Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.—Dr Dahlberg presents some of
the problems that confront the practicing physician in diagnosing and treating
patients with upper respiratory tract infections. Costs of diagnostic testing,
potential difficulties with follow-up, and concerns about overlooking a bacterial
infection are all important issues. However, the crux of his letter seems
to be captured in the statement, "If there is any possibility that a primary
or secondary bacterial condition exists, . . . the risks of untreated disease
outweigh the individual risk of developing resistant bacteria." Should this
concept serve as the basis for practice?
Schwartz B, Bell DM, Hughes JM. Antibiotic Prescribing and Respiratory Tract Infections—Reply. JAMA. 1998;279(4):271–273. doi:10.1001/jama.279.4.271
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