Practice Guidelines

ACP/CDC Provide Guidelines on the Use of Antibiotics for Acute Respiratory Tract Infection

 

Am Fam Physician. 2016 Dec 15;94(12):1016.

Author disclosure: No relevant financial affiliations.

Key Points for Practice

• Antibiotics are not indicated for acute uncomplicated bronchitis unless pneumonia is present.

• Group A streptococcal pharyngitis should be ruled out, and antibiotics used only if streptococcal pharyngitis is confirmed.

• Antibiotics are indicated in acute rhinosinusitis only for patients demonstrating symptoms of bacterial etiology.

• Antibiotics are not indicated for the common cold.

From the AFP Editors

Approximately one-half of outpatient antibiotic prescriptions may be inappropriate or unnecessary, imposing high economic and public health costs. The American College of Physicians (ACP) and Centers for Disease Control and Prevention (CDC) guideline on appropriate antibiotic use in the treatment of healthy adults with acute respiratory tract infection outlines one of the medical community's top priorities. Currently, most antibiotics prescribed in the office setting are for illnesses in this category, despite evidence that they may cause harm or otherwise do not benefit patients with some of the most common infections.

Providing High-Value Care

Nonviral etiologies of acute uncomplicated bronchitis are

Author disclosure: No relevant financial affiliations.

Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of Practice Guidelines published in AFP is available at http://www.aafp.org/afp/practguide.


 

Copyright © 2016 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions

CME Quiz

More in Pubmed

MOST RECENT ISSUE


Apr 15, 2017

Access the latest issue of American Family Physician

Read the Issue


Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now

Navigate this Article