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December 28, 2005

Antibiotic Prescribing for Lower Respiratory Tract Infection

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2005;294(24):3089-3090. doi:10.1001/jama.294.24.3089

To the Editor: The study by Dr Little and colleagues1 showed that the provision of antibiotics did not alter cough duration or other primary outcomes in patients with acute lower respiratory tract infection. Although I agree with their overall conclusion, I noted that of the 562 patients who completed symptom diaries and the 78 patients who provided information about both symptom duration and severity, 25% had cough lasting 17 days or more. This raises the possibility that some of the patients may have had pertussis.

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