections. The viral infections are often self-limiting and only symptomatic treatment remains effective. Bacteria are involved in a small percentage of infections etiology in this area. In the case of a justified or documented suspicion of a bacterial infection, antibiotic therapy may be indicated. Based on the Polish „Recommendations for the management of non-hospital respiratory infections 2016”, the indications, the rules of choice, the appropriate dosing schedules and the therapy duration, in the most frequent upper respiratory tract infections in adults, have been presented. Implementation of the presented recommendations regarding our Polish epidemiological situation, will significantly reduce the tendency to abuse antibiotics, and thus will limit the spread of drug-resistant microorganisms.

scholarly journals Serum PCT and CRP Levels in Upper Respiratory Tract Infections as a Marker of Infection

2013 ◽  
Vol 6 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Archana Sood ◽  
Preeti Chauhan ◽  
Manisha Jain ◽  
Pradeep Dabla ◽  
Sanjay Sood
Keyword(s):  
Respiratory Tract ◽  
Antibiotic Treatment ◽  
Respiratory Tract Infections ◽  
Total Leukocyte Count ◽  
Upper Respiratory Tract Infections ◽  
Healthy Population ◽  
Upper Respiratory Tract ◽  
Microbiological Culture ◽  
Upper Respiratory ◽  
Tract Infections

ABSTRACT Most of the upper respiratory tract infections are viral in origin and accounts for the most frequent cause of antibiotic misuse world over. Conventional test like microbiological culture for confirming bacterial etiology is not very sensitive. We evaluated the utility of biomarkers like procalcitonin (PCT), C-reactive protein (CRP) and total leukocyte count (TLC) to guide antibiotic treatment in such cases. Fifty patients were divided into two groups, those having acute suppurative tonsillitis (n = 40) and those having acute rhinosinusitis (n = 10) were included. Appropriate samples were processed for microbiological culture. Blood samples were taken for PCT, CRP and TLC estimation. Almost 34% of the patients were taking antibiotics at least 1 day prior to their consultation. Microbiological culture was positive only in 38% of cases. The levels of PCT were significantly higher in cases of acute suppurative tonsillitis as compared to rhinosinusitis. The PCT levels correlated well with CRP, TLC and degree of fever in tonsillitis cases. The levels of CRP correlated well with the TLC levels in rhinosinusitis cases. PCT and CRP levels were higher than the normal healthy population in our patients. They can be used as a marker for guiding antibiotic treatment in cases of upper respiratory tract infection of bacterial origin. How to cite this article Chauhan P, Sood A, Jain M, Dabla P, Sood S. Serum PCT and CRP Levels in Upper Respiratory Tract Infections as a Marker of Infection. Clin Rhinol An Int J 2013;6(1):1-4.

scholarly journals Impact of Selected Behavioral and Environmental Factors on the Antibiotic Therapy in Polish Children With Upper Respiratory Tract Infections

2021 ◽  
Vol 9 ◽  
Author(s):  
Katarzyna Ślęzak ◽  
Łukasz Dembiński ◽  
Artur Konefał ◽  
Mikołaj Dąbrowski ◽  
Artur Mazur ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Respiratory Tract ◽  
Antibiotic Therapy ◽  
Respiratory Tract Infections ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Bacterial Strains ◽  
Upper Respiratory ◽  
Tract Infections ◽  
The Impact

Antibiotic therapy must be carried out consistently and according to the guidelines. Viruses are the dominant cause of upper respiratory tract infections (URTIs) in children, as has been shown in many previous studies. Unnecessary antibiotic therapy should be avoided so that it does not affect patients' health and lead to the development of resistant bacterial strains. Here we report a national survey conducted in a group of 4,389 children to assess the impact of selected behavioral and environmental factors on antibiotic therapy in patients with URTIs. We found that selected environmental factors influenced the type of treatment. The place of residence, having siblings, an absence of vaccinations, the presence of allergies, and attendance at educational institutions were conducive to antibiotic therapy. These factors also influenced the frequency of hospitalization of children and their absence from nurseries, kindergartens, and schools, as well as the absence of their guardians from work.

scholarly journals Acute upper respiratory tract infections in children: antibiotic therapy

2018 ◽  
pp. 58-62
Author(s):  
D. A. Tulupov ◽  
E. P. Karpova
Keyword(s):  
Respiratory Tract ◽  
Antibiotic Therapy ◽  
Respiratory Tract Infections ◽  
Acute Otitis Media ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Acute Tonsillitis ◽  
Upper Respiratory ◽  
Tract Infections

This article provides an overview of the current clinical guidelines and consensus papers on the role of bacterial infection, indications and algorithm for antibiotic therapy in the treatment of the most common acute upper respiratory tract infections in children: acute rhinosinusitis, acute otitis media and acute tonsillitis.

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