Effect of Procalcitonin-Based Guidelines vs Standard Guidelines on Antibiotic Use in Lower Respiratory Tract Infections
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Open Access
- 9 September 2009
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 302 (10) , 1059-1066
- https://doi.org/10.1001/jama.2009.1297
Abstract
Unnecessary antibiotic use importantly contributes to increasing bacterial resistance and increases medical costs and the risks of drug-related adverse events.1-3 The most frequent indication for antibiotic prescriptions in the northwestern hemisphere is lower respiratory tract infections (LRTIs), which range in severity from self-limited acute bronchitis to severe acute exacerbation of chronic obstructive pulmonary disease (COPD), and to life-threatening bacterial community-acquired pneumonia (CAP).4 Clinical signs and symptoms, as well as commonly used laboratory markers, are unreliable in distinguishing viral from bacterial LRTI.5-7 As many as 75% of patients with LRTI are treated with antibiotics, despite the predominantly viral origin of their infection.8Keywords
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