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:12/9/2019)... Fla. (PRWEB) , ... December 09, 2019 , ... Cocoa ... that has become one of the world’s most-dazzling Santa-themed gatherings. , What began as ... beloved – and slightly zany – holiday tradition. Now, ten years in, there’s no ...
(Date:12/8/2019)... ... December 07, 2019 , ... Intelligent.com, a trusted resource ... Best Master of Science in Nursing (MSN) Degree Programs for 2020. The comprehensive ... in the nation. Each program is evaluated based on curriculum quality, graduation rate, ...
(Date:12/8/2019)... ... December 08, 2019 , ... Intelligent.com, a trusted ... 52 Best Homeland Security Degree Programs for 2020. The comprehensive research guide is ... Each program is evaluated based on curriculum quality, graduation rate, reputation, and post-graduate ...
(Date:12/6/2019)... ... December 06, 2019 , ... NexLogic Technologies, Inc. announced today ... which is a new and rapidly growing segment in the burgeoning medical electronics ... inserted into various parts of the human body. They range from cardiac pacemakers ...
(Date:12/6/2019)... ... December 06, 2019 , ... In a ceremony where words ... Lake Community College’s (SLCC) Emergency Medical Technician (EMT) Program—Maria Mazzel Delgado, Jake ... AT&T Public Safety Hero Scholarship to support their first responder training. ...
Breaking Medicine News(10 mins):
(Date:12/2/2019)... (PRWEB) , ... December 02, 2019 , ... ... all communities healthier places to live, work, learn, and play. Striving to fulfill ... review against the rigorous national standards set by the Public Health Accreditation Board ...
(Date:11/30/2019)... ... 2019 , ... Transpara™ 1.6, the leading Artificial Intelligence decision ... detect potential breast cancer in 2D and 3D DBT mammograms, will be ... 2019 (ScreenPoint Medical, South Hall #4380). , The software uniquely ranks mammograms on ...
(Date:11/30/2019)... ... November 30, 2019 , ... Sunshine Coast ... treatment programs in British Columbia, Canada, is pleased to announce its new offering, ... current findings from neuroscience to transform traumatic memories into strengths and resources for ...
Breaking Medicine Technology:
Cached News: