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To the Editor: In his Clinical Crossroads article, Dr Gonzales¹ discussed the common scenario of a patient demanding antibiotics for acute respiratory infection (ARI). One difficulty in the management of ARIs is making a diagnosis. Rapid viral diagnostic tests are now available for a number of respiratory viruses, although their role in assessment and management of patients with ARI remains unclear.

Matt Hall, MD, MS
Division of Infectious Diseases
The University of Utah
Salt Lake City

1. Gonzales R. A 65-year-old woman with acute cough illness and an important engagement. JAMA. 2003;289:2701-2708. FREE FULL TEXT

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290:1851.

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