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It’s Time for Antibiotic Placebos
[Ссылки доступны только зарегистрированным пользователям ]
It’s Time for Antibiotic Placebos Paul Sax • August 31st, 2011 Categories: Health Care, Infectious Diseases, Patient Care (2 votes, average: 5.00 out of 5) As I’m sure you all agree, it’s high time we had a good antibiotic placebo. Just think — we’d be able to prescribe a 100% effective treatment for viral respiratory tract infections, with the assurance of no risk of antibiotic resistance, C diff, allergic reactions, tendon ruptures, photosensitivity, drug-drug interactions, or any of the myriad other side effects that real antibiotics have. Plus, based on studies like this one [Ссылки доступны только зарегистрированным пользователям ] , we could even tell our patients that they’re receiving an antibiotic placebo, and they’d still get better. There, ethical quandaries of placebo prescribing solved. What inspired this thought on antibiotic placebos was this email exchange: Цитата:
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But just think how much macrolide resistance we could avoid if, instead of a “Z-pack”, we had an “S-pack” (“S” for sucrose). That’s 6 pills (two on the first day, then one a day for 4 additional days), with the promise that it will be just as effective as azithromycin. And if you don’t believe me, read this paper in The Lancet [Ссылки доступны только зарегистрированным пользователям ] for proof (figure from paper in above image). And this news article in The Onion [Ссылки доступны только зарегистрированным пользователям ] for more information. Sucramycin (brand name Sucracil®), anyone?
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С уважением, Юсиф Алхазов. |