Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

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
Navigation: use the links below to view more comments.
first 1-2021-30 next last
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
[ Post Reply | Private Reply | View Replies]

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)
[ Post Reply | Private Reply | To 1 | View Replies]

To: neverdem

this is true


3 posted on 08/19/2009 12:57:38 AM PDT by wardaddy (Kite Runner....good movie.)
[ Post Reply | Private Reply | To 1 | View Replies]

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
[ Post Reply | Private Reply | To 1 | View Replies]

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
[ Post Reply | Private Reply | To 1 | View Replies]

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.)
[ Post Reply | Private Reply | To 2 | View Replies]

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.)
[ Post Reply | Private Reply | To 1 | View Replies]

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)
[ Post Reply | Private Reply | To 5 | View Replies]

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.)
[ Post Reply | Private Reply | To 2 | View Replies]

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
[ Post Reply | Private Reply | To 4 | View Replies]

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)
[ Post Reply | Private Reply | To 2 | View Replies]

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)
[ Post Reply | Private Reply | To 7 | View Replies]

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)
[ Post Reply | Private Reply | To 10 | View Replies]

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
[ Post Reply | Private Reply | To 13 | View Replies]

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)
[ Post Reply | Private Reply | To 14 | View Replies]

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
[ Post Reply | Private Reply | To 5 | View Replies]

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
[ Post Reply | Private Reply | To 15 | View Replies]

To: Wonder Warthog

See post #16.


18 posted on 08/19/2009 5:32:13 AM PDT by Ditter
[ Post Reply | Private Reply | To 8 | View Replies]

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)
[ Post Reply | Private Reply | To 18 | View Replies]

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
[ Post Reply | Private Reply | To 19 | View Replies]


Navigation: use the links below to view more comments.
first 1-2021-30 next last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson