Search results for "Antibiotics"
Broad-spectrum antibiotics dispensed to almost half of healthy adult outpatients with CAP
An analysis of oral antibiotic regimens dispensed to healthy outpatients with community-acquired pneumonia (CAP) in 2007 through 2019 found that 48% got broad-spectrum drugs and that they had significantly higher rates of adverse drug events than patients who got macrolide monotherapy.
https://immattersacp.org/weekly/archives/2024/10/29/4.htm
29 Oct 2024
Antibiotics more frequently prescribed in virtual versus in-person urgent care visits
More than half (58%) of virtual urgent care visits for respiratory infection resulted in an antibiotic prescription compared with 43% of in-person visits, with prescriptions largely driven by sinusitis diagnoses, a review within a single health system found.
https://immattersacp.org/weekly/archives/2024/08/06/1.htm
6 Aug 2024
Multipart primary care intervention reduces unnecessary use of antibiotics for UTIs in women
A trial in Germany found that primary care practices where patients and physicians received information on guideline recommendations and antibiotic resistance and physicians received feedback were less likely to use antibiotics for uncomplicated urinary tract infections (UTIs).
https://immattersacp.org/weekly/archives/2023/11/07/1.htm
7 Nov 2023
Inappropriate outpatient antibiotics linked to adverse drug events, excess health care costs
Prescriptions of antibiotics to U.S. adults with viral respiratory infections were associated with diarrhea, vulvovaginal candidiasis/vaginitis, and allergies, while use of an inappropriate antibiotic for bacterial infections was associated with nausea, vomiting, and abdominal pain.
https://immattersacp.org/weekly/archives/2022/11/15/4.htm
15 Nov 2022
Urinary antiseptic noninferior to antibiotics for recurrent UTI prevention in women
Methenamine hippurate was noninferior to daily, low-dose antibiotics, the current standard prophylactic treatment, in preventing symptomatic, antibiotic-treated urinary tract infection (UTI) episodes in women with recurrent UTIs, a yearlong U.K. trial found.
https://immattersacp.org/weekly/archives/2022/03/15/1.htm
15 Mar 2022
Applying ACP's advice for shorter courses of antibiotics
ACP's recent Best Practice Advice for antibiotic stewardship, the College's second guidance on the topic, is meant to improve patient care and combat antibiotic resistance.
https://immattersacp.org/archives/2021/10/applying-acps-advice-for-shorter-courses-of-antibiotics.htm
1 Oct 2021
A week of antibiotics resolved simple UTI in men at similar rates as longer therapy
A randomized trial comparing seven- and 14-day courses of ciprofloxacin or trimethoprim/sulfamethoxazole for afebrile, outpatient men with urinary tract infections (UTIs) found similar rates of symptom resolution with either strategy.
https://immattersacp.org/weekly/archives/2021/08/03/1.htm
3 Aug 2021
Clinician education, feedback led to fewer inappropriate antibiotics for respiratory tract infections
A stepped-wedge cluster randomized study in 31 primary care practices found that the proportion of visits with an antibiotic prescription decreased from 35.2% to 23.0% after an intervention involving clinician education and monthly peer comparison feedback.
https://immattersacp.org/weekly/archives/2021/07/13/5.htm
13 Jul 2021
Advice from ACP supports short courses of antibiotics for several common infections
Because at least 30% of antibiotic use is considered unnecessary, best practices were issued on treatment of chronic obstructive pulmonary disease exacerbation and uncomplicated bronchitis, community-acquired pneumonia, uncomplicated urinary tract infection, and cellulitis.
https://immattersacp.org/weekly/archives/2021/04/06/1.htm
6 Apr 2021
Fluoroquinolones associated with aortic aneurysms compared to other antibiotics
The association was present across all age groups (≥35 to <65 years) and was consistent across sex and comorbidities.
https://immattersacp.org/weekly/archives/2021/01/12/5.htm
12 Jan 2021
Nearly half of inpatients with pneumonia or urinary tract infection were overprescribed antibiotics after discharge
The most common types of antibiotic overuse after discharge included excess duration for pneumonia and unnecessary treatment of asymptomatic bacteriuria, a retrospective cohort study found.
https://immattersacp.org/weekly/archives/2020/09/22/5.htm
22 Sep 2020
Delayed antibiotics for upper respiratory tract infections associated with infection-related hospital admissions
Delayed prescribing should be better targeted to patients with lower risks of complications, the study authors wrote.
https://immattersacp.org/weekly/archives/2020/07/07/5.htm
7 Jul 2020
Antivirals plus antibiotics may lower risk of hospitalization in some patients with influenza
Although combination antiviral and antibiotic therapy was associated with a significant reduction in respiratory hospitalization risk within 30 days compared to an antiviral alone in this study, that does not mean the combination should be widely used, the authors noted.
https://immattersacp.org/weekly/archives/2020/02/04/2.htm
4 Feb 2020
Delayed antibiotics in older adults with UTI associated with bloodstream infections, death
An editorial noted that the relationships found in the study may not be causal and advised clinicians to offer prompt treatment to patients at the highest risk of bloodstream infections: older patients, men, and those living in areas of greater socioeconomic deprivation.
https://immattersacp.org/weekly/archives/2019/03/05/4.htm
5 Mar 2019
Penicillin allergy associated with risk of MRSA, C. diff, due to use of other antibiotics
Systematically addressing penicillin allergies may be an important public health strategy to reduce the incidence of MRSA and C. difficile among patients with a documented penicillin allergy.
https://immattersacp.org/weekly/archives/2018/07/03/6.htm
3 Jul 2018
Non-first-line antibiotics prescribed half the time for otitis media, sinusitis, pharyngitis
There is evidence of substantial overuse of non-first-line antibiotics for 3 of the most common conditions in ambulatory care that collectively account for more than 40 million antibiotic prescriptions annually.
https://immattersacp.org/weekly/archives/2016/11/01/2.htm
1 Nov 2016
Macrolide antibiotics may be associated with a small increased risk for cardiovascular complications
While the absolute risks for sudden cardiac death and ventricular tachyarrhythmias were small, macrolides are 1 of the more commonly used antibiotic groups in many countries, and millions of patients are prescribed these drugs annually.
https://immattersacp.org/weekly/archives/2015/11/10/5.htm
10 Nov 2015
Antibiotics offer similar results for uncomplicated skin infections
Cure rates and side effects did not differ significantly between clindamycin and trimethoprim-sulfamethoxazole (TMP-SMX) for uncomplicated skin infections, including both cellulitis and abscesses, a study found.
https://immattersacp.org/weekly/archives/2015/03/24/1.htm
24 Mar 2015
New antibiotics may change inpatient skin infection treatment
Physicians have a few new drugs in their armamentarium for skin and soft-tissue infections.
https://immattersacp.org/archives/2014/10/antibiotics.htm
1 Oct 2014
IDSA guidelines call for accurate diagnoses, fewer antibiotics for skin and soft-tissue infections
Skin and soft-tissue infections, even those caused by methicillin-resistant Staphylococcus aureus, are often minor and either heal on their own or can be easily treated without antibiotics, according to updated practice guidelines.
https://immattersacp.org/weekly/archives/2014/06/24/1.htm
24 Jun 2014