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Paper Chase 1: Prescription Strategies for Respiratory Infections

Andrew Buelt, DO and Joe Weatherly, DO
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Delayed prescriptions were associated with slightly greater but clinically similar symptom burden and duration. Compared to an immediate prosecution strategy, delayed prescriptions had substantially reduced antibiotic use.

 

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Ian L., Dr -

Well the patients were young and well educated .
How many were smoking drank a lot of alcohol or were obese .
Certainly in 55 year old plus if smokers and with a temperature and coloured sputum my keyboard prescribing fingers would be restless .

aaron e. -

My threshold to Rx in smokers is lower, but this isn't evidence based. Seems to be no difference in smokers vs non-smokers for benefit with abx

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495016/

Heidi J., MD -

Interesting, Aaron. I think many of us share your lower prescribing threshold for smokers. Thanks for sharing the article!

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Ear Pain is but a Memory Full episode audio for MD edition 183:12 min - 86 MB - M4AHippo Primary Care RAP December 2016 Summary 305 KB - PDF

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