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When you cough up green or yellow phlegm you need to be prescribed antibiotics, right?
Cardiff University ^ | March 24, 2011 | Unknown

Posted on 03/24/2011 6:30:18 AM PDT by decimon

Prescribing antibiotics for patients with discoloured phlegm caused by acute cough has little or no effect on alleviating symptoms and recovery, a Cardiff University study has found.

Acute cough is one of the common reasons why people visit their GP and accounts for a large proportion of antibiotics prescribed in the community. One of the most common questions asked by GPs to their patients is about their phlegm: "Are you coughing anything up?" or "What colour is your phlegm?"

Clinicians and patients commonly believe that yellow and green phlegm production is associated with a bacterial infection, which is more likely to benefit from antibiotic treatment compared to non-productive cough or cough that produces clear phlegm.

However, in a new study published in the European Respiratory Journal, Professor Chris Butler and his team from Cardiff University's School of Medicine, together with colleagues from 14 European centres present data from an observational study of 3402 adult patients with acute cough presenting for health care in 14 primary care networks.

The research found that patients producing discoloured phlegm are prescribed antibiotics more frequently than those not producing phlegm unlike those producing clear/white phlegm.

Crucially, antibiotic treatment was not associated with greater rate or magnitude of symptoms score resolution among those who produced yellow or green phlegm. Neither was recovery among those feeling generally unwell on its own, or taken together with phlegm production, associated with antibiotic treatment.

Clinicians and patients are therefore likely to both be over interpreting the importance of the colour of phlegm in the decision whether or not to prescribe, or take, antibiotics.

Professor Butler, who led the study said: "One of the exciting things about this research is that our findings from this large, multi-country observational study resonate with findings from randomised trials where benefit from antibiotic treatment in those producing discoloured phlegm has been found to be marginal at best or non-existent.

"Our findings add weight to the message that acute cough in otherwise well adults is a self-limiting condition and antibiotic treatment does not speed recovery to any meaningful extent.

"In fact, antibiotic prescribing in this situation simply unnecessarily exposes people to side effects from antibiotics, undermines future self care, and drives up antibiotic resistance."

A single centre study, using different research methods, by one of Professor Butler's predecessors at Cardiff University came to similar conclusions to this new research. Despite this, non-evidence based practice remains common across the UK.


TOPICS: Health/Medicine
KEYWORDS: antibiotics; phlegm
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1 posted on 03/24/2011 6:30:20 AM PDT by decimon
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To: neverdem; DvdMom; grey_whiskers; Ladysmith; Roos_Girl; Silentgypsy; conservative cat; ...

Ping


2 posted on 03/24/2011 6:31:07 AM PDT by decimon
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To: decimon

Q: What’s green and carries a rifle?
A: Mucus McCain


3 posted on 03/24/2011 6:32:03 AM PDT by VRWCmember (Veritas vos Liberabit)
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To: decimon

I believe the antibiotic is to lessen the chances of Pneumonia....which will kill you.


4 posted on 03/24/2011 6:33:15 AM PDT by Sacajaweau
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To: decimon
Healthcare will be a great deal cheaper as soon as they issue enough studies showing that medical intervention is ineffective. They did this last year with a study on mammograms. Women under 50? [shrug] They don't need 'em.

This could be good science. But it sure feels like cost cutting.

5 posted on 03/24/2011 6:35:33 AM PDT by ClearCase_guy
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To: decimon
I used to be highly prone to sinus infections.

Since I started using the Walmart generic equivalent of PLAX (anti-plaque dental rinse) two things have happened.

(1) The dental hygienist says I have the cleanest teeth she has ever seen.

(2) I don't get sinus infections any more.

Just an observation.

6 posted on 03/24/2011 6:35:33 AM PDT by E. Pluribus Unum ("If they bring a knife to the fight, we bring a gun." -- Barry Soetoro, June 11, 2008)
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To: decimon

"unless you've been eating lime jello with bananas in it...go with the antibiotics

7 posted on 03/24/2011 6:36:02 AM PDT by Doogle ((USAF.68-73..8th TFW Ubon Thailand..never store a threat you should have eliminated))
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To: decimon
Only if you didn't eat guacamole the night before...
8 posted on 03/24/2011 6:36:23 AM PDT by gov_bean_ counter (I am declaring 2011 the year of ME.)
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To: VRWCmember

Q: What’s green and figure skates?
A: Peggy Phlegm.


9 posted on 03/24/2011 6:36:46 AM PDT by maggief
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To: VRWCmember

Christopher Plummer once unaffectionally called his 1965 movie- “The Sound of Mucus”...


10 posted on 03/24/2011 6:40:04 AM PDT by mikrofon (Most Popular Phlegm of the Year)
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To: decimon

If your illness is bacterial in origin, the antibiotics may work. If it’s viral, you’re wasting your time.


11 posted on 03/24/2011 6:40:32 AM PDT by edpc (Tagline under construction: Your American Recovery and Reinvestment Act dollars at work.)
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To: decimon
I've had colds where I have coughed and sneezed up topic subject and these were just normal 1-2 day bugs. I go with fever severity personally when it comes to doctors and getting medicine.
12 posted on 03/24/2011 6:41:47 AM PDT by nerdwithagun (I'd rather go gun to gun then knife to knife.)
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To: decimon
Of course it's indicative of an infection, and of course you will either recover from it or die without antibiotics. However, the chances of the infection leading to something that will kill you are much higher if you don't take antibiotics. Almost every day I read something saying we don't need this med or that med. Usually it is followed by FDA removing a med from the market, a huge price increase in the med putting it out of reach for many poor people or a new reluctance by doctors to write a prescription for the med, because of FDA oversight would be my guess. I do believe they have decided the way out of our financial problems is to halve the population and they are going at it hammer and tongs.
13 posted on 03/24/2011 6:42:04 AM PDT by pepperdog (Why are Democrats Afraid of a Voter ID Law?)
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To: Sacajaweau
Absolutely! Yellow mucus is infection, green mucus means the infection is healing. Infection untreated can become pneumonia, especially in old people. You don't suppose they want to kill off us old people now do you?? 8>(
14 posted on 03/24/2011 6:42:44 AM PDT by Ditter
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To: VRWCmember
Q: What's green and skates?
A: Peggy Phlegm-ing
15 posted on 03/24/2011 6:43:29 AM PDT by TonyInOhio ( Live free or die: Death is not the worst of evils.)
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To: decimon

When I urinate, I see lots of healthy, bright red blood.


16 posted on 03/24/2011 6:43:37 AM PDT by South Hawthorne (In Memory of my Dear Friend Henry Lee II)
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To: decimon

Guess this makes sense but I coughed clear phlegm for a couple of weeks and it turned into pneumonia a few years back. High fever, the whole nine yards. Lasted over a month. Felt like I was going to die. Didn’t go to the doctor until I was able to drive. He thought I was rather lucky. Haven’t been sick since.

Green, yellow or clear, go see a Doc if it persists!


17 posted on 03/24/2011 6:46:17 AM PDT by poobear (FACTS - the turd in the punch bowl of liberal thought!)
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To: decimon

This is hardly anything new, for the past 50 years we’ve been told antibiotics do nothing for colds and the associated productive or not coughs but too often doctors still will prescribe them as a “precautionary” treatment.

So now we have super bacteria that exhibit resistance to most antibiotics. Brilliant!


18 posted on 03/24/2011 6:49:16 AM PDT by count-your-change (You don't have be brilliant, not being stupid is enough.)
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To: VRWCmember

Q: What’s long, green and yellow and hangs from banana trees?
A: Elephant snot.


19 posted on 03/24/2011 6:50:18 AM PDT by decimon
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20 posted on 03/24/2011 6:53:24 AM PDT by listenhillary (Social Justice is the epitome of injustice.)
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To: ClearCase_guy
This could be good science. But it sure feels like cost cutting.

BINGO!!!

21 posted on 03/24/2011 6:53:36 AM PDT by HOYA97 (twitter @hoya97)
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To: decimon

22 posted on 03/24/2011 6:54:48 AM PDT by Lazamataz (The Democrat Party is Communist. The Republican Party is Socialist. The Tea Party is Capitalist.)
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To: VRWCmember

Q: What lesbian carries 1000 assault rifles?
A: Militia Etheridge.


