{"id":20854,"date":"2012-12-26T17:28:32","date_gmt":"2012-12-27T01:28:32","guid":{"rendered":"http:\/\/www.feeling.com.mx\/site\/?p=20854"},"modified":"2012-12-26T17:28:32","modified_gmt":"2012-12-27T01:28:32","slug":"los-antibioticos-no-sirven-para-la-tos-asegura-estudio","status":"publish","type":"post","link":"https:\/\/www.feeling.com.mx\/site\/20854\/los-antibioticos-no-sirven-para-la-tos-asegura-estudio.html","title":{"rendered":"Los antibi\u00f3ticos no sirven para la tos, asegura estudio"},"content":{"rendered":"

\"\"Un estudio realizado en varios pa\u00edses europeos encontr\u00f3 que los antibi\u00f3ticos son inefectivos para tratar la tos persistente causada por infecciones respiratorias leves.La investigaci\u00f3n, publicada en The Lancet, fue llevada a cabo con cerca de 2.000 pacientes que siguieron un \u00abdiario de enfermedad\u00bb. <\/p>\n

El estudio mostr\u00f3 que la severidad y duraci\u00f3n de los s\u00edntomas de los pacientes tratados con antibi\u00f3ticos no fueron distintos de los de aqu\u00e9llos que recibieron un placebo, pero los expertos subrayan que se debe ser cauteloso porque si se sospecha una neumon\u00eda, los antibi\u00f3ticos s\u00ed deben usarse debido a la severidad de esta infecci\u00f3n.<\/p>\n

El profesor Paul Little de la Universidad de Southampton, quien dirigi\u00f3 el estudio, se\u00f1ala que \u00abes probable que el uso del antibi\u00f3tico amoxicilina ayude a tratar infecciones respiratorias en pacientes en quienes no se sospecha neumon\u00eda, y que pueda ser perjudicial\u00bb.<\/p>\n

\u00abEl uso excesivo de antibi\u00f3ticos, dominado por la prescripci\u00f3n en la asistencia primaria y particularmente cuando son inefectivos, puede conducir al desarrollo de resistencia y provocar efectos secundarios como diarrea, erupci\u00f3n y v\u00f3mito\u00bb.<\/p>\n

\u00abNuestros resultados muestran que las personas mejoran solas. Pero dado que un peque\u00f1o n\u00famero de pacientes se beneficia con antibi\u00f3ticos, el desafi\u00f3 ahora es identificar a estos individuos\u00bb agrega.<\/p>\n

Estudios previos sobre si los antibi\u00f3ticos son beneficiosos o no para el tratamiento de infecciones respiratorias, cuyos s\u00edntomas incluyen dificultad para respirar, debilidad, fiebre alta, tos y fatiga, han mostrado resultados contradictorios, particularmente en las personas mayores cuyas infecciones respiratorias pueden provocar complicaciones.<\/p>\n

El nuevo estudio dividi\u00f3 al azar a los pacientes en dos grupos: uno recibi\u00f3 el antibi\u00f3tico y el otro un placebo, tres veces al d\u00eda durante siete d\u00edas. Se encontr\u00f3 poca diferencia en la severidad y duraci\u00f3n de los s\u00edntomas de ambos grupos.<\/p>\n

Esto tambi\u00e9n se aplic\u00f3 a pacientes de mayor edad, de 60 a\u00f1os o m\u00e1s, que sumaban casi 35% de los participantes. Al final del estudio, los que tomaron antibi\u00f3ticos informaron de m\u00e1s efectos secundarios, incluidos n\u00e1usea, erupci\u00f3n y diarrea, que los que tomaron el placebo.<\/p>\n

Las infecciones respiratorias son uno de los problemas m\u00e1s comunes por lo que los pacientes consultan al m\u00e9dico.<\/p>\n

El doctor Nick Hopkinson, miembro de la Fundaci\u00f3n Brit\u00e1nica del Pulm\u00f3n, piensa que el estudio ofrece informaci\u00f3n valiosa para no recetar antibi\u00f3ticos cuando los piden los pacientes.<\/p>\n

\u00abAlgunos pacientes con infecciones leves piden una receta de antibi\u00f3tico. Este estudio puede ayudar a los m\u00e9dicos generales a decidir que \u00e9stos no son la mejor opci\u00f3n\u00bb.<\/p>\n

\u00abLa mayor\u00eda de las infecciones leves se curan por s\u00ed mismas sin necesidad de antibi\u00f3ticos, debido a que son principalmente causadas por virus. Cuando un paciente tiene una infecci\u00f3n leve siempre se le dice que regrese si los s\u00edntomas no mejoran\u00bb.<\/p>\n

\u00abEste estudio es alentador y apoya lo que los m\u00e9dicos generales ya est\u00e1n haciendo\u00bb.<\/p>\n

Adem\u00e1s, dice, recetar antibi\u00f3ticos excesivamente puede conducir a una resistencia bacteriana a las infecciones. El estudio, que fue realizado en 12 pa\u00edses europeos, incluidos B\u00e9lgica, Inglaterra, Francia y Alemania, se llev\u00f3 a cabo de 2007 a 2010.<\/p>\n

