Editorial |

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(11):881-882. doi:10.1001/jama.279.11.881.
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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.13 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

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