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Unfortunately, with the increased use of antibiotics we have seen an accelerated growth of antibiotic resistant bacteria. In order to combat this resistance, doctors have been called upon to restrict the use of antibiotics to those situations in which there is a very high likelihood that the infection being treated would benefit from antibiotics. Most illnesses (such as a cold, upset stomach, or flu like syndrome) are caused by viruses. These viruses are very different than bacteria. Antibiotics do not affect viruses. Antibiotics only work to kill bacteria. Unfortunately, the degree of sickness does not always indicate whether or not the infection is bacterial or viral. It is impossible for a doctor to conclusively diagnose an infection over the phone without a physical exam and even more difficult to determine whether an infection is due to a bacteria or virus. Therefore, we do not call in antibiotic prescriptions without an office visit. With the increasing prevalence of antibiotic resistant bacteria as well as the risks of antibiotic side effects and allergic reactions, I always want to confirm, by physical exam, that there is most likely a bacterial infection. While I understand that this policy may seem inconvenient at times, it has been developed to ensure the highest quality care for your child. |
