 |
|
|
|
|
October 3rd, 2013
12:00 PM ET
Doctors still overprescribing antibioticsWith all the talk of "superbugs" and antibiotic-resistant bacteria, you might think prescriptions for unnecessary antibiotics is relatively infrequent, especially for conditions where these drugs rarely work. New research from Brigham and Women's Hospital in Boston suggests the opposite. Dr. Michael L. Barnett, lead author, and Dr. Jeffrey A. Linder, senior author, found that prescriptions of antibiotics for sore throat and acute bronchitis are far more common than they should be. "You have a viral infection for which the antibiotics are not going to help, and you’re putting a chemical in your body that has a very real chance of hurting you," Linder said. Side effects of antibiotics include diarrhea, vaginitis in women, interactions with other medications and more serious reactions in a small number of people. Also concerning: When you take antibiotics, there's a chance the disease you're fighting - or other bacteria in your body - will mutate, making it more resistant to antibiotics in the future. "People may have infections that are harder to treat down the line because we're overusing antibiotics today," Linder said. Results from two studies by Linder and Barnett were presented at IDWeek 2013, a meeting of health professionals, this week. Sore throat In a research letter published in the journal JAMA Internal Medicine, the researchers showed that while only 10% of adults with sore throat have strep, the specific condition requiring antibiotics, doctors prescribe antibiotics in 60% of sore throat cases. The study authors used data from large nationally representative surveys of ambulatory care in the United States: The National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey. The surveys are sources of information on physicians and their practices. Linder and Barnett analyzed data from 1997 to 2010 for more than 8,000 sore throat visits, from patients who did not have injuries, immunosuppression or other infectious diagnoses at the same time. Based on this information, they determined that physicians have been prescribing antibiotics in about 60% of sore throat visits since around 2000. They also found that prescriptions for penicillin, the choice antibiotic for strep throat treatment, held steady at 9%, while the more expensive alternative azithromycin has been prescribed more and more. In 1997 to 1998, prescriptions for azithromycin for sore throat were too uncommon to reliably measure; in 2009 to 2010 it was prescribed in 15% of visits. There are limitations to this study, however; the researchers have no way of knowing whether individual prescriptions for antibiotics are appropriate, and the surveys only include patients seen in clinic or emergency department settings. "The financial cost of unnecessary antibiotic prescribing to adults with sore throat in the United States from 1997-2010 was conservatively $500 million," the study noted. The cost could have actually been 40 times more expensive because of diarrhea and other side effects from antibiotics. Acute bronchitis Researchers also found alarming trends regarding antibiotic overprescribing for acute bronchitis using nationally representative surveys. This study, unlike the research letter, has not been published in a peer-reviewed journal but was presented at IDWeek 2013. Ideally, says Linder, antibiotics would almost never be prescribed for acute bronchitis because of the abundance of evidence that they do not actually help this condition. Yet the prescribing rate of antibiotics for acute bronchitis nationally has remained steady over the past 30 years around 73%, he said. Researchers excluded anyone who had a chronic lung disease such as asthma and emphysema from this study. Why so many antibiotics? Part of the problem of overprescribing is patient demand - people ask for antibiotics because they think these drugs will make them feel better. The other side of the coin is that many doctors have been prescribing antibiotics in abundance for years and are following old habits. "I think there’s a discussion that should be happening between patient and doctor that doesn’t happen, that automatically leads to an antibiotic prescription," Linder said. If you have a sore throat, for instance, you can tell your doctor that you want to know if you have strep - and that if you don't have it, you don't need an antibiotic. |
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
I’m impressed, I have to admit. Seldom do I encounter a blog that’s both educative and amusing, and without a doubt, you've hit the nail on the head. The problem is something that not enough men and women are speaking intelligently about. I am very happy I stumbled across this during my hunt for something concerning this.
http://redirects.tradedoubler.com/utm/td_redirect.php?td_keep_old_utm_value=1&url=https://ricardon31h0.blogginaway.com/4869633/5-simple-techniques-for-banner-store-near-me
Howdy! I simply want to give you a huge thumbs up for the great info you have right here on this post. I will be coming back to your blog for more soon.
