#WWYDInsights: An adult with Upper Respiratory Tract Infecti
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#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


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Neha Rathour
Neha Rathour is part of Editorial Team at PlexusMD. She intends to deliver amazing content & latest updates for doctors. When not working you will find her reading books, sipping coffee or crafting.
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Dr. S●●●●●●e C●●●●●●●y and 18 others like this12 shares
Dr. M●●●●●v D●●●i
Dr. M●●●●●v D●●●i Internal Medicine
I prescribe antibiotics only if patient has moderate to high fever (>100.0 F) extending beyond 5 days, or purulent sputum or tender lymph adenopathy in neck or toxic look. I am not sure whether the 10 days of duration of antibiotics mentioned is sacrosanct. Generally the antibiotics are prescribed in most patients for 5 to 7 days. I prescribe antibiotics up to 3 days of apyrexia (of course without antipyretics).... Read more
Oct 14, 2020Like