23 posted on 03/24/2011 6:58:17 AM PDT by Lazamataz (The Democrat Party is Communist. The Republican Party is Socialist. The Tea Party is Capitalist.)
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To: decimon

Harry is that you?


24 posted on 03/24/2011 6:59:41 AM PDT by Rightly Biased (Do you know how awkward it is to have a political argument with a naked man?)
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To: pepperdog
I do believe they have decided the way out of our financial problems is to halve the population and they are going at it hammer and tongs.
Really? That puts you in the same category as Jeremiah Wright who thinks "they" invented AIDS, as well as drugs, to wipe out blacks.
25 posted on 03/24/2011 7:00:12 AM PDT by oh8eleven (RVN '67-'68)
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To: decimon

I am very wary of any drug or treatment studies coming out of the UK as they are likely sponsored by the government run health care system and may have the agenda of supporting NHS policies of denying care to reduce costs.


26 posted on 03/24/2011 7:00:45 AM PDT by The Great RJ (The Bill of Rights: Another bill members of Congress haven't read.)
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To: poobear

FEVER means infection....If it lasts for more than a couple of days...even 100...and you feel sick....DOCTOR


27 posted on 03/24/2011 7:10:54 AM PDT by Sacajaweau
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To: gov_bean_ counter

My 3 year old grandson and grandma (C’est moi) shucked fresh peas....Yummy....poor kid....green poo!!!


28 posted on 03/24/2011 7:13:22 AM PDT by Sacajaweau
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To: decimon

Is this thread for real? Try Web MD instead of ruining peoples breakfasts!


29 posted on 03/24/2011 7:13:50 AM PDT by Mountain Mary (Hey Fleebaggers: You might not recall your jobs, so we will!)
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To: Sacajaweau

:)


30 posted on 03/24/2011 7:14:49 AM PDT by gov_bean_ counter (I am declaring 2011 the year of ME.)
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To: edpc
If your illness is bacterial in origin, the antibiotics may work. If it’s viral, you’re wasting your time.

depending on your health condition.......if it's viral and you have a history of developing a bacterial infection as phase two....then your doctor should do what is best for you....one policy does not fit all.

31 posted on 03/24/2011 7:15:04 AM PDT by tioga
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To: decimon

Sinus infections, there was another recent study, stating that antibiotics did not have a significant impact on the treatment of sinus infections as the medication had trouble reaching the nasal cavities.

Discharge of cloudy or colored mucus is usually indicative of sinus infections and hence treating the symption with a medication that usually does not work on the illness not working is not a huge suprise to me.


32 posted on 03/24/2011 7:17:23 AM PDT by Brellium ("Thou shalt not shilly shally!" Aron Nimzowitsch)
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To: maggief; mikrofon; decimon; Lazamataz

I thought this thread would be funny, but it’s snot.


33 posted on 03/24/2011 7:19:57 AM PDT by VRWCmember (Veritas vos Liberabit)
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To: E. Pluribus Unum

ROTFLMAO!!!! This is the funniest comment I have seen in some time on here.


34 posted on 03/24/2011 7:22:25 AM PDT by Tennessean4Bush (An optimist believes we live in the best of all possible worlds. A pessimist fears this is true.)
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To: decimon

Q: What’s green and hangs out in your back yard on March 17th?
A: Paddy O’Furniture


35 posted on 03/24/2011 7:23:29 AM PDT by ladyjane
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To: Brellium

You need the right med for a sinus infection..Keflex (sp??) worked best for me. It knocked it out...bam bam...


36 posted on 03/24/2011 7:26:27 AM PDT by Sacajaweau
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To: decimon

No.


37 posted on 03/24/2011 7:46:19 AM PDT by Check6 (United States of Moronia: A nation of morons ruled by a gang of communist thugs.)
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To: decimon

ADVAIRE!
Steroid inhaler.

Learned long ago to go straight to Advair and bypass the useless antibiotics.

Just once a day for 2 weeks.

Don’t you love studies telling you what doesn’t work, without offering a solution?


