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Docs writing fewer scripts
Science News ^ | August 18th, 2009 | Nathan Seppa

Posted on 08/19/2009 12:47:49 AM PDT by neverdem

People are less likely to get antibiotics for respiratory infections

Since the mid-1990s, doctors have written fewer antibiotic prescriptions per year for respiratory infections, a new survey shows.

The drop in these prescriptions in the United States per thousand people from 1995 to 2006 is 36 percent in children under age 5 and 18 percent among persons age 5 and up, researchers report in the Aug. 19 Journal of the American Medical Association.

Many respiratory infections do not typically require antibiotics, including influenza, viral pneumonia, bronchitis, laryngitis, common colds and other infections caused by viruses. Infections more deserving of antibiotics include middle ear infections, sinus infections, tonsillitis and nonviral pneumonia...

But the decline in prescriptions also shows that doctors are concerned about bacteria becoming resistant to antibiotics, Griffin says.

(Excerpt) Read more at sciencenews.org ...


TOPICS: Culture/Society; News/Current Events; Testing
KEYWORDS: antibiotics; health; medicine
Antibiotic Prescription Rates for Acute Respiratory Tract Infections in US Ambulatory Settings

Conclusions Overall antibiotic prescription rates for ARTI decreased, associated with fewer OM visits in children younger than 5 years and with fewer prescriptions for ARTI for which antibiotics are rarely indicated. However, prescription rates for broad-spectrum antibiotics increased significantly.

1 posted on 08/19/2009 12:47:49 AM PDT by neverdem
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To: neverdem

Go figure — VIRAL infections don’t respond to antibiotics. Who knew?!?


2 posted on 08/19/2009 12:56:00 AM PDT by Blueflag (Res ipsa loquitur)
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To: neverdem

this is true


3 posted on 08/19/2009 12:57:38 AM PDT by wardaddy (Kite Runner....good movie.)
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To: neverdem

Overuse of antibiotics is a big issue in health care. I know a lot of people who get them at a drop of the hat.


4 posted on 08/19/2009 1:14:19 AM PDT by FTJM
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To: neverdem

Generally I always wind up on an antibiotic anyway when I get a virus. I try the over the counter treatments first, but it ends up going into a sinus infection, and it simply doesn’t clear up, so the doctors eventually put me on an antibiotic.


5 posted on 08/19/2009 1:37:02 AM PDT by Pinkbell
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To: Blueflag

The real reason is that the doctors just want to remove people’s tonsil so they will earn a fee.


6 posted on 08/19/2009 1:54:27 AM PDT by appeal2 (Government is not the solution, it is the problem and eventually the enemy.)
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To: neverdem

I avoid doctors so thoroughly as to lack even a close social acquaintance with one, but recently heard something from a friend with a relative in the medical profession: doctors are finding it more difficult to obtain antibiotics, and must keep detailed records that justify what they prescribe and track the quantities they prescribe. Some kind of oversight has gotten much more strict?
Don’t know if it’s true, just putting it out here for examination by the better informed.


7 posted on 08/19/2009 2:54:18 AM PDT by 668 - Neighbor of the Beast (Rebellion is not brewing. Frog is brewing.)
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To: Pinkbell
"I try the over the counter treatments first, but it ends up going into a sinus infection, and it simply doesn’t clear up, so the doctors eventually put me on an antibiotic."

Got it in one. After you've had enough colds/flu/sinus infections, you can probably recognize which symptoms mean what for your particular body better than the doc. My wife is like you, she gets sinus infections at the drop of a hat, and the sooner she gets on antibiotics, the better.

8 posted on 08/19/2009 3:58:09 AM PDT by Wonder Warthog ( The Hog of Steel)
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To: Blueflag

I would never have expected that!


9 posted on 08/19/2009 4:01:36 AM PDT by Tax-chick (If you've ever discovered your cow eating a guest in the barn, you'll understand.)
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To: FTJM

I had an infected tooth due to a filling which came lose, without my knowledge - it was incredibly painful - and had to practically beg my dentist for an Amoxocillin script. Why is that? I almost drove myself to the ER.

My dentist does not give out any Vicodin, etc. to ANY patient under ANY circumstances. Isn’t that a bit odd? His answer is to take Tylenol or Advil for any kind of tooth pain.

May have to switch dentists.


10 posted on 08/19/2009 4:47:45 AM PDT by library user
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To: Blueflag
Go figure — VIRAL infections don’t respond to antibiotics. Who knew?!?