Nota Original: BBC<\/a><\/p>\n

Antibiotics ‘ineffective for coughs’<\/strong>
\n\"\"Antibiotics are ineffective in treating patients with persistent coughs caused by mild chest infections, the Lancet journal reports.<\/p>\n

About 2,000 patients across 12 European countries filled in an ‘illness’ diary.<\/p>\n

The study found that the severity and duration of symptoms in patients treated with antibiotics were no different to those given a placebo.<\/p>\n

But experts caution that if pneumonia is suspected, antibiotics should still be used due to the disease’s severity.<\/p>\n

Prof Paul Little from the University of Southampton, who led the research, said: \u00abUsing the antibiotic amoxicillin to treat respiratory infections in patients not suspected of having pneumonia is not likely to help and could be harmful.<\/p>\n

Most mild chest infections will settle by themselves with no need for antibiotics – as mainly caused by viruses\u201d<\/p>\n

\u00abOveruse of antibiotics, dominated by primary care prescribing, particularly when they are ineffective, can lead to the development of resistance and have side effects like diarrhoea, rash and vomiting.<\/p>\n

\u00abOur results show that people get better on their own. But given that a small number of patients will benefit from antibiotics the challenge remains to identify these individuals.\u00bb<\/p>\n

Previous research into whether or not antibiotics are beneficial in the treatment of chest infections, where symptoms include shortness of breath, weakness, high fever, coughing and fatigue, have produced conflicting results- particularly in older people where chest infections can lead to further complications.<\/p>\n

This study randomly divided patients into two groups – one received the antibiotic and the other was given a placebo, an inert treatment in the form of a sugar pill, three times a day for seven days.<\/p>\n

The study found little difference in the severity and duration of symptoms reported between groups. This was also true for older patients – those aged 60 years or over – who made up nearly a third of the study.<\/p>\n

And those taking antibiotics were reported to have more side effects including nausea, rash and diarrhoea than those given the placebo.<\/p>\n

Drug resistance<\/strong>
\nChest infections are one of the most common problems patients go to their GP about.<\/p>\n

Dr Nick Hopkinson, a member of the British Lung Foundation, thought the study was helpful back-up when patients ask them for antibiotics.<\/p>\n

He said: \u00abSome patients with mild chest infections will ask for a prescription – this study can help GPs suggest it may not be the best thing for them.<\/p>\n

\u00abMost mild chest infections will settle by themselves with no need for antibiotics – as they are mainly caused by viruses. Those with mild infections are told to come back if symptoms don’t get better.<\/p>\n

\u00abThis study is encouraging and supports what GPs are already doing.\u00bb<\/p>\n

Overprescribing of antibiotics can lead to bacterial infection resistance.<\/p>\n

Dr Michael Moore, from the Royal College of General Practitioners, who also co-authored the study, said: \u00abIt is important that GPs are clear when they should and should not prescribe antibiotics to patients to reduce the emergence of bacterial resistance in the community.<\/p>\n

\u00abThis study backs the approach taken in the National Institute for Health and Clinical Excellence (NICE) guidelines that patients who present with acute lower respiratory tract infection where pneumonia is not suspected can be reassured by their GP that they will recover without antibiotics and that the illness is likely to last about three weeks in total whether or not they have a prescription.\u00bb<\/p>\n

The European study, which included Belgium, England, France and Germany, took place between November 2007 and April 2010.<\/p>\n

It looked at 2,061 patients who had a persistent cough lasting more than 28 days and where a chest infection, like bronchitis, was suspected.<\/p>\n

Those thought to have pneumonia were excluded from the study due to the severity of the disease if not treated promptly.<\/p>\n

Participants completed a daily diary for the duration of their illness and rated the the severity of their symptoms including cough, shortness of breath, chest pain, and blocked or runny nose<\/p>\n","protected":false},"excerpt":{"rendered":"

Un estudio realizado en varios pa\u00edses europeos encontr\u00f3 que los antibi\u00f3ticos son inefectivos para tratar la tos persistente causada por infecciones respiratorias leves.La investigaci\u00f3n, publicada en The Lancet, fue llevada a cabo con cerca de 2.000 pacientes que siguieron un \u00abdiario de enfermedad\u00bb. El estudio mostr\u00f3 que la severidad y duraci\u00f3n de los s\u00edntomas de los pacientes tratados con antibi\u00f3ticos no fueron distintos de los de aqu\u00e9llos que recibieron un…<\/p>\n","protected":false},"author":2,"featured_media":20857,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[24,48087],"tags":[7137,2613,4591],"views":404,"_links":{"self":[{"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/posts\/20854"}],"collection":[{"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/comments?post=20854"}],"version-history":[{"count":0,"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/posts\/20854\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/media\/20857"}],"wp:attachment":[{"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/media?parent=20854"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/categories?post=20854"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.feeling.com.mx\/site\/wp-json\/wp\/v2\/tags?post=20854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}