Don’t recommend antibiotics for infections that are likely viral in origin, such as an influenza-like illness.

Since the vast majority of upper respiratory infections are viral, antibiotics are rarely indicated and may lead to adverse effects. Overuse or misuse of antibiotics can lead to increased antibiotic resistance in the individual and the larger society. Antiviral drugs are authorized for influenza treatment and prophylaxis in Canada. Their use will depend on a number of factors such as patient risk, relevant history and the duration and severity of symptoms. If a nurse caring for a patient feels that medication is not the appropriate intervention, the nurse has a responsibility to discuss these concerns with the prescribers.

 

Sources:

Choosing Wisely Canada. College of Family Physicians of Canada: Thirteen things physicians and patients should question [Internet]. 2019 Jul [cited 2019 Jul 25].

Government of Canada. Information for health professionals: Flu (Influenza) [Internet]. 2018 Oct 25 [cited 2019 Jul 25].

Hirschmann JV. Antibiotics for common respiratory tract infections in adults. Arch Intern Med. 2002 Feb 11;162(3):256-64. PMID: 11822917.

Low D. Reducing antibiotic use in influenza: Challenges and rewards. Clin Microbiol Infect. 2008 Apr;14(4):298-306. PMID: 18093237.

Schumann SA, et al. Patients insist on antibiotics for sinusitis? Here is a good reason to say “no”. J Fam Pract. 2008 Jul;57(7):464-8. PMID: 18625169.

Smith SR, et al. Treatment of mild to moderate sinusitis. Arch Intern Med. 2012 Mar 26;172(6):510-3. PMID: 22450938.

World Health Organization. The evolving threat of antimicrobial resistance: Options for action [Internet]. 2012 [cited 2017 Sep 25].