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:11/16/2019)... ... 15, 2019 , ... As demand for legal medical marijuana ... well-managed dispensaries becomes more and more important, both for consumers and as part ... online, custom cannabis business plans is now increasing its support for marijuana dispensary ...
(Date:11/15/2019)... ... November 15, 2019 , ... Spectrum Vision Partners claimed ... Island Workplaces for 2019. The recently announced rankings honor those organizations where employees ... in partnership with Energage to conduct surveys into organizational health and identify Long ...
(Date:11/14/2019)... ... November 14, 2019 , ... EMulate Therapeutics, Inc., a clinical-stage ... it will have 5 poster presentations related to its medical devices for treating ... SNO Meeting in Phoenix, beginning on November 20 . , Two ...
(Date:11/12/2019)... ... 12, 2019 , ... Each year, RESOLVE (The National Infertility ... diagnosed with infertility. This year, Academy of Adoption and Assisted Reproduction Attorneys ("AAAA") ... Night of Hope Gala in New York City on November 11, 2019. AAAA ...
(Date:11/12/2019)... ... November 12, 2019 , ... Raintree Rehab, a division of ... and rehabilitation operators throughout the United States and Physitrack, an Apple Mobility Partner ... announces a joint venture to develop and market clinical outcomes data solutions. , ...
Breaking Medicine News(10 mins):
(Date:11/19/2019)... ... November 19, 2019 , ... Respected ... television program “Behind The Scenes” with Laurence Fishburne. The program’s central focus is ... society. In an imminent episode to be aired on the show, a new ...
(Date:11/16/2019)... , ... November 16, 2019 , ... International Splash Awards ... Tools and Apps category. , Srijan got nominated for its efforts at the ... commendable work for Estee Lauder under tools and apps category. The event was organized ...
(Date:11/16/2019)... ... November 15, 2019 , ... ... impairment, has announced the Best Memory Care Facilities in Columbus, Ohio. The guide ... and amenities. , According to the Alzheimer’s Association , 5.6 million ...
Breaking Medicine Technology:
Cached News: