November/December 2006 Annals of Family Medicine tip sheet

the author, a family physician researcher of respiratory infections and antibiotic use, reflects upon the two studies above and how their findings might reframe his approach to management of acute respiratory infections. He states that he will focus more on symptom relief than on explanations of the differences between viruses and bacteria for all patients with common acute respiratory infections. Predicting Prognosis and Effect of Antibiotic Treatment in Acute Rhinosinusitis
By An De Sutter, M.D., Ph.D., et al
Are Sore Throat Patients Who Hope for Antibiotics Actually Asking for Pain Relief"
By Mieke L. van Driel, M.D., M.Sc., et al
A New Look at an Old Problem: Inappropriate Antibiotics for Acute Respiratory Infections
By John Hickner, M.D., M.Sc.



An in-depth qualitative study finds that mothers of urban minority adolescent girls have a low awareness of their adolescent daughters sexual activity but are strongly committed to protecting their daughters reproductive outcomes. Many mothers believe that confidential care promotes risky behavior and undermines mothers efforts to protect girls. Furthermore, adolescent girls express considerable discomfort around reproductive health care and negotiating maternal involvement, and fear breaches of confidentiality. The authors suggest that consistently including a confidential component to visits in early adolescence, with preparation for both mothers and daughters, may reduce feelings of distrust and discomfort. Perspectives on Confidential Health Care for Adolescent Girls
By M. Diane McKee, M.D., M.S., et al


This epidemiological study finds that, of the 143 women studied with breast cancer that occurs between regularly scheduled mammograms, approximately half of the cancer

Contact: Kristin Robinson
American Academy of Family Physicians

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