Talk:Antibiotic: Difference between revisions

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imported>Howard C. Berkowitz
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:As a start, both the lede needs to mention that antibiotic choice is an issue and mention some of the considerations.  The lede might have a list or table of classes, and then follow with typical uses by class. Before getting into the molecular pharmacology, a general reader might ask "what kind of antibiotic is good for (fairly easy) ''Streptococcus'' and (hard) ''Staphylococcus''?  Some discussion of appropriate and inappropriate empirical use is in order, such as situations where no culture is available or in fulminant illness while awaiting the lab results, or, in contrast, antibiotics for the common cold. Consider a general antibiotogram-style table of class vs. disease/organism type. [[User:Howard C. Berkowitz|Howard C. Berkowitz]] 18:32, 13 March 2009 (UTC)
:As a start, both the lede needs to mention that antibiotic choice is an issue and mention some of the considerations.  The lede might have a list or table of classes, and then follow with typical uses by class. Before getting into the molecular pharmacology, a general reader might ask "what kind of antibiotic is good for (fairly easy) ''Streptococcus'' and (hard) ''Staphylococcus''?  Some discussion of appropriate and inappropriate empirical use is in order, such as situations where no culture is available or in fulminant illness while awaiting the lab results, or, in contrast, antibiotics for the common cold. Consider a general antibiotogram-style table of class vs. disease/organism type. [[User:Howard C. Berkowitz|Howard C. Berkowitz]] 18:32, 13 March 2009 (UTC)
::These are good ideas, best done by an MD I think. Writing about which bacteria they HAVE been used for, vs RECOMMENDING a particular choice, seems to be "practicing medicine", as the best choice is constantly changing.
Perhaps Robert can write some of your suggestions. [[User:David E. Volk|David E. Volk]] 14:51, 14 March 2009 (UTC)

Revision as of 08:51, 14 March 2009

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 Definition:  Drugs that reduce the growth or reproduction of bacteria. [d] [e]
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This section was removed from Main Page by David E. Volk

Misuse

One study on respiratory tract infections found "physicians were more likely to prescribe antibiotics to patients who they believed expected them, although they correctly identified only about 1 in 4 of those patients".[1] Multifactorial interventions aimed at both physicians and patients can reduce inappropriate prescribing of antibiotics. [2] Delaying antibiotics for 48 hours while observing for spontaneous resolution of respiratory tract infections may reduce antibiotic usage; however, this strategy may reduce patient satisfaction.[3]

Robert, I find this section to be rather technical without really giving much information, so I would like to rewrite it. I have removed the from WP tag, as no information from WP is still present, and I would like to remove any WP tag from such a large article if at all possible. Let's try and make this article a fully CZ original.

I restored an edited version of this to the resistance section. Feel free to edit further. - Bob - Robert Badgett 15:04, 6 March 2009 (UTC)

Ready for Approval?

Does this look ready for approval to any of the medical editors? If not, any suggestions for what is needed? David E. Volk 17:20, 13 March 2009 (UTC)

As a start, both the lede needs to mention that antibiotic choice is an issue and mention some of the considerations. The lede might have a list or table of classes, and then follow with typical uses by class. Before getting into the molecular pharmacology, a general reader might ask "what kind of antibiotic is good for (fairly easy) Streptococcus and (hard) Staphylococcus? Some discussion of appropriate and inappropriate empirical use is in order, such as situations where no culture is available or in fulminant illness while awaiting the lab results, or, in contrast, antibiotics for the common cold. Consider a general antibiotogram-style table of class vs. disease/organism type. Howard C. Berkowitz 18:32, 13 March 2009 (UTC)
These are good ideas, best done by an MD I think. Writing about which bacteria they HAVE been used for, vs RECOMMENDING a particular choice, seems to be "practicing medicine", as the best choice is constantly changing.

Perhaps Robert can write some of your suggestions. David E. Volk 14:51, 14 March 2009 (UTC)

  1. ↑ Ong S, Nakase J, Moran GJ, Karras DJ, Kuehnert MJ, Talan DA (2007). "Antibiotic use for emergency department patients with upper respiratory infections: prescribing practices, patient expectations, and patient satisfaction". Annals of emergency medicine 50 (3): 213-20. DOI:10.1016/j.annemergmed.2007.03.026. PMID 17467120. Research Blogging.
  2. ↑ Metlay JP, Camargo CA, MacKenzie T, et al (2007). "Cluster-randomized trial to improve antibiotic use for adults with acute respiratory infections treated in emergency departments". Annals of emergency medicine 50 (3): 221-30. DOI:10.1016/j.annemergmed.2007.03.022. PMID 17509729. Research Blogging.
  3. ↑ Spurling G, Del Mar C, Dooley L, Foxlee R (2007). "Delayed antibiotics for respiratory infections". Cochrane database of systematic reviews (Online) (3): CD004417. DOI:10.1002/14651858.CD004417.pub3. PMID 17636757. Research Blogging.
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