Mr. Smith brings his 4-year-old to your office with chief complaints of right ear pain, sneezing, mild cough, and low-grade fever of 100 degrees for the last 72 hours. Today, the child is alert, cooperative, and well hydrated. You note a mildly erythemic throat with no exudate, both ears mild pink tympanic membrane with good movement, lungs clear. You diagnose an acute upper respiratory infection, probably viral in nature. Mr. Smith is states that the family is planning a trip out of town starting tomorrow and would like an antibiotic just in case. Create a communication plan for Mr. Smith and/or families for both prescriptive and non-prescriptive drug therapies. Describe what you would tell Mr. Smith and the child. Provide resources that Mr. Smith could access which would provide information concerning your decision

Study of Mn553 in pharmacology – Acute respiratory tract infections

Dear Mr. Smith

I am grateful that you brought your child into my office. After examining your child, I believe that your child has an acute upper-respiratory infection. It is likely to be viral. Upper respiratory infections are common in young children. They usually disappear within days.

Antibiotics for viral infections are rarely necessary. The overuse of antibiotics may lead to antibiotic resistance. This can make it difficult for future treatment. I would not recommend giving your child antibiotics at this stage.

Instead, I suggest that you focus on managing your child’s symptoms at home. To ease the fever and earache, you can try over-the-counter pain reliefs like acetaminophen. To ease the symptoms of a sneezing or cough, you can encourage your child not to move, to drink lots of fluids and to use saline nasal sprays.

If your child’s symptoms worsen or persist for more than a week, please do not hesitate to contact my office for a follow-up appointment.

Your plans for travel are exciting. I am aware that I can help you ensure your child’s safety and comfort. You should ensure that your child has all the necessary medication and supplies, such as pain relief and saline nasal droppers. It is also a good idea to have a plan in place for seeking medical attention if your child’s symptoms worsen while you are away.

You can ask any member of my staff or me if you have further questions. Additionally, I have included some resources below that may be helpful in understanding your child’s condition and treatment options:

  • Centers for Disease Control and Prevention – Upper Respiratory Disease
  • American Academy of Pediatrics: Cough, Cold Medicines Use by Children
  • National Institute of Allergy and Infectious Diseases – Antibiotic Resistance

Thank you for entrusting your child’s health to me.

Sincerely, [Your Name]

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