Many of my patients. Can't tell you how many times I've been cursed out for not writing an RX for an antibiotic for an upper respiratory infection that is clearly viral. Many times the patient will then doctor shop until they find one who will just write it.
11 posted on 08/19/2009 4:51:17 AM PDT by Kozak (USA 7/4/1776 to 1/20/2009 Reqiescat in Pace)
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To: 668 - Neighbor of the Beast

That’s BS.


12 posted on 08/19/2009 4:52:13 AM PDT by Kozak (USA 7/4/1776 to 1/20/2009 Reqiescat in Pace)
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To: library user
My dentist does not give out any Vicodin, etc. to ANY patient under ANY circumstances. Isn’t that a bit odd? His answer is to take Tylenol or Advil for any kind of tooth pain.

Dentists got sick of an endless parade of toothache patients that wanted narcotics. Many will not prescribe any as studies show NSAIDS work better for dental pain. They have dumped the problem on family docs or the ER. EVERY shift I see 2 or 3 dental pain patients, many are repeat visitors.
13 posted on 08/19/2009 4:55:12 AM PDT by Kozak (USA 7/4/1776 to 1/20/2009 Reqiescat in Pace)
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To: Kozak

This was a tooth that needed a root canal, and he knew it back in April, yet refused to prescribe anything besides an anti-biotic.

The soonest I could get in for the root canal was a week ago. That’s why I almost drove myself to the ER two weekends ago.

It wasn’t a simple toothache, it was the most godawful pain in a tooth one could ever imagine. Once he killed the nerve, I got instant relief.

Dentists should differentiate between toothaches and teeth which are infected and need root canals. It’s malpractice otherwise, IMO.

Needless suffering persists otherwise, especially since I’m a slave to their scheduling/availability timetable.


14 posted on 08/19/2009 4:59:25 AM PDT by library user
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To: library user

Pain is a completely subjective experience. There is no test for it. Drug seekers can be very convincing in their drama. I’ve been taken many many times. I’d be happier if people could just go to the pharmacy and buy what they want, without an RX. If they want it that bad they will get it, one way or another.

By the way it’s not just dentists. My daughters neurologist has a sign in his office stating he will not prescribe narcotics for headaches. He specializes in migraine.


15 posted on 08/19/2009 5:05:55 AM PDT by Kozak (USA 7/4/1776 to 1/20/2009 Reqiescat in Pace)
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To: Pinkbell
You should get yourself a Neti Pot. It is a little ceramic pot with a spout and you mix a salt water solution in the pot, lean over your sink with your head turned to one side. You pour the salt water into one nostril and it flows through your sinus cavities and out the opposite nostril. then you lean the other way and do the other side. It will prevent an infection from starting or clear one up if it has already started.

I used to get several sinus infections every year and then I started having allergic reactions to the antibiotics I took to clear them up. This little pot and fixed it for me.

Four times a day if you have a cold or infection and once a day to prevent one.

16 posted on 08/19/2009 5:16:46 AM PDT by Ditter
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To: Kozak
Yes, but I'm thinking a dentist can look at someone's x-ray's and the inside of their mouth - analyzing tooth-by-tooth, as my dentist did with me - to be able to at least roughly estimate what kind of pain they are in. If x-rays have been done, then there is some kind of evidence for which to assess what level of a pain a patient is at. At least one would think. I'm not a doctor, of course.

If your daughter is struggling with bad migraines, there is a med called Esgic which is very good at eliminating migraine pain. It's not very well known, so I thought I'd throw that out there if she's having bad migraines and striking out in terms of finding relief.

17 posted on 08/19/2009 5:22:52 AM PDT by library user
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To: Wonder Warthog

See post #16.


18 posted on 08/19/2009 5:32:13 AM PDT by Ditter
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To: Ditter

My wife uses the more modern version of the “Neti pot” twice a day (kind of like a Waterpik, but for nasal use).

http://www.hydromedonline.com/hp.html?referrer=google_hma2&gclid=CI6qsvfwr5wCFSNQagodQgxiXQ

It helps a lot with most allergy-induced “pre-sinus infection” conditions, but is less helpful for virus-induced inflammation. She adds a teaspoon or so of hydrogen peroxide to the saline solution used for flushing.

Since I had my genetically-malformed sinus surgically “roto-rootered”, I very rarely have sinus infections any more, and virtually always with a “virus inflammation” precursor.


