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:10/15/2019)... ... ... Nashville Fertility Center (NFC) is proud to announce that Kristin Van Heertum ... to treating general infertility, Dr. Van Heertum offers expertise in fertility surgery and treatment ... Van Heertum joining the practice and believes she is the perfect fit. According to ...
(Date:10/11/2019)... , ... October 11, 2019 , ... A Topping Out ... new headquarters facility by general contractors Adolfson & Peterson Construction. The event celebrated reaching ... at 8190 Midtown Road in Dallas. The first of its kind in Texas, STA’s ...
(Date:10/10/2019)... (PRWEB) , ... October 10, 2019 , ... Caring.com, a ... Report on the Best and Worst Places for Seniors to Live. All 50 states ... engagement, transportation, quality of life and workforce development. , According to the ...
(Date:10/8/2019)... ... 2019 , ... What unique insights can three former Surgeons General of the ... the nation? That question will be answered at ICAA 2019: Shaping the Future of ... event will take place October 10-12, 2019, at the Gaylord Palms Resort and Convention ...
(Date:10/8/2019)... CA (PRWEB) , ... October 08, 2019 , ... Dr. ... gum disease in San Jose, CA experience relief from this common and treatable condition. ... in order to save adults from living with uncomfortable symptoms, including tender and bleeding ...
Breaking Medicine News(10 mins):
(Date:10/8/2019)... ... October 08, 2019 , ... ... farmers a wider range of novel, microbial-based crop protection products. , Under the ... natural product starting points. In a first for the agriculture industry, Corteva will ...
(Date:10/8/2019)... ... October 08, 2019 , ... ... today announced that FocalPoint Holdings, a privately-held investment and management firm specializing ... more than 8,000 ophthalmology and optometry providers Luma Health’s patient relationship technology ...
(Date:10/8/2019)... ... October 08, 2019 , ... AdventHealth Wesley ... and provide safer, convenient options for patients who require treatment. The hospital is ... enhanced mammography is used to detect tumors in dense breasts that may not ...
Breaking Medicine Technology:
Cached News: