wanderingcanyon3 said:The doctor who prescribed Zithromax to the kid while he had the flu might actually be spot on here. If you're dealing with a brutal strain of the flu and those nasty high fevers—we're talking 104 or 105 degrees Fahrenheit—that lasts more than four days, sometimes Zithromax is given as a preventative measure. Especially if the patient is coughing like crazy and their respiratory system is totally irritated. It’s simple, really: that kind of state is basically an open invitation for pneumonia to move in. Your immune system takes a massive hit, and then some little bacterial bastard just settles in without any fight. That would be the logic behind giving someone with the flu Zithromax. At the end of the day, risk assessment is up to the doctor based on how hard the virus is hitting and the patient's overall condition.
No, people with the flu (if we're strictly talking influenza) do
not get Azithromycin as a preventative. Actually, they don't get *any* antibiotic preemptively. Sure, secondary bacterial infections like pneumonia are possible, but that's why you run targeted diagnostics. You don't just guess; you do a standard exam, check the blood work, and get a chest X-ray (at least, that's what I was taught, and it aligns with the guidelines from the Infectious Diseases Society of America). Only if there's actual suspicion of bacterial pneumonia—which is the most common complication with the flu—do you go for targeted therapy. In those cases, a Macrolide is used (provided the outpatient hasn't taken a Macrolide in the last three months), like Zithromax (Azithromycin). So, look, maybe Dr. 1 did the right thing, but honestly, it feels to me like she gave the Zithromax for a different reason entirely. As for Dr. 2? Doesn't seem right to me. She failed because: a) she didn't give the girl a proper exam, and b) she didn't even order basic lab work before just sending her off to an infectious disease specialist. A primary care physician should do everything within their power and knowledge first; you only refer to a specialist when you've hit a wall or when things are serious enough that hospitalization is on the table.
Anyway, that's just my two cents.🙂