Despite warnings that we're quickly approaching a post-antibiotics era in which bacterial infections once easily cured by the drugs become resistant and life threatening,
doctors are still prescribing too many antibiotics. The finding comes from the U.S. Centers for Disease Control and Prevention (CDC), which found 262 million people received prescriptions for antibiotics from their physicians from 2010 to 2011.
Of these, about 30 percent were unnecessary.The report, which was published in JAMA, assessed data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) to estimate the current rate of U.S. antibiotic prescriptions.
1A group of experts then determined whether the antibiotic prescriptions were appropriate based on national guidelines. There were an estimated 506 antibiotic prescriptions per 1,000 population annually, but only 353 of those were appropriately prescribed.
2 The researchers wrote:
"Collectively, across all conditions, an estimated 30% of outpatient, oral antibiotic prescriptions may have been inappropriate."
A 15-Percent Reduction in Antibiotic Use Recommended to Combat Antibiotic-Resistant BacteriaThe
White House National Action Plan for Combating Antibiotic-Resistant Bacteria set a goal to reduce at least half of inappropriate antibiotic prescriptions by 2020. In order to meet this goal, the JAMA report found a 15 percent reduction in antibiotics use is needed.
According to the report,
antibiotics prescriptions for acute respiratory conditions were most often inappropriately prescribed, and children aged 2 years and younger were the most frequent recipients of antibiotics prescriptions.Across all age groups, such drugs were most often prescribed for sinusitis, ear infections and inflammation of the throat (pharyngitis). As for why so many unnecessary antibiotics are being prescribed, sometimes doctors do it to appease their patients.
Other times they may be misguided in when the drug's risks outweigh their benefits. According to the study, "
no data suggest worse outcomes ... in low-prescribing regions due to undertreatment."
3 Meanwhile, there's still a great deal of misunderstanding among the public.
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