bannerHON
img
HONnews
HONnews
img PATIENT / PARTICULIER img PROFESSIONNEL DE SANTE img WEBMESTRE img
img
 
img
HONcode sites
Khresmoi - new !
HONselect
News
Conferences
Images

Themes:
A B C D E F G H I
J K L M N O P Q
R S T U V W X Y Z
Browse archive:
2019: S A J J M A M F J
2018: D N O S

 
  Other news for:
Antibiotics
 Resources from HONselect
VA Doctors Prescribing Unnecessary Antibiotics, Study Says

By Robert Preidt

FRIDAY, April 26, 2019 (HealthDay News) -- Antibiotic overuse is a major problem throughout the world. Now a new study finds four in 10 outpatients were inappropriately prescribed antibiotics at a major U.S. Veterans Affairs health system.

That rate is higher than in previous studies on outpatient antibiotic use. Improper use of the drugs is associated with increased illness, cost and the spread of antibiotic-resistant bacteria.

"Our study targeted the most commonly overused antibiotics and the associated conditions in order to enable an approach focused on these factors in the outpatient setting," said study author Alexis White.

Over-prescription of antibiotics was most common in patients with urinary tract infections, bronchitis, skin infections and sinusitis, according to the analysis of data from researchers with the Veterans Affairs Western New York Healthcare System.

Among patients diagnosed with sinusitis, 32% did not require an antibiotic because their symptoms were consistent with the common cold. And the incorrect drug was chosen in 53% of cases.

In urinary tract infection cases, the correct drug was chosen in only 55% of cases. Antibiotics were most commonly prescribed for asymptomatic urine bacteria, a condition that does not require antibiotics.

The study also found that the most commonly overused antibiotics included azithromycin, ciprofloxacin, amoxicillin/clavulanate, and cephalexin. Together, the four drugs accounted for nearly 80% of unnecessary antibiotic use.

Of the 288 prescriptions for azithromycin, 55% were unnecessary. The drug was most commonly misused for bronchitis, sinusitis, upper respiratory tract infections, chronic obstructive pulmonary disease, and community acquired pneumonia.

The researchers also found that patients seen in emergency departments were twice as likely to receive an antibiotic only when needed, compared to those seen in outpatient clinics.

This suggests that patients seen in an emergency department are more likely to actually require antibiotics.

Outpatient antibiotic prescriptions comprise 60% of overall antibiotic use, making them a critical target for reducing unnecessary antibiotic use, the researchers said.

The study was published recently in the American Journal of Infection Control.

"We found that real-time alerts when an antibiotic is prescribed, allowing for immediate intervention, may be an effective way to begin a stewardship program, supplemented by patient education on when an antibiotic is not needed and the harmful effects of misuse," White said in a journal news release.

More information

The American Academy of Family Physicians has more on antibiotics.

SOURCE: American Journal of Infection Control, news release, April 16, 2019

Copyright © 2019 HealthDay. All rights reserved. URL:http://consumer.healthday.com/Article.asp?AID=745263

Resources from HONselect: HONselect is the HON's medical search engine. It retrieves scientific articles, images, conferences and web sites on the selected subject.
Infection
Outpatients
Research Personnel
Sinusitis
Azithromycin
Urinary Tract Infections
Specialty Chemicals and Products
Veterans
Bronchitis
The list of medical terms above are retrieved automatically from the article.

Disclaimer: The text presented on this page is not a substitute for professional medical advice. It is for your information only and may not represent your true individual medical situation. Do not hesitate to consult your healthcare provider if you have any questions or concerns. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified healthcare professional.
Be advised that HealthDay articles are derived from various sources and may not reflect your own country regulations. The Health On the Net Foundation does not endorse opinions, products, or services that may appear in HealthDay articles.


Home img About us img MediaCorner img HON newsletter img Site map img Ethical policies img Contact