Do you recommend a limited or an involved use of antibiotics in treatment of these disease(s) and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for asthma symptoms?
Asthma is a medical condition that causes inflammation of the airways which obstructs airflow to the lungs (Burns et al., 2019). It is typically intermittent and reversible. This is caused when the airway becomes hyper responsive or inflamed causing bronchoconstriction. It can be aggravated by a viral or bacterial infection (Castro-Rodriguez et al., 2016). The signs and symptoms include shortness of breath, coughing, wheezing, and chest tightness. Pharmacological management in determined by the age and weight of the child and typically include steroids and bronchodilators. I would not recommend the use of antibiotics for this case or an unconfirmed bacterial case. Prescribing antibiotics for a patient without a confirmed bacteria or related symptoms would expose them to unnecessary medication and increase the risk of antibiotic resistance (Adams et al., 2018). Antimicrobial resistance is continuing to growth especially in the pediatric population. The cause derives from providers prescribing antibiotics to treat viral infections instead of antibacterial. The standards for prescribing pediatric antibiotics come from The Center for Disease Control and Prevention (CDC) and The American Academy of Pediatrics (AAP). These guidelines recommend that prescribing antibiotics should be done for the following diagnosis: acute rhinosinusitis, urinary tract infection, common cold, otitis media, bronchiolitis, and pharyngitis (CDC, 2020). The assessment finding of a bacterial infection would warrant antibiotic use such as fever, coughing up discolored, sputum, and crackles (Adams et al., 2018). In addition, laboratory test can be obtained to confirm an infection.