Antibiotic prescription patterns violate guidelines, increase costs

d the guidelines.

In 1989-90, 48 percent of UTI antibiotic prescriptions were for trimethoprim. That fell to 24 percent by 1997-1998. Fluoroquinilone use increased from 19 percent to 29 percent by 1998. Nitrofurantoin use rose from 14 percent to 30 percent.

Different specialties preferred different drugs. General practitioners were the most likely to prescribe trimethoprim. Internal medicine specialists more often offered fluoroquinilones and rarely prescribed nitrofurantoin. Obstetrician/gynecologists were most likely to prescribe nitrofurantoin, which is thought to be less likely to contribute to birth defects, but is not recommended in the specialty literature as a first-line treatment for urinary tract infections during pregnancy.

"The literature and the guidelines are consistent, but physician behavior is quite variable," noted Huang.

Although the study wasn't designed to explain why the variations occurred, the authors suggest that targeted promotional efforts by drug makers played a major role in moving the specialists away from cheaper to more costly drugs, "without a concurrent increase in effectiveness."

A simple calculation reveals how much is at stake. If all 2.45 million antibiotic prescriptions were for a three-day course of trimethoprim, medication costs would be only $1.3 million. If all those prescriptions were changed to ciprofloxacin the costs would increase to $52.2 million.

This is a small but revealing segment of a huge expenditure, said Huang.

In 2000, spending on drugs increased by 17.3 percent, a slightly smaller increase than the 19.2 percent jump seen in 1999 but still the fastest growing category of health spending, according to a recent report from the Department of Health and Human Services. Spending on prescription drugs topped $120 billion in 2000, three times the amount spent in 1990.

"Antibiotic prescribing should be shaped to decrease antimicrobial resista

Contact: John Easton
University of Chicago Medical Center

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:

(Date:9/1/2020)... ... ... Feeding Matters , the first organization in the world dedicated to ... to announce that the U.S. Centers for Disease Control and Prevention (CDC) has officially ... of the U.S. International Classification of Diseases (ICD ) on October 1, 2021. ...
(Date:8/31/2020)... ... 31, 2020 , ... The Lymphoma Research Foundation (LRF) ... research and serving the lymphoma community through a comprehensive series of education programs, ... Cancer Awareness Month (BCAM) and its international Light it Red for Lymphoma ...
(Date:8/31/2020)... ... 31, 2020 , ... Genesis Chiropractic Software and Billing ... launch of its integrated, HIPAA compliant, telehealth solution, available to US-based clients immediately. ... 90 seconds. , According to the U.S. Department of Health & Human ...
(Date:8/31/2020)... Hawaii (PRWEB) , ... August 31, 2020 , ... A Cure for Covid-19 “PTS” with ... people on the planet are in a state of panic, experiencing deep anxiety, immense stress, ... Right now, a solution is timely when most people on the planet are experiencing a ...
(Date:8/29/2020)... ... ... When professor and author Randy Pausch was diagnosed with pancreatic cancer, he accepted ... melancholic, however, he put together a final lecture in Carnegie Hall in which he ... situation and turned it into something that inspired millions of people worldwide. This inclination ...
Breaking Medicine News(10 mins):
(Date:8/26/2020)... ... August 26, 2020 , ... ScripHessco ... Sports Injuries. The infographic breaks down ways that chiropractors can help heal sports ... According to ScripHessco “Athletes have an unusual amount of pressure and stress on ...
(Date:8/26/2020)... ... August 26, 2020 , ... ... purification systems kill Coronavirus. While air purification technologies, including GreenTech Environmental’s proprietary methods, ... even Ebola, no air purification system has published results of singular and scientific ...
(Date:8/26/2020)... (PRWEB) , ... August 26, 2020 , ... ... RN, CHPN, CHPCA, LNC has added CHC and CPCO to her name. , ... Certification in Healthcare Compliance (CHC) and the Certified Professional Compliance Officer (CPCO.) , ...
Breaking Medicine Technology:
Cached News: