#WWYD: Insights From Doctors Across India An adult with Upper Respiratory Tract Infection
The Centers for Disease Control and Prevention (CDC) estimates that more than 100 million antibiotic prescriptions are written each year in the ambulatory care setting. With so many prescriptions written each year, inappropriate antibiotic use will promote resistance. In addition to antibiotics prescribed for upper respiratory tract infections with viral etiologies, broad-spectrum antibiotics are used too often when a narrow-spectrum antibiotic would have been just as effective.
In the midst of this, we took a poll to understand different opinions & perspectives of doctors on what would they prescribe to an adult with Upper Respiratory Tract Infection.
Below are the results & we hope this discussion will provide everyone broader perspective on the subject.
Doctors who opted "None of the above", suggested...
• "For adult patient with Upper respiratory infection, anti-histamines and expectorant with multi vitamins and zinc will be enough to provide relief...antibiotics like Cephalosporins can be given for pediatrics" ~ General Medicine
• "Symptomatic management with warm gargles, steam inhalation and antibiotics based on culture report." ~ Orthopaedics
• "If URTI is for less than 5 days we need not prescribe any drugs. Because it can be a viral infection and adding antibiotics to it can kill the commensals in throat." ~ Internal Medicine
Guidelines for the Use of Antibiotics in Acute URTI
To help physicians with the appropriate use of antibiotics in an adults with upper respiratory tract infection, here is a summarized key practice points from existing guidelines by American Academy of Family Physicians.
1. Acute bacterial sinusitis: Streptococcus pneumoniae, nontypeable Haemophilus influenzae, Moraxella catarrhalis - mainly viral pathogens
2. Pharyngitis: Streptococcus pyogenes - routine respiratory viruses
3. Nonspecific cough illness/acute bronchitis: Bordetella pertussis, Chlamydia pneumoniae/Mycoplasma pneumoniae
Source: American Academy of Family Physicians