The Doctor Is In: Antibiotics

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(KPLR) – How does antibiotic misuse affect all of us? If you think antibiotic resistance isn't a problem or doesn't affect you, think again. Dr. Sonny Saggar, with, talks with Elliot Weiler about this growing problem.

Connect with Dr. Saggar, the Medical Director at St. Louis Urgent Cares at:
• Twitter: @DoctorIsInSTL
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A prominent example of the dangers of antibiotic resistance is the spread of methicillin-resistant Staphylococcus aureus (MRSA).

MRSA was once a concern only for people in the hospital, but now it`s causing infections in healthy people in the community.

Antibiotic resistance occurs when antibiotics no longer work against disease-causing bacteria.

These infections are difficult to treat and can mean longer lasting illnesses, more doctor visits or extended hospital stays, and the need for more expensive and toxic medications. Some resistant infections can even cause death.

Although we are working to develop new antibiotics and other treatments to keep pace with antibiotic-resistant strains of bacteria, infectious organisms can adapt quickly.

Antibiotic-resistant bacteria will continue to be a global health concern — and using antibiotics wisely is important for preventing their spread.

2. When is it appropriate to use antibiotics?

Antibiotics are effective only against bacterial infections, certain fungal infections and some kinds of parasites. Antibiotics DO NOT work against viruses. This chart shows common illnesses and whether they're caused by bacteria or viruses. Taking an antibiotic when you have a viral infection doesn`t do anything, even though you may think it does because you were going to get better anyway — and this misuse can contribute to antibiotic resistance.

Bacterial infections

Viral infections

●     Bladder infections

●     Many wound and skin infections, such as staph infections

●     Severe sinus infections that last longer than a week

●     Some ear infections

●     Strep throat

●     Bronchitis

●     Colds

●     Flu (influenza)

●     Most coughs

●     Most ear infections

●     Most sore throats

●     Viral gastroenteritis (aka `Stomach flu`)

3. Consequences of antibiotic misuse

If antibiotics are used too often for things they can't treat – like colds, flu or other viral infections – not only are they of no benefit, they become less effective against the bacteria they're intended to treat.

Not taking antibiotics exactly as prescribed also leads to problems. For example, if you take an antibiotic for only a few days – instead of the full course – the antibiotic may wipe out some, but not all, of the bacteria. The surviving bacteria become more resistant and can be spread to other people. When bacteria become resistant to first line treatments, the risk of complications and death is increased.

The failure of first line antibiotics also means that doctors have to resort to less conventional medications, many of which are more costly and associated with more-serious side effects. For example, the drugs needed to treat drug-resistant forms of tuberculosis (TB) are much more expensive than are the drugs used to treat nonresistant TB. The course of treatment is long – up to two years – and the side effects can be severe.

Other consequences are the increased costs associated with prolonged illnesses, including expenses for additional tests, treatments and hospitalization, and indirect costs, such as lost income.

4. What you can do to safeguard antibiotic effectiveness

Repeated and improper use of antibiotics is the primary cause of the increase in the number of drug-resistant bacteria. Here's what you can do to promote proper use of antibiotics:

❏     Understand when antibiotics should be used. Don't expect to take or demand antibiotics every time you're sick. Antibiotics are effective in treating most bacterial infections, but they're not useful against viral infections, such as colds, acute bronchitis or the flu. And even some common bacterial ailments, such as mild ear infections, don't benefit much from antibiotics.

❏     Consider believing your doctor or nurse practitioner if he/she says you have a viral illness. You should talk with your doctor about ways to relieve your symptoms — for instance, a saline nasal spray to clear a stuffy nose or a mixture of warm water, lemon and honey to temporarily soothe a sore throat.

❏     Take antibiotics exactly as prescribed. Follow your doctor's instructions when taking medication. Don't stop treatment a few days early because you're feeling better. Taking the full course of antibiotics is the only way to kill all of the harmful bacteria. A shortened course of antibiotics, on the other hand, often wipes out only the most vulnerable bacteria while allowing relatively resistant bacteria to survive.

❏     Never take antibiotics without a prescription. If you didn't complete a full course of antibiotics, you might be tempted to use the leftover medication the next time you get sick or to pass it along to someone else. But this isn't a good idea. For one thing, the antibiotic might not be appropriate for another illness. And even if it is, you're not likely to have enough pills to combat the germs making you sick, which can lead to more resistant bacteria.

❏     Prevent the spread of germs. Good hygiene goes a long way in preventing infection. Wash your hands thoroughly with soap and water, especially after using the toilet, changing a diaper, or handling raw meat or poultry. Keep food preparation areas clean. Although special antibacterial cleaners and soap are widely available, they aren't necessary. Plain soap and water work fine to kill germs in most settings.

❏     Get recommended vaccinations. Ask your doctor if you have all of the vaccinations you need to protect yourself from illness. Getting vaccinated will help prevent having to take more medications.

5. Protect yourself and others

Antibiotic resistance is a global health problem. Nearly all significant bacterial infections in the world are becoming resistant to commonly used antibiotics. When you misuse antibiotics, you help create resistant microorganisms that can cause new and hard-to-treat infections. That's why the decisions you make about using antibiotics – unlike almost any other medicine you take – have far-reaching consequences. Be responsible in how you use antibiotics to protect your health and that of your family, neighbors and community.


St. Louis Urgent Cares presently has 4 locations in St. Louis, and all 4 are active participants in Direct Medical Care (the insurance alternative):

Downtown Urgent Care
Eureka Urgent Care
Creve Coeur Urgent Care
North City Urgent Care