My morning ritual of reading articles over coffee has transformed somewhat, such that there is a lot more playing with an infant, and a lot less evidence based medicine. Although the coffee isn’t going anywhere, it is usually cold by the time I have a free moment to get to […]
otitis media
Doctors prescribe a lot of antibiotics for viral illness. We shouldn’t do that. Antibiotics don’t work for viral illnesses, but for some reason many doctors can’t seem to help themselves. Because of all this inappropriate prescribing, someone came up with the (not so) brilliant idea of delayed antibiotic prescriptions, in […]
Friends, infants, countrymen, lend me your ears; I come to discuss the prevalence of invasive bacterial infections in afebrile infants with otitis media. The Pediatric Emergency Medicine Collaborative Research Committee (PEMCRC) study on Invasive Bacterial Infections in Afebrile Infants Diagnosed with Acute Otitis Media I could not resist starting with […]
Either a patient needs antibiotics or they don’t. If a patient needs antibiotics, a delayed prescription is harmful. If a patient doesn’t need antibiotics, a delayed prescription is harmful. Thus, delayed antibiotics are dumb.