A surge of viral infections in the U.S. might be contributing to an ongoing amoxicillin shortage, even though antibiotics don't kill viruses.
A surge of respiratory syncytial virus infections in U.S. babies and toddlers has coincided with an uptick in demand for certain types of amoxicillin, which, in turn, has driven shortages of the antibiotic.
Even with this increased risk, though, it's rare for children to develop bacterial infections during or after a bout of RSV. An estimated 0.6% to 1.2% of children hospitalized with RSV bronchiolitis, which causes inflammation of the air tubes in the lungs, end up with so-called secondary bacterial infections, according to a 2017 report in the journal Pediatric Quality & Safety .
But as RSV spreads and the amoxicillin supply runs short, it raises a question as to whether doctors are overprescribing the antibiotic to kids with RSV and other viral infections. Outside hospitals, doctors typically don't have access to rapid diagnostic tests for bacterial infections and instead review a patient's timeline of symptoms to determine if bacteria are likely to blame, she explained.
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