Principles of Judicious Antibiotic Prescribing for Upper Respiratory Tract Infections in Pediatrics

作者：Adam L. Hersh, Mary Anne Jackson, Lauri A. Hicks, Michael T. Brady, Carrie L. Byington, H. Dele Davies, Kathryn M. Edwards, Yvonne Maldonado, Dennis L. Murray, Walter Albert Orenstein, Mobeen H. Rathore, Mark D. Sawyer, Gordon E. Schutze, Rodney E. Willoughby, Theoklis E. Zaoutis · 发表于：PEDIATRICS · 年份：2013 · DOI：10.1542/peds.2013-3260 · 被引用次数：269 · 研究领域：Pneumonia and Respiratory Infections、Streptococcal Infections and Treatments、Respiratory and Cough-Related Research

Most upper respiratory tract infections are caused by viruses and require no antibiotics. This clinical report focuses on antibiotic prescribing strategies for bacterial upper respiratory tract infections, including acute otitis media, acute bacterial sinusitis, and streptococcal pharyngitis. The principles for judicious antibiotic prescribing that are outlined focus on applying stringent diagnostic criteria, weighing the benefits and harms of antibiotic therapy, and understanding situations when antibiotics may not be indicated. The principles can be used to amplify messages from recent clinical guidelines for local guideline development and for patient communication; they are broadly applicable to antibiotic prescribing in general.