The Diagnostic Problem of Prescribing Antibiotics in URI

A questionnaire was circulated to 298 Ontario family physicians. They were asked how frequently they prescribed antibiotics for uncomplicated upper respiratory infections; what investigations they used; their choice from a list of absolute and relative indications of antibiotics; and their comments on the problem. Fifteen percent of the 209 respondents stated they "usually" prescribed antibiotics; 43 percent prescribed them about "half the time"; and 42 percent prescribed them "rarely".Respondents' comments revealed a high level of patient pressure for antibiotics and a general awareness of over-prescription. It was agreed that it was difficult to sort out those infections where antibiotics were indicated by clinical findings alone. Despite this, 80 percent were satisfied with their rationale.