Antibiotic Use: When They Fail

Antibiotic Use: When They Fail

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Summary of Transcript:
In this YouTube video, Dr Ken Berry explains that antibiotics are often overused in medical practice and should only be used in specific situations where they will actually be helpful. He emphasizes that bacteria are not always harmful and the overuse of antibiotics can have negative consequences, such as the development of antibiotic-resistant bacteria. Dr Berry also provides examples of viral infections that do not require antibiotics and should be left to run their course, such as pink eye, the common cold, and most ear infections. He advises that people should only take antibiotics if they have a bacterial infection and need them, and even then, they should be used with caution.

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Summary of Description:
The video discusses how antibiotics can be powerful medicine in the right situation, but useless or even harmful in the wrong situations. It highlights situations where antibiotics won’t be helpful and urges viewers to discuss their conditions with their doctor before taking antibiotics. The video also provides various information sources and resources related to antibiotics, lab tests, and improving overall health. Dr. Ken D. Berry also mentions that the information presented in the video is for general guidance and should not be considered a substitute for advice from a qualified healthcare professional.


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Why Antibiotics Won’t Help In Some Situations

Antibiotics are a powerful weapon in the fight against bacterial infections, but they should only be used when necessary. Overprescribing and unnecessary use of antibiotics can lead to antibiotic resistance, making them less effective in the future. Knowing when antibiotics are appropriate and when they are not is essential. In this article, we’ll explore situations where antibiotics won’t help.

Upper respiratory tract infections

Upper respiratory tract infections, such as the common cold, flu, and sinusitis, are caused by viruses, which antibiotics cannot kill. Taking antibiotics for these illnesses only increases the risk of antibiotic resistance without providing any benefit. When suffering from an upper respiratory tract infection, rest, hydration, and over-the-counter remedies can relieve symptoms, but antibiotics are not needed.

Antibiotics and children

Antibiotics are sometimes given to children when they have a fever, cough, or other symptoms. However, research has shown that antibiotics are often unnecessary for children with respiratory illnesses. A study on children with chest infections found that antibiotics did not provide significant benefits in recovery or symptom relief compared to a placebo. Antibiotics should only be prescribed for children when there is clear evidence of a bacterial infection.

Patient expectation and FOMI

Sometimes, patients will pressure their doctors to prescribe antibiotics, even when they are not necessary. Fear of missing an infection (FOMI) and patient expectation can lead to unnecessary use of antibiotics, contributing to antibiotic resistance. It’s important to educate patients about the dangers of antibiotic overuse and explain when antibiotics are appropriate and when they are not.

Overprescribing antibiotics

Overprescribing antibiotics is a significant problem, leading to the development of antibiotic-resistant bacteria. In some cases, antibiotics may not be necessary, such as in cases of viral infections. A study found that up to 70% of prescriptions for antibiotics may be unnecessary. Providers must consider the patient’s individual situation and determine if antibiotics are needed or if alternative treatments would be appropriate.

When antibiotics are necessary

In some cases, antibiotics are necessary to treat bacterial infections. Such as:

– Urinary tract infections: These infections are caused by bacteria and usually need antibiotics.
– Staph infections: These infections, caused by Staphylococcus aureus bacteria, can be severe, and antibiotics are usually the treatment of choice.
– Certain respiratory tract infections: Bacterial pneumonia, bacterial bronchitis, and strep throat all require antibiotics.

Conclusion

Antibiotics are powerful drugs which can fight bacterial infections, but they should only be used when necessary. Overprescribing antibiotics can lead to antibiotic resistance, making them less effective in the future. Patients should discuss their symptoms with their doctors instead of self-prescribing antibiotics. By understanding when antibiotics are necessary and when they won’t help, we can help to prevent antibiotic resistance and ensure that antibiotics remain effective in the future.

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See Original Source

Source Description
Antibiotics are powerful medicine in the right situation. In the wrong situations they are worthless and even worse than worthless. In the following situations antibiotics won’t help at all. Know them all and discuss this with your doctor next time you have an infection and think you might need antibiotics.

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— More Info —
https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7060757/
https://www.cdc.gov/antibiotic-use/clinicians/pediatric-treatment-rec.html
Over-prescribing: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240113/
child chest infection: https://www.bristol.ac.uk/news/2021/september/largest-trial-of-antibiotic-amoxicillin-.html
FOMI & Patient expectation: https://www.mdedge.com/familymedicine/article/254353/infectious-diseases/dont-let-fomi-lead-antibiotic-overuse
70% Rx Abx for no reason: https://www.studyfinds.org/doctors-unnecessary-antibiotics/
***AFP article: https://www.aafp.org/pubs/afp/issues/2022/1200/antibiotics-upper-respiratory-tract-infections.html

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Ken D Berry, MD, is a Family Physician with 20 years of experience seeing patients in the clinic, emergency department & inpatient, and has seen over 25,000 patients in his career so far.
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Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a doctor or other qualified healthcare professional. Always seek the advice of your physician or other qualified health care professional with questions you may have regarding your medical condition.
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