https://rspcb.safety.fhwa.dot.gov/pageRedirect.aspx?RedirectedURL=https://fernandov26n0.topbloghub.com/5686617/not-known-facts-about-repair-shop
http://www.qatar.vcu.edu/?URL=game-mun.com/forum/index.php?action=mlist;sort=registered;start=35640
Hi, I do believe this is an excellent website. I stumbledupon it 😉 I will return once again since I book marked it. Money and freedom is the best way to change, may you be rich and continue to guide others.
https://www.oltv.cz/redirect.php?url=https://poliecosocial.com/2017/05/16/dia-del-maestro-felicidad-tragedia/
The very next time I read a blog, Hopefully it does not disappoint me as much as this one. After all, I know it was my choice to read through, however I genuinely believed you'd have something helpful to say. All I hear is a bunch of moaning about something that you could fix if you weren't too busy seeking attention.
https://content.sixflags.com/news/director.aspx?gid=0&iid=72&cid=3714&link=https://spokanevalleyseo.com/
Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. sl is literally my second life (pun intended lol). If you want to see more you can see these second life articles and blogs
http://everydayliteracies.blogspot.com/2005/05/its-lovely-to-see-one-of-our-favourite.html
https://rspcb.safety.fhwa.dot.gov/pageRedirect.aspx?RedirectedURL=https://keeganr03v1.iyublog.com/4068545/the-5-second-trick-for-maserati-symbol
http://www.theprivacycompany.com/__media__/js/netsoltrademark.php?d=commercialvanrepairshop.com
http://www.certifiedgrillparts.com/__media__/js/netsoltrademark.php?d=www.quotenearme.com
Very good information. Lucky me I discovered your blog by accident (stumbleupon). I've saved as a favorite for later!
https://es.paltalk.com/client/webapp/client/External.wmt?url=https://postfallsmarketing.com/
http://go.dadebaran.ir/index.php?url=https://fleetrepairshops.com
Great info. Lucky me I found your blog by accident (stumbleupon). I have book-marked it for later!
http://soybalance.com/__media__/js/netsoltrademark.php?d=ocrvluxurycoaches.com
eEqmkWzjMS
Everything is very open with a precise clarification of the challenges. It was definitely informative. Your site is extremely helpful. Thanks for sharing!
https://www.mhc.ie/?URL=http://www.youtube.com/watch?v=aH5u3sDIeM4
http://nanos.jp/jmp?url=http://www.youtube.com/watch?v=twVqORK9M2s
https://www.bellinghoven-online.de/index.php?url=https://www.youtube.com/watch?v=5kqgcjmjymc/
Hello, I believe your blog could possibly be having browser compatibility problems. Whenever I look at your site in Safari, it looks fine however, when opening in I.E., it's got some overlapping issues. I merely wanted to give you a quick heads up! Apart from that, fantastic blog!
https://2ch-ranking.net/redirect.php?url=http://youtube.com/watch?v=MDXWYwi7jVc/
http://yellowpages.uticaod.com/__media__/js/netsoltrademark.php?d=youtube.com/watch?v=aMf59t3yH14/
This was great! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusufhanafy
http://www.incense-india.com/__media__/js/netsoltrademark.php?d=ocrv.guru/
http://www.certnfunds.org/__media__/js/netsoltrademark.php?d=quotenearme.com
This is a topic that is close to my heart... Cheers! Where are your contact details though?
http://www.etracker.de/lnkcnt.php?et=qPKGYV&url=https://ocrv.xyz/rv-repair-shop-yorba-linda-california
I need to to thank you for this very good read!! I absolutely enjoyed every bit of it. I have you book marked to check out new stuff you postÖ
http://subdomain.domainanda.com/__media__/js/netsoltrademark.php?d=ocrvfleetservices.com
Very good write-up. I definitely appreciate this site. Continue the good work!
http://bigshot.com/__media__/js/netsoltrademark.php?d=www.sprinterrepairnearme.com/
http://soybalance.com/__media__/js/netsoltrademark.php?d=ocrvparts.com/
Way cool! Some very valid points! I appreciate you penning this article and also the rest of the website is also really good.
