Pneumonia

Discussion in 'Off Topic' started by BigOscar, 30 Dec 2018.

  1. Cityfan

    Cityfan

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    If you don't believe me perhaps you will believe the British Thoracic society Guidelines
    https://www.nature.com/articles/pcrj201014


    ''Diagnosis and decision on hospital referral in primary care is based on clinical judgement and the CRB-65 score. Unlike some other respiratory infections (e.g. acute bronchitis) an antibiotic is always indicated when a clinical diagnosis of pneumonia is made''
     
  2. Barcon

    Barcon

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    Good luck getting antibiotics off your doctor over here. I don’t even bother going in anymore.
     
  3. crazyadi

    crazyadi

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    I know plenty of medics who wouldn't. We have an antibiotics crisis, not a single medic I know would prescribe antibiotics for a pneumonia until tests are conclusive there is also some very specific differences between viral and bacterial too. Infection markers look different in viral pneumonia for a start. If, as Karen says, they are at deaths door then they would give a broad spectrum Abx but that's the only time they would prescribe blind and that's because viral pneumonia rarely has people at deaths door so there is a huge likelihood it would be bacterial.
     
    Last edited: 5 Jan 2019
  4. crazyadi

    crazyadi

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    I didn't say Drs wouldn't, I said there shouldn't be a single Dr who would. The issue we have with antibiotics is because some, not all, GPs do this. They shouldn't, just like hospital Drs won't.
     
  5. crazyadi

    crazyadi

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    Unless the clinical diagnosis is due to a virus.
     
  6. Cityfan

    Cityfan

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    Don't know how many Medics you know mate but this is simply not true.
     
  7. BimboBob

    BimboBob

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    Listen, Can you smell something?
    Damn. Had you on the sweepstake.
     
  8. BlueMedic

    BlueMedic

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    Afraid this isn't true. No A&E doctor is waiting for conclusive results as to viral or bacterial pathology, they're getting a chest X-ray & a set of bloods because they come back quickly, then if there's evidence of infection antibiotics will be given - no one will be waiting for cultures as there's simply no time for that. They'll use scoring systems (i.e. CURB-65) & clinical experience to guide where the patient then goes (i.e. home/admission).
     
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  9. nimrod

    nimrod

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    Correct.
     
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  10. Blue Maverick

    Blue Maverick

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    Probably not mate he’s a bit of a knobhead if I’m honest
     
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