38 posted on 03/24/2011 7:51:50 AM PDT by G Larry
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To: VRWCmember

Yeah, and I also thought a lot of hackers would be drawn to it....


39 posted on 03/24/2011 7:58:41 AM PDT by mikrofon (Who nose?)
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To: edpc
sometimes doctors will give anti=biotics even with the cause is a virus...it runs down your system and makes it easier for a bacterial infection on top of the viral problem. Any one that believes green phlegm doesn't require anti-biotics, wellllll, bless your heart, where should I send the flowers.. Infected sinus is serious, and needs quick treatment. Anything in the head can cause a brain abscess if it goes up and pneumonia if it goes down.

Thats why many dentists won't pull a badly abscessed tooth without first giving anti-biotic to get rid of the infection before pulling.

40 posted on 03/24/2011 8:30:05 AM PDT by goat granny
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To: Owl_Eagle
if true get to your doctor. Bowel bleeding can be just hemorrhoids, should not have any blood in urine...
41 posted on 03/24/2011 8:33:06 AM PDT by goat granny
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To: E. Pluribus Unum

Since I started flossing (daily, instead of whenever), my teeth (and gums) have been better, as well as my sinuses.

It’s all related - the Ear, Nose and Throat (mouth), after all.


42 posted on 03/24/2011 8:40:17 AM PDT by Ro_Thunder (I sure hope there is a New Morning in America soon. All this hope and change is leaving me depressed)
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To: oh8eleven
Oh no, not the REVEREND Wright! And there is a world of difference in what I said and what he said. I'm talking about verifiable instances of the FDA pulling life saving drugs from the market place for mostly idiotic reasons and you're equating my statement with a disease that is caused mostly by practices that can and should be avoided. Now if the FDA were to pull all the drugs that treated AIDS from the market I'd have to agree with the hallowed REVEREND, that they (the FDA which is a GOVERNMENTAL agency)were out to kill off AIDS patients.

I was not deadly serious in my statement, but kind of half way curious/suspicious. Or perhaps it's just FDA ineptitude??? Just speculating.

43 posted on 03/24/2011 2:42:14 PM PDT by pepperdog (Why are Democrats Afraid of a Voter ID Law?)
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To: decimon; Mother Abigail; EBH; vetvetdoug; Smokin' Joe; Global2010; Battle Axe; null and void; ...
micro ping

Antibiotic prescribing for discoloured sputum in acute cough/LRTI

LRTI = lower respiratory tract infection

44 posted on 03/25/2011 10:22:51 PM PDT by neverdem (Xin loi minh oi)
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To: maggief

Phlegm doesn’t rhyme with skates.


45 posted on 03/26/2011 7:37:44 AM PDT by 1010RD (First, Do No Harm)
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To: 1010RD

Should we rhyme all answers to questions in our FR replies?

What rhymes with replies? Size, eyes, thighs, dries, buys, ayes, dyes, dies, guys, hies, lies, pies, ties, vies and whys, off the top of my head.

So, I’m ready for you, lol.


46 posted on 03/26/2011 7:49:28 AM PDT by RegulatorCountry
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To: Owl_Eagle
When I urinate, I see lots of healthy, bright red blood.

Last time that happened to me, the urologist insisted on removing a cancer from my bladder.

47 posted on 03/26/2011 8:34:07 AM PDT by Ole Okie
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To: VRWCmember

Q: What’s green and skates on ice?
A: Peggy Phlegm


48 posted on 03/26/2011 8:34:24 AM PDT by null and void (We are now in day 793 of our national holiday from reality. - It's 3 AM, where is the 'president'?)
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To: Ole Okie
Last time that happened to me, the urologist insisted on removing a cancer from my bladder.

Cut cut cut, that's all American doctors do...

Extra points to anyone who knows the punchline.

49 posted on 03/26/2011 8:44:53 AM PDT by null and void (We are now in day 793 of our national holiday from reality. - It's 3 AM, where is the 'president'?)
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To: null and void

Oooookay.

Q: Whats green and makes people well?
A: Mucus Welby, MD...


50 posted on 03/26/2011 8:47:14 AM PDT by null and void (We are now in day 793 of our national holiday from reality. - It's 3 AM, where is the 'president'?)
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