Tuesday, November 17, 2009

Antibiotics ineffective for treating bronchitis

Doctors should stop routinely prescribing antibiotics to treat acute bronchitis as most cases are viral infections, says a study that recommends patients drink lots of fluids instead.

Acute bronchitis is an inflammation of the main airways to the lungs characterised by an irritating cough. The disease occurs in about five percent of adults each year and doctors prescribe antibiotics to 70-80 percent of patients for the condition.

But two doctors from Virginia Commonwealth University, Richard Wenzel and Alpha Fowler, say that in almost all cases it is caused by viral infections and does not respond to antibiotics, according to a report published in the New England Journal of Medicine.

The doctors found little evidence that the cough medicine prescribed in most acute bronchitis cases had any value, reported health portal News Medical.

The doctors examined research studies and clinical trials regarding acute bronchitis and any data supporting the potential benefits of anti-bacterial agents.

They say most cases will go away on their own after a few days or a week, and recommend rest and drinking lots of fluids.

Taking unnecessary antibiotics adds to the problem of bacteria becoming resistant to them, thus rendering them less useful for treatment of infections, Wenzel said. They produce unwanted side effects such as diarrhoea, gastric upset, rash, headaches and muscle aches.

Wenzel said doctors should think twice and spend a few minutes explaining to patients why it is unnecessary to take an antibiotic in these cases.

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