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EDITORIAL The Family Physician’s Reasonable Approach to Upper Respiratory Tract Infection Care for This Century PPER RESPIRATORY tract infections (URIs), generally poor health were appropriate to define a popu- the most expensive and widespread lation in which infections were most likely limited to a URI. malady in the United States, represent The population studied was virtually fully insured 9% of the practice of the average family (97.4%) and highly educated. These characteristics may U physician or pediatrician. They are the make the results a little less generalizable to a more in- most common infectious conditions of children, with the digent, less educated population, but we have no reason average child having 5 to 8 infections per year. The as- to believe that more educated people would be more likely sociated health care costs include 23 million lost work- to want antibiotics, a request contrary to factual knowl- days and 26 million lost school days. In the United States edge regarding URIs. Eighty-three percent were em- colds account for 21 million visits and 12 million anti- ployed and 78% were female—70% of the symptomatic biotic prescriptions annually, at an estimated cost in 1994 adults and 85% of the parent responders.
Archives of Family Medicine – American Medical Association
Published: Jul 1, 2000
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