Skip to main content
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1991 Oct;67(792):892–896. doi: 10.1136/pgmj.67.792.892

Infection in exacerbations of asthma: views of different groups of practitioners.

C K Connolly 1, N K Murthy 1, R J Prescott 1, R M Alcock 1
PMCID: PMC2399172  PMID: 1758798

Abstract

A questionnaire designed to elucidate views on the frequency of infection in asthma and its management was circulated to general practitioners, general physicians, paediatricians and respiratory physicians in the north of England. On the whole, general practitioners agreed with the general physicians and paediatricians with respiratory physicians. The generalists, and to a lesser extent the specialists, tended to overestimate the risk of bacterial infection, which was perceived to be a particular risk following viral infection in intrinsic asthma. This resulted in more frequent prescription of antibiotics than is justified by the published evidence. There was a tendency for frequent prescribers of antibiotics to withhold corticosteroids. If prescribing habits are to be altered, education will have to be directed at those responsible for acute admissions to hospital as well as at general practitioners.

Full text

PDF
892

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beasley R., Coleman E. D., Hermon Y., Holst P. E., O'Donnell T. V., Tobias M. Viral respiratory tract infection and exacerbations of asthma in adult patients. Thorax. 1988 Sep;43(9):679–683. doi: 10.1136/thx.43.9.679. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bucknall C. E., Robertson C., Moran F., Stevenson R. D. Differences in hospital asthma management. Lancet. 1988 Apr 2;1(8588):748–750. doi: 10.1016/s0140-6736(88)91549-8. [DOI] [PubMed] [Google Scholar]
  3. Empey D. W., Laitinen L. A., Jacobs L., Gold W. M., Nadel J. A. Mechanisms of bronchial hyperreactivity in normal subjects after upper respiratory tract infection. Am Rev Respir Dis. 1976 Feb;113(2):131–139. doi: 10.1164/arrd.1976.113.2.131. [DOI] [PubMed] [Google Scholar]
  4. Graham V. A., Milton A. F., Knowles G. K., Davies R. J. Routine antibiotics in hospital management of acute asthma. Lancet. 1982 Feb 20;1(8269):418–420. doi: 10.1016/s0140-6736(82)91619-1. [DOI] [PubMed] [Google Scholar]
  5. Horn M. E., Brain E. A., Gregg I., Inglis J. M., Yealland S. J., Taylor P. Respiratory viral infection and wheezy bronchitis in childhood. Thorax. 1979 Feb;34(1):23–28. doi: 10.1136/thx.34.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hudgel D. W., Langston L., Jr, Selner J. C., McIntosh K. Viral and bacterial infections in adults with chronic asthma. Am Rev Respir Dis. 1979 Aug;120(2):393–397. doi: 10.1164/arrd.1979.120.2.393. [DOI] [PubMed] [Google Scholar]
  7. McIntosh K., Ellis E. F., Hoffman L. S., Lybass T. G., Eller J. J., Fulginiti V. A. The association of viral and bacterial respiratory infections with exacerbations of wheezing in young asthmatic children. J Pediatr. 1973 Apr;82(4):578–590. doi: 10.1016/S0022-3476(73)80582-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Minor T. E., Baker J. W., Dick E. C., DeMeo A. N., Ouellette J. J., Cohen M., Reed C. E. Greater frequency of viral respiratory infections in asthmatic children as compared with their nonasthmatic siblings. J Pediatr. 1974 Oct;85(4):472–477. doi: 10.1016/S0022-3476(74)80447-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Minor T. E., Dick E. C., Baker J. W., Ouellette J. J., Cohen M., Reed C. E. Rhinovirus and influenza type A infections as precipitants of asthma. Am Rev Respir Dis. 1976 Feb;113(2):149–153. doi: 10.1164/arrd.1976.113.2.149. [DOI] [PubMed] [Google Scholar]
  10. Minor T. E., Dick E. C., DeMeo A. N., Ouellette J. J., Cohen M., Reed C. E. Viruses as precipitants of asthmatic attacks in children. JAMA. 1974 Jan 21;227(3):292–298. [PubMed] [Google Scholar]
  11. Sherter C. B., Polnitsky C. A. The relationship of viral infections to subsequent asthma. Clin Chest Med. 1981 Jan;2(1):67–78. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES