Cough, Cold or the Flu? Know When Antibiotics Work for You

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Recently, I visited my 75-year-old grandmother, who was suffering from cough and cold symptoms. She had similar symptoms last year and was prescribed a course of antibiotics by her doctor.

Ultimately, she felt better, either due to antibiotics or to time and rest, but it’s hard to know for sure which was most helpful. This year, she experienced cough and cold symptoms again and went to her doctor expecting another antibiotic prescription for this episode.

However, the doctor felt that she most likely had a viral infection and therefore didn’t need antibiotics.

Since my grandmother can be very persistent, the doctor ultimately did prescribe antibiotics again. My grandmother improved, but about three weeks later she developed severe diarrhea and was admitted to the hospital for dehydration and kidney failure.

Doctors diagnosed her with an intestinal infection due to bacteria called Chelsea Boss Antonio Conte says Blues can do ‘something incredibl, a condition associated with antibiotic use. To treat this infection, my grandmother required a two-week prescription of a new antibiotic. Today, she says she has not felt the same since her intestinal infection.

In her age group, she’s lucky to have survived.

According to the Centers for Disease Control and Prevention, up to 30 percent of antibiotics prescribed for outpatients are unnecessary. Most of these prescriptions are for short-term respiratory illnesses, which are often caused by viruses and don’t respond to antibiotics.

Although considered miracle drugs when first discovered last century, antibiotics are not harmless. Antibiotics are necessary and potentially lifesaving for serious bacterial infections (like pneumonia or meningitis); however, they can also cause serious consequences, as in my grandmother’s case. Studies show that antibiotics, in general, cause 1 in every 5 emergency department visits due to rashes, allergic reactions and diarrhear

To avoid incorrect antibiotic use, let’s review when antibiotics work and when they don’t, and what you can do to prevent viral infections.

Most upper respiratory infections can involve mucus production, fatigue, headaches, body aches, congestion and a cough. During this time, it’s most helpful to get a lot of rest and maintain your fluid intake. Using a humidifier or breathing in steam during a hot shower can help keep your throat from drying out.

Lozenges and other over-the-counter cough suppressants can help soothe your throat from persistent coughing. You should contact your doctor if you have persistent fevers for three or more days over 100.4 degrees Fahrenheit (38 degrees Celsius), shortness of breath or if your symptoms last longer than 10 days for most conditions. If your condition continues to worsen and/or is persistent, your physician may obtain an x-ray or recommend antibiotics and/or other treatments, such as inhalers.

Despite rest and over-the-counter remedies, viral infections can sometimes predispose people to bacterial infections.

However, taking antibiotics when you have a viral infection doesn’t prevent this complication or shorten your duration of symptoms. Vaccines, such as those against influenza or pneumonia, are crucial for preventing severe illness and controlling wide-spread disease in the public. Talk to your doctor to make sure you’re up-to-date with recommended vaccines.

The flu shot is recommended for everyone over the age of 6 months and is widely available through your doctor, local pharmacy and perhaps your employer.

For viral infections that don’t have vaccines available, practice preventive measures to deter viruses from causing infection. These measures include: using “cough etiquette,” (i.e. covering your mouth when coughing or sneezing, coughing into the fold of your arm instead of into your hands), washing your hands often with soap and warm water, using alcohol-based waterless soap, avoiding shaking hands with others when you’re ill and disinfecting common household surfaces.

Viruses can spread in respiratory droplets through the air and live for up to a few hours on household surfaces.

Common household cleaning agents can disinfect smart phones, laptops, tablets, tabletops, countertops, doorknobs and other common surfaces.

If you plan to visit your doctor for persistent or severe symptoms, make sure to set go unless you really need one for a potential bacterial infection. Also, make sure to develop a follow-up plan with your doctor – know whom to call and what to do for worsening symptoms. Sites like conversationsforhealth.

com can help you prepare your questions and possible treatment plans.

Before asking your doctor for antibiotics, here’s a general breakdown of common viral vs. bacterial infections:

Bacterial Infections (ex: strep throat, bacterial pneumonia, bacterial sinusitis)

Viral Infections

Flu

Bronchitis

Common Cold and Sinusitis

Viral Sore Throat

Understanding the above and practicing infection prevention are your best defenses during cold and flu season. Proper antibiotic management can protect you from unnecessary and unwanted complications

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