Posted by Blue from IP 126.96.36.199 on December 05, 2015 at 23:51:19:
In Reply to: Re: Pediatric Pneumonia and URI in general posted by ano on December 02, 2015 at 11:02:43:
Good argument, first of all. Thanks!
Some questions: 1. Suppose you are the parent, according to the past experience, you suspect that the child is in more serious condition, but the physician does not share your concern?
What will you think? For me, benefit of using antibiotics to prevent possible worse outcome outweigh its potential concerns.
2. Which is more important? Your current individual patient or future patients in general?
3. URIs are very complicated, so many diseases and their complications are involved, nobody really knows what percentage are caused by virus, what by bacteria, what percentage are by
both. But we are sure that bacteria is a important component and they tend to cause more serious problems.
My position slants to: if I am the physician, I will discuss with the patient about pros and cons instead of sticking to the rigid practice. I will check WBC instead of assuming wait-and-see
approach if I have slight concern that the infection is a bacterial one.
Any further inputs are very welcome.
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