&width=1400&height=700
http://h-p-c.ru/bitrix/redirect.php?event1=&event2=&event3=&goto=http://www.ocrvfleetservices.com
Good post. I learn something new and challenging on sites I stumbleupon everyday. It's always interesting to read through content from other authors and use a little something from other web sites.
http://billytrabucco.com/__media__/js/netsoltrademark.php?d=www.sprinterrepairnearme.com/
Spot on with this write-up, I actually believe this site needs much more attention. Iíll probably be back again to read through more, thanks for the info!
http://www.italia-bedandbreakfast.com/__media__/js/netsoltrademark.php?d=ocrv.pro
This was awesome! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusufhanafy
A motivating discussion is worth comment. There's no doubt that that you ought to publish more about this subject matter, it may not be a taboo subject but typically people do not discuss such topics. To the next! Best wishes!!
http://www.letronc-m.com/redirector?url=https://sprintervanrepair.com
Good post. I'm dealing with many of these issues as well..
http://ins.o-hara.ac.jp/ViewSwitcher/SwitchView?mobile=False&returnUrl=http://ocrv.life/rv-repair-shop-buena-park-california
Good post. I will be experiencing some of these issues as well..
http://www.northern-states.com/__media__/js/netsoltrademark.php?d=quotenearme.com/
https://slack-redir.net/link?url=https://sprintervanrepairnearme.com/
http://askaimcal.net/__media__/js/netsoltrademark.php?d=ocrv.life/
http://lidl.media01.eu/set.aspx?dt_url=https://sprintervanrepairnearme.com/
Hello there! This article could not be written any better! Looking through this post reminds me of my previous roommate! He constantly kept preaching about this. I will forward this information to him. Fairly certain he's going to have a very good read. Thank you for sharing!
http://emails.erieinsurance.com/ern40/c2.php?ERIN/37662445/139490/H/N/V/https://ocrvcenter.biz/rv-repair-shop-hawthorne-california
https://www.smartsupp.com/affiliate/click?id=1124&url=http://bjsnearme.com/
After exploring a few of the blog posts on your web page, I really like your technique of writing a blog. I saved it to my bookmark site list and will be checking back in the near future. Take a look at my website too and let me know what you think.
http://shellopener.net/__media__/js/netsoltrademark.php?d=www.fleetautorepairshop.com/
This was great! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusufhanafy
https://nilaima.com/link.php?url=https://ocrvcenter.co
Spot on with this write-up, I honestly believe that this amazing site needs a great deal more attention. Iíll probably be back again to read through more, thanks for the advice!
http://sso.aoa.org/Authenticate.aspx?Return=http://ocrvmotorsports.com/rv-repair-shop-south-gate-california
I really love your site.. Great colors & theme. Did you develop this amazing site yourself?
Please reply back as I'm wanting to create my own personal site and would like to know where
you got this from or what the theme is named. Appreciate it!
https://nowlifestyle.com/redir.php?k=9a4e080456dabe5eebc8863cde7b1b48&url=https://ocrv.org/rv-repair-shop-montclair-california
You should take part in a contest for one of the finest websites on the web. I most certainly will recommend this blog!
https://slack-redir.net/link?url=http://ocrvluxurycoaches.com/rv-upgrades-near-me
https://store.law.com/linkredirector/default.asp?lrcat=BLOGNetwork&lrurl=https://game-mun.com/forum/index.php?action=mlist;sort=MSN;start=35820
Pretty! This was an extremely wonderful post. Thanks for providing this information.
http://www.dmca.com/Protection/Status.aspx?ID=edc817fd-d796-4c84-abb8-d1cb5b2e3719&refurl=http://www.tyson3f7l8.digitollblog.com/3492248/rv-repair-shop-can-be-fun-for-anyone
Aw, this was an incredibly good post. Spending some time and actual effort to produce a really good articleÖ but what can I sayÖ I put things off a whole lot and don't seem to get nearly anything done.
https://www.payrollservers.us/sc/cookie.asp?sitealias=25925711&redirect=http://ocrv.vip/rv-solar-panel-repair-near-me
You have made some really good points there. I looked on the web to find out more about the issue and found most people will go along with your views on this web site.
http://cs.odu.edu/~mln/teaching/cs518-f08/?method=display&redirect=http://hootnholler.net/9b390-fishing-club-news/page/153/
You've made some decent points there. I looked on the web for more information about the issue and found most individuals will go along with your views on this website.
https://www.clixgalore.com/NoRedirect.aspx?ID=11387&AfID=225385&BID=111815&ER=1&RU=https://ocrv.biz/rv-repair-shop-hidden-hills-california