Navigation Links
Outpatients, hospital patients face growing, but different problems with antibiotic resistance

CORVALLIS, Ore. A new study concludes that problems with antibiotic resistance faced by outpatients may be as bad as those in hospitalized patients, and that more studies of outpatients are needed both to protect their health and to avoid inappropriate or unnecessary drug use.

Antibiotic resistance is a huge and growing problem in both hospital and outpatient settings. Failure to select an effective antibiotic, without appropriate consideration for this resistance, can increase the risk of continued illness or death.

While 126 million prescriptions a year for antimicrobial drugs are given to people outside of hospitals, less has been done with them, compared to inpatients, to monitor their levels of antibiotic resistance.

The new analysis examined more than 16,000 cultures for resistance to some commonly used antibiotics. It found that outpatients can face resistance issues that sometimes are similar to those of people in hospitals but that these problems can also be either more or less severe.

The findings were reported in Diagnostic Microbiology and Infectious Disease by researchers from Oregon State University, Oregon Health and Science University, and Kaiser Permanente Northwest. The work was supported by the National Institutes of Health.

"Hospitals for some time have been producing what are called antibiograms, a compilation of data to provide insights into local problems with antibiotic resistance," said Jessina McGregor, assistant professor in the OSU College of Pharmacy, who is an expert in antibiotic resistance issues and lead author on this study.

"Traditionally these findings have been shared with doctors to help them select the best antibiotics for their patients' infections," she said. "However, in many outpatient settings this same level of information has not been available. We found there are enough differences that we need to start doing more studies with the outpatient groups, in order to help doctors provide patients with the best possible care for their infections, and prevent the spread of resistance."

The researchers also noted that more than half of all antibiotics prescribed to outpatients for acute respiratory infections are unnecessary. This can speed the resistance of bacteria to antibiotic treatment.

Antibiotic resistance historically began to show up in hospitals before it was found in the larger community, researchers say. Because of this, hospitals have been more aggressive in working to monitor, understand and prevent unnecessary antibiotic use.

As patient records increasingly become electronic, both in the hospital and in outpatient clinics, it will be possible for more health care systems to produce outpatient antibiograms, McGregor said, and that will be "a step in the right direction."


Contact: Jessina McGregor
Oregon State University

Related medicine news :

1. Beaumont Childrens Hospital pediatrician inducted into Legends of Neonatology Hall of Fame
2. CALNOC Participating Hospitals Recognized as the Top in the Nation
3. Patients with surgical complications provide greater hospital profit-margins
4. Magnet hospitals achieve lower mortality, reports Medical Care
5. Better coordination necessary to reduce hospital readmission rates
6. Nominate Soliant Health’s 2013 Most Beautiful Hospitals in the U.S.
7. Healthy Vending Snacks Arrive to Philadelphia Rregion’s Most Honored and Respected Teaching Hospital; Thanks to Partnership with Award-Winning Food Services Provider
8. Best Drug Rehabilitation CEO Per Wickstrom Helps Launch Program to Uplift and Inspire Hospitalized Children
9. Northern Westchester Hospital Surgeon Reaches New Single-Incision Robot-Assisted Gallbladder Removal Surgery Milestone
10. RI Hospital: Co-infections not associated with worse outcomes during H1N1 pandemic
11. New Solutions for Hot Flashes, Night Sweats, and Decreased Sex Drive Available Now at Women's Excellence in Menopause, Affiliated with Crittenton Hospital Center
Post Your Comments:
(Date:11/26/2015)... , ... November 26, 2015 , ... ... set of retro-fused, self-animating trailer titles with ProTrailer: Vintage. This newly styled ProTrailer ... classically-influenced trailer titles work with any font, giving users limitless opportunities to stylize ...
(Date:11/26/2015)... ... November 26, 2015 , ... Indosoft Inc., developer and distributor of the world-class ... improve system efficiency and reliability. , The new Q-Suite 6 platform is based on ... avoids locking itself into a specific piece of software for many key components of ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... Water For Empowerment ™ attracts volunteers together who want to combine talents ... women as key stakeholders in the process. The non-profit launched its first major ...
(Date:11/25/2015)... MN (PRWEB) , ... November 25, 2015 , ... Finnleo, ... through Christmas Eve on several models of traditional and far-infrared saunas. , ... Nordic Spruce is the most traditional Finnish sauna wood, and Finnleo uses only European ...
(Date:11/25/2015)... ... November 25, 2015 , ... TyloHelo Inc , ... accessories. , Sauna accessories help improve the bather experience in the sauna, and ... styles for the purist looking for simplicity in design to accessories that encourage ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... AAIPharma Services Corp./Cambridge Major Laboratories, Inc. ... $15.8  Million to expand its laboratories and global ... The expansion will provide additional office space and ... of the pharmaceutical and biotechnology markets. ... up to 40,000 square feet of expanded development ...
(Date:11/25/2015)... MINNEAPOLIS , Nov. 25, 2015  ARKRAY ... care products, continues to provide evidence demonstrating the accuracy ... the World Congress on Insulin Resistance, Diabetes and Cardiovascular ... showed that both the Company,s GLUCOCARD ® 01 ... met high accuracy requirements. The ability to accurately measure ...
(Date:11/25/2015)... 2015 Kitov Pharma ceuticals ... a biopharmaceutical company focused on the development of therapeutic ... today announced the closing of its previously announced underwritten ... ), each representing 20 ordinary shares of the Company, ... ADSs and warrants were issued in a fixed combination ...
Breaking Medicine Technology: