HOME >> MEDICINE >> NEWS
Antibiotic prescription patterns violate guidelines, increase costs

Despite guidelines that have been in place for nearly a decade, only 24 percent of the antibiotics prescribed for women's urinary tract infections are the recommended drug, down from 48 percent 10 years earlier. Physicians write 2.45 million such prescriptions each year. The alternative medications are no more effective, encourage the spread of antibiotic resistance, and cost 11 to 40 times as much.

The findings are published in the January 14 issue of the Archives of Internal Medicine.

"We found that from 1989 to 1998 physicians were increasingly likely to manage these common infections in ways that encourage antibiotic resistance and waste money," said Elbert S. Huang, M.D., M.P.H., an instructor of medicine at the University of Chicago and author of the study. "This trend appears to result from non-clinical forces such as pharmaceutical promotions and sub-specialty culture."

Guidelines for the treatment of urinary tract infections (UTI) have not changed significantly since the early 1990s. For example, a well-known 1993 review article and 1999 guidelines from the Infectious Disease Society of America both recommend trimethoprim-sulphamethoxazole (best known as Bactrim) as standard therapy, with certain fluoroquinolones as second-line choices.

Trimethoprim-sulphamethoxazole costs only $1.79 for a ten-day supply. Nitrofurantoin (Macrodantin), prescribed in 30 percent of cases, costs $20.34 for 10 days. Fluoroquinolones, used in 29 percent of cases, can cost as much as $70.98, as in the case of ciprofloxaxin (Cipro).

Huang and colleague Randall Stafford, M.D., Ph.D., of Stanford University, analyzed a representative sample of 1,478 outpatient visits for uncomplicated urinary tract infections over the 1990s. They found that fewer and fewer physicians, and never more than half, followe
'"/>

Contact: John Easton
jeaston@uchospitals.edu
773-702-6241
University of Chicago Medical Center
13-Jan-2002


Page: 1 2 3

Related medicine news :

1. Antibiotics protect nerves in mice by turning on genes
2. Antibiotic rifampicin shows promise for fighting Parkinsons disease in lab tests
3. Antibiotics within 4 hours of arrival at hospital better for pneumonia patients
4. Antibiotic provides promise in treatment of spinal cord injuries
5. Antibiotic resistant bacteria frequently transmitted between intensive care patients
6. Antibiotic use on swine farms increases efficiency, profits
7. Antibiotic slows atherosclerosis in people with Chlamydia pneumonia antibodies
8. Antibiotics not always beneficial for childhood ear infections
9. Antibiotic could offer promise for treatment of cystic fibrosis
10. Antibiotics help heart patients
11. Antibiotic prescribing in local communities is linked to localised resistance

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/16/2019)... ... June 14, 2019 , ... ... Security solutions, today announced it has received the coveted “2019 Best DLP Solution ... that Works Platform along with the latest additions to its Data Security Portfolio ...
(Date:6/14/2019)... , ... June 14, 2019 , ... ... Tempur-Pedic® Mattress & Pink Bag Event® scheduled for Saturday, July 13th. UBCF is ... men and children directly impacted by breast cancer. This second event was added ...
(Date:6/13/2019)... ... June 13, 2019 , ... MMJ BioPharma Cultivation, a premier ... memorandum of understanding (MOU) with MMJ International Holdings to grow cannabis and supply ... BioPharma Cultivation will be supplying MMJIH with extracts from the marijuana plant to ...
(Date:6/13/2019)... ... June 13, 2019 , ... Pure Ratios, the ... cannabis delivery company, Driven Deliveries, Inc., the only publicly traded cannabis delivery service ... the population of California with overnight cannabis delivery to major thriving markets such ...
(Date:6/13/2019)... ... June 13, 2019 , ... ... everyone in healthcare, today announced that Jon Elwell, the company’s CEO, has been ... DirectTrust is a non-profit health care industry alliance created to support ...
Breaking Medicine News(10 mins):
(Date:6/13/2019)... ... June 13, 2019 , ... Homecare Homebase ... the new Smart Scheduling product, part of the HCHB Intelligence Suite, at the ... uses complex algorithms to create highly efficient routing, mapping and scheduling for home ...
(Date:6/13/2019)... ... 13, 2019 , ... Access Healthcare , a leading provider of healthcare ... at the HFMA Annual Conference 2019 which will be held on June ... Access Healthcare, says, “HFMA Annual Conference has inspired us in many ways – right ...
(Date:6/13/2019)... ... , ... RxNT announced today that it has been named by ... RxNT is a leader in healthcare technology solutions. This is the fourth time RxNT ... highlight the best software products from North American small businesses. RxNT won the FrontRunner ...
Breaking Medicine Technology:
Cached News: