Treatment FAQ

how do doctors choose antibiotic treatment

by Jeffrey Ondricka I Published 3 years ago Updated 2 years ago
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The GPs considered various factors when choosing antibiotics: factors relating to microbiology (bacterial resistance), pharmacology (adverse effects, efficacy, practicality of the administration protocol, antibiotic class, drug cost), clinical conditions (patient profile and comorbid conditions, symptoms, progression ...Dec 20, 2019

Full Answer

How do I Choose an antibiotic?

How to choose an antibiotic? Buy the book... Want to know more? things to consider and questions to ask. Firstly: Know your specialities serious and common infections, the micro-organisms that cause these and the usual treatments for them

What kind of antibiotics do I need for an infection?

Other infections, such as urinary tract infections or pneumonia, may require pills. As a general rule, topical antibiotics are suitable for some specific infections at localized sites (like an infected cut, or some eye infections) whereas oral and intravenous antibiotics are needed for more severe and systemic infections.

When should you take antibiotics?

Take antibiotics ONLY if you need them. Antibiotics ONLY treat certain infections caused by bacteria, such as: Colds and runny noses, even if the mucus is thick, yellow, or green Virus or Bacteria What’s got you sick?

How do I talk to my doctor about my antibiotics?

Talk with your doctor and pharmacist if you have any questions about your antibiotics. Talk with your doctor if you develop any side effects or allergic reactions while taking an antibiotic. In children, reactions from antibiotics are the most common cause of medication-related emergency department visits.

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How do a doctors choose the right antibiotics?

In selecting an antibiotic, doctors also consider the following:The nature and seriousness of the infection.The status of the person's immune system (how well it can help the drug fight the infection)The drug's possible side effects.The possibility of allergies or other serious reactions to the drug.More items...

What are the factors that influence the choice of antibiotics?

The analysis resulted in the identification of six categories of factors that can influence the antibiotic prescribing decision: the clinical situation, advance care plans, utilization of diagnostic resources, physicians' perceived risks, influence of others, and influence of the environment.

What type of infection a doctor might prescribe antibiotics for?

Antibiotics only treat certain bacterial infections, such as strep throat, urinary tract infections, and E. coli. You may not need to take antibiotics for some bacterial infections.

Why do doctors suggest antibiotics?

Antibiotics treat bacterial infections. They do not work against infections caused by viruses (viral infections). So which illnesses are bacterial and which are viral?

What should I know before prescribing antibiotics?

Important factors identified for antibiotic prescriptions by doctors were diagnostic uncertainty, perceived demand and expectation from the patients, practice sustainability and financial considerations, influence from medical representatives and inadequate knowledge.

What is the principle of antibiotics?

Antibiotics work by either selectively killing (bactericidal) or inhibiting the growth (bacteriostatic) of bacteria. Infections with a high bacterial burden, such as those seen in infective endocarditis, require treatment with antibiotics with rapid bactericidal activity.

How do you know you need antibiotics?

Your doctor may prescribe antibiotics if the symptoms are severe and include high fever along with nasal drainage and a productive cough. Antibiotics may also be necessary if you feel better after a few days and then your symptoms return or if the infection lasts more than a week.

When will a doctor prescribe antibiotics?

Sometimes doctors prescribe an antibiotic to prevent an infection. Antibiotics are also used to treat some illnesses caused by parasites. Tips to reduce antibiotic resistance: Don't ask your doctor for an antibiotic for a virus.

What are the 4 types of infections?

The four different categories of infectious agents are bacteria, viruses, fungi, and parasites. When studying these agents, researchers isolate them using certain characteristics: Size of the infectious agent.

What are the 7 types of antibiotics?

In this portal, antibiotics are classified into one of the following classes: penicillins, fluoroquinolones, cephalosporins, macrolides, beta-lactams with increased activity (e.g. amoxicillin-clavulanate), tetracyclines, trimethoprim-sulfamethoxazole, lincosamides (e.g. clindamycin), urinary anti-infectives, and other ...

What happens if you take antibiotics without an infection?

They can cause bacteria to become increasingly resistant to treatment, for example, and destroy healthy flora in the gut. Now, a new study from Case Western Reserve University shows that antibiotics can damage immune cells and worsen oral infections.

Why do doctors think carefully about prescribing antibiotics?

Improving prescribing General practitioners believed that people with severest symptoms are at risk of bacterial complications and that prescribing antibiotics will prevent or reduce such complications.

When choosing an antibiotic, what should your doctor consider?

When choosing an antibiotic, your doctor first considers the type of bacteria involved. 1  The type of bacteria can help determine which antibiotic drugs to choose, since not all antibiotics affect all bacteria.

What are the criteria for selecting an antibiotic?

To do so, they would need to make their selection based on five basic criteria: effectiveness, appropriateness, cost, ease of use, and avoidance of side effects. To determine the antibiotic appropriate to your infection, your doctor would consider the following:

What class of antibiotics kill bacteria?

Antibiotics are further divided into bactericidal antibiotics (which kill bacteria) and bacteriostatic antibiotics (which stop them from growing). For some infections, limiting bacterial growth is sufficient enough ...

How to avoid infection?

