antibacterial prescribing for urtis by resident physicians

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PharmacoEconomics & Outcomes News 434 - 18 Oct 2003 Resident physicians in the US are poorly informed about the management of upper respiratory tract infections (URTIs), and could be contributing to antibacterial resistance, according to US-based researchers. Survey data for 182 residents from 11 primary-care programmes in south-east Michigan revealed that the vast majority viewed the overuse of antibacterials as a major factor in increasing antibacterial resistance. However, almost two-thirds would prescribe antibacterials for exudative pharyngitis, almost one-third would prescribe an antibacterial when uncertain of a diagnosis, and many would be willing to prescribe antibacterials for acute bronchitis, purulent nasal discharge and the common cold. Notably, almost all physicians considered themselves adequately informed about URTI treatment. Fakih MG, et al. Do resident physicians use antibiotics appropriately in treating upper respiratory infections? A survey of 11 programs. Clinical Infectious Diseases 37: 853-856, No. 6, 15 Sep 2003 800925336 1 PharmacoEconomics & Outcomes News 18 Oct 2003 No. 434 1173-5503/10/0434-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved

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PharmacoEconomics & Outcomes News 434 - 18 Oct 2003

■ Resident physicians in the US are poorly informedabout the management of upper respiratory tractinfections (URTIs), and could be contributing toantibacterial resistance, according to US-basedresearchers. Survey data for 182 residents from 11primary-care programmes in south-east Michiganrevealed that the vast majority viewed the overuse ofantibacterials as a major factor in increasingantibacterial resistance. However, almost two-thirdswould prescribe antibacterials for exudativepharyngitis, almost one-third would prescribe anantibacterial when uncertain of a diagnosis, and manywould be willing to prescribe antibacterials for acutebronchitis, purulent nasal discharge and the commoncold. Notably, almost all physicians consideredthemselves adequately informed about URTItreatment.Fakih MG, et al. Do resident physicians use antibiotics appropriately intreating upper respiratory infections? A survey of 11 programs. ClinicalInfectious Diseases 37: 853-856, No. 6, 15 Sep 2003 800925336

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PharmacoEconomics & Outcomes News 18 Oct 2003 No. 4341173-5503/10/0434-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved