Saturday, October 16, 2021

‘Delayed Prescribing’ May Help Cut Down on Antibiotic Use

“But what about special cases where antibiotics can be useful? Is delayed prescribing safe for them too?” she said. “Yes. It’s safe and effective to send them off with a delayed prescription and instructions about what to look for.”

But Dr. Jeffrey A. Linder, a professor of medicine at Northwestern who was not involved in the research, urged caution, noting that the data the researchers used did not properly distinguish diagnoses. “The most likely interpretation of the finding that there is no difference in symptom duration between patients who received immediate antibiotics, delayed antibiotics and no antibiotics,” he said, “is that most of these patients did not need antibiotics in the first place.”

The authors took measures to statistically account for differences between the various illnesses, he continued, but the study “mixes up clinical conditions that should be treated with antibiotics — strep throat, otitis media — with those that should not be — colds, acute bronchitis, viral pharyngitis.”

Dr. Holly M. Frost, an assistant professor of pediatrics at Denver Health who was not involved in the study, added that in real-world practice, few doctors use delayed prescriptions, even in cases where it is already recommended, much less for respiratory infections. “Almost everyone with ear infections and sinusitis is getting antibiotics,” she said.

Moreover, delayed prescriptions may not help with reducing antibiotic use, she said, since most people just go directly to the pharmacy with their “delayed” prescription anyway. In one medical practice she surveyed, she found that 93 percent of delayed prescriptions were filled immediately.

Lecturing patients about antibiotic resistance, she said, is not the right approach either. Rather, the approach should be, “You’re not going to feel any better if you take antibiotics.” She is not against the practice of offering delayed prescriptions, but sees it as one option among several.

“We have to explore any strategies we have for reducing antibiotic prescribing,” she said.

Source link

Latest Articles

Widely used chemical linked to 1,00,000 US deaths per year: Study

NEW YORK: Daily exposure to phthalates, a group of chemicals used in everything from plastic containers to makeup, may lead to approximately 100,000 deaths...

Foods to Reduce Inflammation and Strengthen the Immune System

Did you know that you can greatly reduce inflammation and boost your immune system by simply incorporating more anti-inflammatory foods and beverages into your...

Personal Selling

INTRODUCTION Early sellers and traders were not held in high esteem. The Roman word for salesman meant ‘Cheater’ and...

Building Muscle on a Vegan Diet

There are a lot of  misconceptions surrounding veganism. The notion that those who practice it are lacking in protein and therefore muscles is the...

Electrodes in brain new hope for severe cases of epilepsy

Neurosurgeons at All India Institute of Medical Sciences have devised a new technique for operating on children suffering from a severe form of epilepsy...