New flu tests
that yield rapid results could help curb the overprescription
of antibiotics, according to a study published in
the Archives of Internal Medicine.
Researchers found that among flu patients, those
who tested positive for influenza using the rapid
test — which yields results within minutes — were
less likely to be prescribed antibiotics by their
doctors. Among flu patients whose sickness went undiagnosed,
99 percent received antibiotics.
Around the world, doctors have a tendency to prescribe
antibiotics as a safety precaution for undiagnosed
illnesses. However, these medicines are ineffective
against viruses such as influenza.
"If they are ill enough to come into the hospital,
if they have a fever or are elderly, almost all of
those people receive an antibiotic," said Ann
Falsey, a doctor in Rochester, New York, where the
study was conducted. "Our tendency is to use
antibiotics to be quite safe."
Experts agree that this overprescription of antibiotics
contributes significantly to the evolution of drug-resistant
bacteria strains. In addition, like all drugs, antibiotics
may cause detrimental side effects.
The authors of the Rochester study expressed hope
that their findings might help encourage doctors
to check for viral infection before prescribing antibiotics.
"At least some proportion of doctors is willing
to stop antibiotics when patients have a documented
viral infection," Falsey said. "This is
certainly encouraging, but there is a lot more work
to do."
Among patients diagnosed with the rapid flu test,
86 percent were still prescribed antibiotics.
Falsey noted that influenza is not the only virus
that doctors may be hopelessly trying to treat with
antibiotics. While 10 percent of severe respiratory
ailments are caused by the flu, she said, many other
viruses may cause similar symptoms. Five to 10 percent
are caused by respiratory syncytial virus, or RSV.
"Then there are parainfluenza viruses, coronaviruses,
adenoviruses — all sorts of things," she
said.
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