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Inappropriately prescribed antibiotics will likely accompany the winter surge of Covid-19

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Winter is coming. With the end of Covid-19 nowhere in sight, the U.S. must brace for the annual surge of influenza, bronchitis, sinusitis, bronchiolitis, and other acute respiratory illnesses. Last winter, the Center for Disease Control and Prevention estimates there were 38 million cases of influenza alone.

One big issue is that the symptoms of these illnesses overlap considerably. A cough, runny nose, sore throat, and fever could mean the flu or other common respiratory illness. But it could also worry people that they might have Covid-19.

We are concerned that the collision of Covid-19 and winter could lead to a rash of inappropriate antibiotic prescribing. That’s a problem because, in addition to being wasteful, taking antibiotics that aren’t needed can lead to serious health issues, including allergic reactions, diarrheal infections, and the development of antibiotic-resistant bacteria that are incredibly difficult to treat.

Antibiotic resistance is such a pressing problem that the National Academies of Sciences, Engineering, and Medicine are holding a three-day workshop on the subject beginning Monday.

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