19 posted on 08/19/2009 7:05:18 AM PDT by Wonder Warthog ( The Hog of Steel)
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To: Wonder Warthog
I know that a viral infection is different. Viral infections always leave me with a bacterial infection in my sinuses. My Neti Pot has completely wiped out the bacterial infections that the virus leaves me with. I haven't taken antibiotics for a sinus infection since I have been using the Neti Pot. You must be faithful and use it 4 times a day until the bacteria gives up for lack of traction.

My husband uses a different version, a plastic squirt bottle and I don't think it is as good but he seems to like it.

20 posted on 08/19/2009 7:23:32 AM PDT by Ditter
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To: Blueflag
Go figure — VIRAL infections don’t respond to antibiotics. Who knew?!?

True. However, it's not quite that clear cut for all of us. Some of us have lung problems that leave us susceptible to secondary infections. Nearly every time I catch a viral respiratory tract infection, it progresses to a bacterial secondary within a week. Luckily my physician knows my medical history and doesn't play the antibiotics rationing game with me. If that were to change, I would change physicians immediately.
21 posted on 08/19/2009 7:32:23 AM PDT by mysterio
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To: mysterio
Same here. I don't get the lung infection but a viral head cold leaves me with a sinus infection and the flu will leave me with a bronchial infection. It happens every single time and my doctor knows it.
22 posted on 08/19/2009 7:44:38 AM PDT by Ditter
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To: Ditter

Exactly. It should be a patient by patient basis.


23 posted on 08/19/2009 7:48:22 AM PDT by mysterio
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To: Ditter
"I haven't taken antibiotics for a sinus infection since I have been using the Neti Pot. You must be faithful and use it 4 times a day until the bacteria gives up for lack of traction."

Interesting. I've never tried that many "shots/day". Thanks, and I'll pass it on to the wife, and if, as, and when I have my next sinus infection, I'll give it a shot.

I'll swap you your sinus infection hint for a virus hint. Something that I have found to work is, when the very first inklings of a virus show up (itchy nose, sneezing, whatever), climb into your bed or recliner with a heating pad and as many blankets as you can stand, and "roast yourself" for as long as you can take it. Two times out of three, this kills the virus before the body's immune system gets cranked up enough for you to start running fever.

The Native Americans (and the Scandahoovians) were right with the "sweat lodges" and saunas.

24 posted on 08/19/2009 8:51:38 AM PDT by Wonder Warthog ( The Hog of Steel)
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To: library user
My dentist does not give out any Vicodin, etc. to ANY patient under ANY circumstances. Isn’t that a bit odd? His answer is to take Tylenol or Advil for any kind of tooth pain.

Mine gave me 20 a year ago after a root planing and I still have some. I'd been thinking mean thoughts until I actually collected the prescription - I hadn't realized it was for 20, and was slightly ticked that they didn't just hand me ONE. That was all I was expecting, and all I needed at the time. I've been cutting the rest in half to get through construction projects.

25 posted on 08/19/2009 9:53:47 AM PDT by nina0113
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To: Wonder Warthog
...climb into your bed or recliner with a heating pad and as many blankets as you can stand, and "roast yourself" for as long as you can take it.

If you take nyquil to knock yourself out, you can stand it a lot longer. I wash down a couple of liquicaps with a big glass of juice and settle down. When I wake up I repeat the process and I'm rarely down for more than a day.

26 posted on 08/19/2009 9:57:44 AM PDT by nina0113
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To: Wonder Warthog
Thanks back atcha’. I'll try your “sweat lodge” trick. If I get the flu or a cold today all I'd have to do is
spend a little time in my back yard.
27 posted on 08/19/2009 10:21:29 AM PDT by Ditter
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To: Pinkbell

How much Vit D do you take?


28 posted on 08/19/2009 4:31:48 PM PDT by Conservativegreatgrandma (Al Franken--the face of the third-party voters)
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To: Ditter

Thanks for the recommendation. I had never heard of those, but I will definitely have to consider getting one. I haven’t had a bad upper respiratory infection since last Thanksgiving, but I am starting with a cold now. I’m leaving for vacation tomorrow, so I won’t be able to get one until I get back.

I’m hoping the Zicam I am using helps. I was using the nasal gel until I discovered on their website that they had pulled it off the market in June. I switched to the Zicam dissolve pill tonight, so I’ll have to see how it works. I’m hoping it works, as the gel seemed to work well.


29 posted on 08/22/2009 9:04:26 PM PDT by Pinkbell
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To: Conservativegreatgrandma

I don’t any Vit D vitamins.


30 posted on 08/22/2009 9:05:15 PM PDT by Pinkbell
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