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  Vol. 279 No. 11, March 18, 1998 TABLE OF CONTENTS
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Why Do Physicians Prescribe Antibiotics for Children With Upper Respiratory Tract Infections?

Benjamin Schwartz, MD; Arch G. Mainous III, PhD; S. Michael Marcy, MD

JAMA. 1998;279:881-882.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The spread of antimicrobial resistance has engendered considerable recent interest among practicing physicians. The article by Nyquist and colleagues1 in this issue of JAMA is the third analysis from the 1992 National Ambulatory Medical Care Survey (NAMCS) database to examine the use, or more accurately the overuse, of antibiotics for upper respiratory tract infections.1-3 Each article presents the premise that widespread antibiotic use contributes to the spread of resistance—a contention supported by ecological,4-5 epidemiological,6 and longitudinal studies.7-8

The analysis by Nyquist et al1 provides data that may help focus efforts to improve antibiotic use practices of physicians who care for children. The authors found that family physicians and general practitioners prescribed antibiotics for children with colds, bronchitis, or upper respiratory tract infections (URIs) significantly more often than did pediatricians. The association of unnecessary antibiotic use with specialty also . . . [Full Text of this Article]

From the Respiratory Diseases Branch, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Dr Schwartz); Department of Family Medicine, Medical University of South Carolina, Charleston (Dr Mainous); and Southern California Kaiser-Permanente Health Care Program, Panorama City (Dr Marcy).



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