Description
Book SynopsisThe purpose of this book is to clarify the use of antibiotics in the management of the eommon respiratory illnesses seen in general practiee. The underlying philosophy, whieh embraees the avoidanee of unneeessary use, is that proper use entails a full understanding of the nature of the illness. The eoneept of seleetive antibiotie use reeognizes that respiratory illnesses eommonly eomprise multiple illness features, and that some of these features have a viral cause and some a bacterial one. In assessing antibiotic need, eaeh feature or eomponent part of an illness may be evaluated individually, so enabling adecision for antibiotie use in the illness as a whole. The nature of eaeh individual illness feature with its antibiotic indication is diseussed in sueeessive ehapters, and this aecumulated knowledge is of value in managing the more eomplex PUO and flu-like illnesses whieh are diseussed at the end of the book. The first two ehapters eneompass the principles of antibiotic use and the relationship between antibiotie preseribing and various states of the patient, e.g. allergy, pregnaney ete. An attempt has been made to justify every reeommendation or decision, and non-antibiotic management is diseussed where relevant.
Table of Contents1 Antibiotics and the Patient.- Allergy.- Antibiotic Diarrhoea.- The Contraceptive Pill.- Pregnancy.- Lactation.- Neonates.- Children.- The Elderly.- Hepatic and Renal Impairment.- Drug Interactions.- Absorption.- 2 Management Principles.- 3 Pyrexia.- Febrile Convulsions.- Delirium.- Rigors.- Symptomatic Management of Pyrexia.- Antibiotic Use.- 4 Sore Throat, Tonsillitis and Pharyngitis.- Definition.- The Non-inflamed Sore Throat.- The Inflamed Throat.- Referral for Tonsillectomy.- 5 Otitis Media.- Use of the Auroscope.- Clinical Features of Acute Otitis Media.- Bacteria in Acute Otitis Media.- Secretory Otitis Media.- Management and Antibiotic Use.- Chronic Otitis Media.- 6 Sinusitis.- Clinical Features.- Bacteriology.- Management and Antibiotic Use.- 7 Laryngitis.- Croup.- Hoarseness or Loss of Voice.- 8 Coughs and Colds.- The Acute Cough.- Cold in the Nose.- Persistent Cough in Children.- Persistent Cough in Adults.- The Absent Cough.- 9 Wheezy Bronchitis in Children.- The Nature of Wheezy Bronchitis.- Recognition of Asthma.- Management of the Acute Episode.- Longerterm Management.- Differential Diagnosis.- 10 Pneumonia.- Clinical Diagnosis.- Investigation.- Infective Causes.- Management and Antibiotic Use.- Differential Diagnosis.- 11 Bronchitis, Bronchiolitis and Bronchiectasis.- Acute Bronchitis.- Acute Bronchiolitis.- Chronic Bronchitis.- Bronchiectasis.- 12 Vomiting and Diarrhoea.- Non-specific Vomiting.- Gastro-enteritis.- Management.- 13 PUO in Children.- Definition.- Emergent Diagnoses.- Management and Antibiotic Use.- 14 Influenza and the ’Flu-like Illness.- The Influenzal Illness.- Viral Causes.- Differential Diagnosis.- Clinical Assessment of the Patient with ’Flu.- Management and Antibiotic Use.