Focus instead on avoiding infections by following three simple tips: 2  1 Get vaccinated for both bacterial and viral infections. Speak with your doctor about which ones you need or are missing. 2 Wash your hands. This is not about being germ-phobic. It's about understanding that your hands are among the most effective vectors of infection. Wash thoroughly, ideally with an antibacterial wash, whenever you are in a public place where you might pick up a bug. 3 Cover your mouth when you sneeze or a cough. Try to avoid doing so into your hands as this can spread an infection to others. Instead, use a tissue or the crook of your elbow. If in a confined space such as an airplane, consider wearing a disposable mask if you are ill or at risk of infection.

What happens if you don't take antibiotics?

If these are allowed to predominate, antibiotic-resistant strains and superbugs can develop. 2 .

What are the actions of antibiotics?

The Action of the Antibiotic. The different classes of antibiotics are divided according to the part of the bacterium they affect. For example, all penicillin-class antibiotics (ampicillin, amoxicillin) block the formation of the external cell wall of the bacteria. Other classes attack the replication cycle of the bacteria, ...

How to avoid upper respiratory infections?

Focus instead on avoiding infections by following three simple tips: 2 . Get vaccinated for both bacterial and viral infections. Speak with your doctor about which ones you need or are missing. Wash your hands.

Why are antibiotics important?

Antibiotics are among the most important interventions in healthcare. Resistance of bacteria to antibiotics threatens the effectiveness of treatment. Systematic reviews of antibiotic treatments often do not address resistance to antibiotics even when data are available in the original studies.

How does antibiotic resistance affect the world?

Author Summary Antibiotic resistance is a growing problem that the World Health Organization describes as “one of the top three threats to global health.” To date, bacteria have developed resistance to all antibiotics used in clinical settings. Unfortunately, the evolution of antibiotic resistant bacteria is accelerating, as antibiotics continue to be misused and overused. As the antibiotic pipeline is drying up, it becomes increasingly critical to utilize the antibiotics already on the market more effectively. The key to designing better regimens lies in the ability to predict how bacteria will respond to a particular antibiotic treatment. Because of this, we need a simple metric that characterizes this pathogen-antibiotic interaction that can be easily measured and used to design dosing protocols that will effectively clear an infection. To help guide the design of effective protocols, we use quantitative modeling to develop a metric that is easy to measure and quantifies the pathogen-antibiotic interaction. Through optimized antibiotic regimens, our strategy could extend the use of first-line antibiotics, improve treatment outcome, and preserve last-resort antibiotics.

What to know before prescribing antibiotics?

Firstly: Make sure you know normal flora and the causes of common infections. Know your specialities serious and common infections, the micro-organisms that cause these and the usual treatments for them.

What is the treatment of an infection?

Treatment is the use of antibiotics to eliminate infection from an already infected site. Treatment and duration of treatment varies between clinical conditions ( see section - Clinical Scenarios for individual conditions).

What to do if your doctor says antibiotics are the best treatment?

If your doctor decides an antibiotic is the best treatment when you’re sick: Take them exactly as your doctor tells you. Do not share your antibiotics with others. Do not save them for later. Talk to your pharmacist about safely discarding leftover medicines. Do not take antibiotics prescribed for someone else.

What are the side effects of antibiotics?

Common side effects range from minor to very severe health problems and can include: Rash. Nausea.

How to avoid getting sick?

Cover your mouth and nose when coughing or sneezing. Stay home when you’re sick. Avoid touching your eyes , nose, and mouth with unwashed hands.

Can antibiotics help with sickness?

Antibiotics aren’t always the answer when you’re sick. Sometimes, the best treatment when you’re sick may be over-the-counter medication. Ask your doctor or pharmacist for tips on how to feel better while your body fights off an infection.

Do you need antibiotics for sinus infections?

Antibiotics also ARE NOT needed for some common bacterial infections, including: Many sinus infections. Some ear infections. Taking antibiotics when they’re not needed won’t help you, and their side effects can still cause harm. Your doctor can decide the best treatment for you when you’re sick.

Do antibiotics help with resistance?

Antibiotic Do’s & Don’ts. Smart use of antibiotics is the best care. Here are some steps you can take to use antibiotics appropriately so you can get the best treatment when you’re sick, protect yourself from harms caused by unnecessary antibiotic use, and combat antibiotic resistance.

Abstract

Many studies have investigated the ways in which physicians decide whether to prescribe antibiotics, but very few studies have focused on the reasons for which general practitioners (GPs) choose to prescribe a particular antibiotic in a specific clinical situation.

Background

Antibiotic misuse is a major public health problem worldwide. One sort of misuse is the prescription of the wrong antibiotic molecule by the physician [ 1 ]. Such errors expose patients to the unnecessary risk of adverse effects, complications, and death [ 2 ], and the population to the risk of resistant bacteria emerging [ 3 ].

Methods

We used a three-step process to explore the rationale used by GPs to choose a particular antibiotic for a specific clinical situation:

Results

Interviews with 20 GPs and the data from three publications [ 21, 22, 23] were analysed.

Discussion

We conducted a qualitative research study, to explore the rationale used by GPs in their choice of an antibiotic in a specific clinical situation. We showed that GPs considered various factors when selecting the antibiotic to prescribe: factors relating to microbiological aspects (e.g. bacterial resistance), pharmacology (e.g.

Conclusions

When GPs decide which antibiotic to prescribe, they do not limit themselves to those recommended in clinical practice guidelines. They use their knowledge and experience to guide their choice of antibiotic, but they also take into account factors relating to microbiology, pharmacology, and clinical conditions.

Availability of data and materials

The datasets generated and/or analysed during the current study are not publicly available due to data confidentiality related to the funding source but are available from the corresponding author on reasonable request.

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