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Cited by 45Antibiotic Use and ResistancePneumonia and Respiratory InfectionsHealthcare cost, quality, practices

Principles of appropriate antibiotic use for treatment of acute respiratory tract infections in adults: background, specific aims, and methods

Gonzales, Ralph, Bartlett, John G., Besser, Richard E., Cooper, Richelle J., Hickner, John M., Hoffman, Jerome R., Sande, Merle A.·2001·Annals of Emergency Medicine
DOI 10.1067/s0196-0644(01)70087-x
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Abstract

The need to decrease excess antibiotic use in ambulatory practice has been fueled by the epidemic increase in antibiotic-resistant Streptococcus pneumoniae. The majority of antibiotics prescribed to adults in ambulatory practice in the United States are for acute sinusitis, acute pharyngitis, acute bronchitis, and nonspecific upper respiratory tract infections (including the common cold). For each of these conditions--especially colds, nonspecific upper respiratory tract infections, and acute bronchitis (for which routine antibiotic treatment is not recommended)--a large proportion of the antibiotics prescribed are unlikely to provide clinical benefit to patients. Because decreasing community use of antibiotics is an important strategy for combating the increase in community-acquired antibiotic-resistant infections, the Centers for Disease Control and Prevention convened a panel of physicians representing the disciplines of internal medicine, family medicine, emergency medicine, and infectious diseases to develop a series of "Principles of Appropriate Antibiotic Use for Treatment of Acute Respiratory Tract Infections in Adults." These principles provide evidence-based recommendations for evaluation and treatment of adults with acute respiratory illnesses.This paper describes the background and specific aims of and methods used to develop these principles. The goal of the principles is to provide clinicians with practical strategies for limiting antibiotic use to the patients who are most likely to benefit from it. These principles should be used in conjunction with effective patient educational campaigns and enhancements to the health care delivery system that facilitate nonantibiotic treatment of the conditions in question.

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Authors
Gonzales, R., Bartlett, J. G., Besser, R. E., Cooper, R. J., Hickner, J. M., Hoffman, J. R., & Sande, M. A.
Affiliations
  • University of Colorado Health (US)
  • Centers for Disease Control and Prevention (US)
ORCID
Venue
Annals of Emergency Medicine
Publisher
Elsevier BV
Published
2001-06
Volume
37
Issue
6
Pages
690-697
ISSN
0196-0644 (ISSN-L)
DOI
10.1067/s0196-0644(01)70087-x
OpenAlex
W2096373624
Cited by
45
References
57
Citations by year
2025: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 3 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 4 · 2012: 1
FWCI
2.42
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Annals of Emergency Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
Agency for Healthcare Research and Quality (F32 HS-00134-1)
Topics
  • Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
  • Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
  • Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Keywords
rational antibiotic use, acute respiratory infections, antibiotic resistance, Streptococcus pneumoniae, acute sinusitis, acute pharyngitis, acute bronchitis, common cold, upper respiratory tract infection, community-acquired infections, outpatient care, evidence-based clinical guidelines
MeSH terms
Acute Disease, Adult, Anti-Bacterial Agents, Bronchitis, Centers for Disease Control and Prevention, U.S., Drug Utilization, Emergency Medicine, Family Practice, Humans, Internal Medicine, Patient Education as Topic, Pharyngitis, Practice Patterns, Physicians', Respiratory Tract Infections, Sinusitis, United States, Practice Guidelines as Topic, Community-Acquired Infections, Evidence-Based Medicine, Needs Assessment

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