From the Respiratory Diseases Branch, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Dr Schwartz); Department of Family Medicine, Medical University of South Carolina, Charleston (Dr Mainous); and Southern California Kaiser-Permanente Health Care Program, Panorama City (Dr Marcy).
The spread of antimicrobial resistance has engendered considerable recent
interest among practicing physicians. The article by Nyquist and colleagues1 in this issue of JAMA is the third analysis from
the 1992 National Ambulatory Medical Care Survey (NAMCS) database to examine
the use, or more accurately the overuse, of antibiotics for upper respiratory
Each article presents the premise that widespread antibiotic use contributes
to the spread of resistance—a contention supported by ecological,4,5 epidemiological,6
and longitudinal studies.7,8
Schwartz B, Mainous III AG, Marcy SM. Why Do Physicians Prescribe Antibiotics for Children With Upper Respiratory Tract Infections? JAMA. 1998;279(11):881–882. doi:10.1001/jama.279.11.881
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