Common current clinical practice is to promptly use antibiotics empirically in patients who demonstrate a fever or a change in sputum character. Such therapy should be directed against streptococcal species, Haemophilus species and Moraxella catarrhalis . Local resistance patterns in these organisms to ampicillin and other first-line antibiotics, such as tetracyclines (including doxycycline), trimethoprim-sulfamethoxazole (Bactrim, Septra, etc.) and the second-generation macrolides, guide initial therapy. All of these agents generally have good activity against these lower respiratory pathogens and penetrate well into bronchial tissues.
“When you turn on the jets, this bacteria becomes aerosolized, and you inhale it,” Rose explains. Once it reaches your lungs, the bacteria can cause symptoms like fever andshortness of breath. If you continue to use your tub, the inflammation persists and worsens, and can cause lasting fatigue, weight loss and other more serious side effects. “A lot of doctors don’t ask if a person with these symptoms has been using a hot tub, and people become very sick,” Rose says. “If you keep using your tub, taking antibiotics or steroids won’t do any good.”