Jan 24 2016

CDC & Doctors Group issues new Guidelines for Antibiotics

Published by at 1:31 pm under Antibiotics

A new approach to taking antibiotics
The CDC has released new guidelines regarding antibiotics in treating most respiratory infections.


Drug resistant bacteria are on the rise and becoming a dangerous public health epidemic. In response, doctors’ groups have issued new guidelines on exactly when antibiotics should be prescribed. The hope is that these guidelines, issued by Centers for Disease Control and Prevention and the American College of Physicians, will bring a stop to the over prescribing of antibiotics.1*

Over 41 percent of the 100 million antibiotic prescriptions written during doctor visits are for respiratory infections. According to the Center for Disease Control, 50 percent of those prescriptions may be unnecessary or inappropriate.1*

“…”Inappropriate use of antibiotics for ARTIs [Acute Respiratory Tract Infections] is an important factor contributing to the spread of antibiotic resistant infections, which is a public health threat,” said Dr. Wayne J. Riley, president of the ACP and an adjunct professor of healthcare management at Vanderbilt University…”1*

It is difficult to know when your doctor should be prescribing you antibiotics for a respiratory infection and when they should not. Below are the new guidelines for when it’s appropriate for patients to get these medications.1*

Sinus Infections

The new guidelines suggest that doctors should not prescribe antibiotics for uncomplicated sinus infections, as they usually clear up without antibiotics, even when the cause is bacterial. They recommend antibiotics only if the symptoms persist for more than 10 days, the onset is severe, or if there is a fever greater than 102.2 F and the patient has nasal discharge. Additionally, if the patient has facial pain lasting for at least three consecutive days or if symptoms worsen following a viral illness that was initially improving, antibiotics may be necessary.1*


In the past, at least two thirds of patients with bronchitis were treated with antibiotics. But now bronchitis alone does not require antibiotics, as 90 percent of cases are caused by viruses which don’t respond to antibiotics. The recommendation is that doctors only prescribe antibiotics if pneumonia is suspected, which may come as a big surprise to many patients who have taken rounds of antibiotics in the past to treat their bronchitis.1*

If you have bronchitis, the best course of action to relieve symptoms is:

  • Rest
  • Drink lots of fluids.
  • Use inhaler to treat asthma or another chronic lung condition if present.
  • Treat the fever
  • Use a humidifier or steamy showers1*

The Common Cold

When we catch a cold, it most always just needs to run its course, usually about 14 days and the symptoms can be treated with over the counter nasal saline sprays, decongestants and antihistamines, fever reducers, throat lozenges, combined with lots of fluids and rest. If symptoms worsen, then medical advice should be sought. 1*

Strep and pneumonia

Confirmed cases of strep throat and bacterial pneumonia do require antibiotics. Symptoms that suggest a patient might have strep are:

  • Red and inflamed tonsils
  • White spots or streaks
  • Severe sore throat with quick onset and severe pain when swallowing
  • Temperature of 101°F or above
  • Tiny, red spots (petechiae) on the roof of the mouth
  • Swollen lymph nodes
  • Headache, nausea, or vomiting
  • Sandpaper-like rash1*

Doctors may suspect — and test for— bacterial pneumonia if certain symptoms are present including:

  • Chest pain when breathing or coughing
  • High fever
  • Cough, which may produce phlegm
  • Shortness of breath
  • Extreme fatigue
  • Nausea, vomiting or diarrhea1*

Before prescribing a particular drug, a doctor will try to determine the specific bacteria causing the symptoms. This can help them treat that one bacteria and not result in prescribing a broad spectrum antibiotic which can wipe out all the good bacteria as well as bad, and which has been the culprit in the creation of the super bugs that are so resistant to antibiotics. Antibiotics are not only responsible for antibiotic resistant bugs, but are responsible for large numbers of medication-related adverse events and have been implicated in one out of every five visits involving drug reactions to the emergency room.1*

If you feel a cold, sinus condition or sore throat coming on, increase your probiotic intake, rest, and take care of yourself to allow your body to heal naturally. Eat healthy foods and drink lots of liquids. If you are not getting well on your own, seek medical attention, but ask if antibiotics are truly necessary and discuss these new guidelines with your health care practitioner. Taking BODY BIOTICSâ„¢ BIO IDENTICAL SBO PROBIOTICS CONSORTIAâ„¢ daily will help keep your immune system strong, which is so very important this time of year.


Healthiest wishes,






  1. http://www.today.com/health/most-respiratory-infections-don-t-require-antibotics-new-guidelines-advise-t67951
  2. http://www.cdc.gov/getsmart/community/for-hcp/outpatient-hcp/adult-treatment-rec.html

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