A4-month-old infant had been running a moderate fever for36 hours, and a nervous mother made a call to her pediatrician.Examination and tests revealed no outward signs of infectionor cause of the fever. The anxious mother wanted a prescription for antibiotics, but the pediatrician recommended watching the infant for two days before making a decision. He explained that decades of rampant use of antibiotics in medicine and agriculture has caused a global surge in antibiotic-resistant bacteria, drastically reducing the effectiveness of antibiotic therapy for infections. He pointed out that bacteria can exchange antibiotic resistance traits and that many pathogenic strains are now resistant to several antibiotics. The mother wasnot placated by these explanations and insisted that her baby receive antibiotics immediately. This situation raises several issues.
Question How should the pediatrician balance his ethical responsibility to provide effective treatment to the present patient with his ethical responsibility to future patients who may need antibiotics for effective treatment?
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