急性支气管炎患者不应给予抗生素处方

发表在《美国医学协会杂志》（JAMA）的一项新的研究显示，患有急性支气管炎的10名患者中有7人去看医生时被给予抗生素处方。合格的处方率为0%，这是一个很大的问题。

40年以上的临床试验已经证实抗生素不能有效治疗急性支气管炎。最重要的是，美国疾控中心对这一事实也已经强调15年。

该研究的共同作者、医院的内科学专家JeffreyLinder警告道：患者要求和医生开出的抗生素处方对急性支气管炎是没有治疗效果的。相反，患者还会遭受到抗生素的不良药物反应，如腹泻和过敏反应，同时抗生素的滥用也会使患者产生耐药性。

英文原文：

Study:TooManyAcuteBronchitisPatientsBeingPrescribedAntibiotics.

TheLosAngelesTimes(5/21,Kaplan)reportsthatanewJAMAstudyhasfoundthat“about7in10patientswhogotoadoctorseekingtreatmentforacutebronchitiswindsupleavingtheirappointmentwithaprescriptionforanantibiotic,”and“that’saproblem,thestudyauthorssay,becausetheidealprescriptionrateshouldbe0%.”Thepiecenotesthat“morethan40yearsofclinicaltrialshavedemonstratedthatantibioticsdonothelppatientswithacutebronchitis,”and“ontopofthat,theCentersforDiseaseControlandPreventionhavebeenemphasizingthisfactforthelast15years,ashastheHealthcareEffectivenessDataandInformationSetfornearly10years,theJAMAreportsays.”

USAToday(5/21,Painter)reportsthatJeffreyLinder,aspecialistininternalmedicineatBrighamandWomen’sHospitalandco-authorofthestudyandotherresearcherswarnthat“patientskeepdemandinganddoctorskeepprescribingantibioticsforproblemstheycan’tcure,”and“asaresult,patientssufferunnecessarysideeffects,suchasdiarrheaandallergicreactions,andtheyplayapartinthedevelopmentandspreadofgermsthatnolongerrespondtoover-usedantibiotics.”

BloombergBusinessWeek(5/20)reportsthat“thestudyshowshowfarevidence-basedmedicinehastogo.”