View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
TUESDAY, Jan. 15 (HealthDay News) -- Patients tend to underestimate the average duration of acute cough illness (ACI), according to research published in the January/February issue of the Annals of Family Medicine.
Mark H. Ebell, M.D., of the University of Georgia in Athens, and colleagues conducted a population-based random digit dialing survey involving 493 adults in Georgia to assess their expectations regarding cough duration. In addition, they performed a systematic review of the literature to assess the duration of ACI, based on the placebo or untreated control groups from randomized controlled trials.
According to the medical literature, the researchers found that the mean duration of ACI was 17.8 days. However, surveyed adults reported a mean duration of 7.2 to 9.3 days, depending on the specific scenario. The expectation of a longer duration of cough was more likely among patients who were white, female, and had asthma or chronic lung disease. Those most likely to believe that antibiotics are always helpful tended to be nonwhite (odds ratio [OR], 1.82), have some college education or less (OR, 2.08), and to have previously received antibiotics for ACI (OR, 2.20).
"We found a large mismatch between patients' expectations regarding the duration of acute cough illness and its actual natural history based on a systematic review of the best available published evidence," the authors write. "We believe that education of the general public, the media, and physicians should emphasize appropriate expectations regarding the natural history of ACI in order to reduce inappropriate demands for antibiotics."
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top