Navigation Links
Patient Education Helps Prevent Overuse of Antibiotics for Cough, Study Finds
Date:1/18/2013

FRIDAY, Jan. 18 (HealthDay News) -- Patient education in the form of brochures and posters helps reduce the overuse of antibiotics to treat bronchitis in teens and adults, according to a new study.

The overuse of antibiotics to treat bronchitis could worsen trends in antibiotic resistance, the researchers noted. They said computer prompts alerting nurses to the need for patient education on the difference between bronchitis and pneumonia also are effective in reducing reliance on antibiotics.

The study, led by Dr. Ralph Gonzales of the University of California, San Francisco, involved 33 primary care practices that are part of an integrated health care system in central Pennsylvania.

At 11 practices, printed materials -- including educational brochures and posters explaining the difference between bronchitis and pneumonia -- were routinely offered to patients suffering from a cough. In 11 more practices, patients received computer-assisted "decision support" intervention. In these cases, when nurses typed "cough" into an electronic health record, an alert prompted them to provide the patient with an educational brochure. The remaining practices served as control sites.

For the study, which was published online Jan. 14 in the journal JAMA Internal Medicine, the researchers compared the rate of antibiotic prescription for uncomplicated acute bronchitis before and after the printed and computer-assisted interventions.

Overall, there were more than 9,800 visits for uncomplicated acute bronchitis when the study began and less than 6,300 visits during the interventions. The study found the percentage of teens and adults given antibiotics dropped from 80 percent to about 68 percent at the sites with printed materials and from 74 percent to about 61 percent at practices with computer-assisted decision support.

The difference in effectiveness of the printed and computer-assisted decision support was not statistically significant, the researchers noted.

In contrast, the study revealed that the percentage of teens and adults with bronchitis who were prescribed antibiotics increased slightly -- from 73 percent to 74 percent -- at the control sites.

"We found that printed and computer-assisted approaches were equally effective at improving antibiotic treatment of uncomplicated acute bronchitis," the researchers said in a journal news release. "In aggregate, these findings support the wider dissemination and use of [these materials] to help reduce the overuse of antibiotics for acute bronchitis."

Dr. Jeffrey Linder, of Brigham and Women's Hospital and Harvard Medical School in Boston, also weighed in on the study.

"Despite the evidence, meta-analyses and performance measures, antibiotic prescribing for acute bronchitis in the United States remains at more than 70 percent," he said in the news release. "We should address patients' symptoms, but for antibiotics we need to tell our patients that this medicine is more likely to hurt [them] than to help [them]. Success is not reducing the antibiotic prescribing rate by 10 percent; success is reducing the antibiotic prescribing rate to 10 percent."

The overuse of antibiotics to treat acute respiratory tract infections is exacerbating antibiotic resistance, the researchers noted. They added that roughly 30 percent of doctor visits for colds and upper respiratory tract infections and as many as 80 percent of all visits for bronchitis are treated with antibiotics.

More information

The U.S. Centers for Disease Control and Prevention provides more information on the overuse of antibiotics.

-- Mary Elizabeth Dallas

SOURCE: JAMA, news release, Jan. 14, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Indiana network for patient care helps officials track disease, warn of outbreaks
2. TB Drug Shortages Put U.S. Patients in Peril, Study Finds
3. Researchers find that simple blood test can help identify trauma patients at greatest risk of death
4. 1,800 Michigan doctors launch effort to improve health care for Medicare patients
5. Chemo Pills Effective, But Patients May Skip Doses
6. Director of the Center for Craniofacial & Dental Sleep Medicine Provides New Cutting Edge Technology for Patients Suffering with Obstructive Sleep Apnea
7. LifeWings CEO to Speak at Virginia Patient Safety Summit in January
8. COPD patients at risk of dangerous bacterial infections
9. Physical Therapists Now Have A Powerful Adjunct To Their Therapy Plan With The New Rehab In Motion™ Program Designed For Patients Who Have Limited Or No Health Insurance
10. Obese Patients May Have Less Success With Back Surgery
11. Doctors Often Miss Signs of Problem Drinking in Patients, Study Finds
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Patient Education Helps Prevent Overuse of Antibiotics for Cough, Study Finds
(Date:5/26/2016)... ... May 26, 2016 , ... On Memorial Day, Hope For ... their lives in military battle for the country. The nonprofit Hope For Heroes ... more programs that empower independence for disabled military veterans, as well as police, firemen, ...
(Date:5/26/2016)... ... 2016 , ... Cardiac arrhythmia is a common complication following ... survival, reports a team of UPMC researchers in the largest study of its ... Thoracic and Cardiovascular Surgery, provide critical information that will hopefully lead to better ...
(Date:5/26/2016)... ... May 26, 2016 , ... MadgeTech will be showcasing its line ... in Warner, New Hampshire at the MadgeTech headquarters. With products sold in more than ... by government agencies, including NASA. , In 2012, NASA strategically set up 17 ...
(Date:5/26/2016)... ... May 26, 2016 , ... Dr. James ... Fighting Blindness, Long Island Chapter on June 4, 2016, 1:30-3:30 pm at the ... founder of Retina Group of New York , is a Board Certified ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... In an effort to provide hair restoration ... to both Snapchat users and those who do not use the app. Dr. Mohebi, the ... new page, Dr. Mohebi Live . , Dr. Mohebi says, “The positive response ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... , May 27, 2016 Amarantus BioScience ... on developing products for Regenerative Medicine, Neurology and Orphan Diseases, today ... be presenting at two upcoming investor conferences: SeeThru ... Third Avenue, New York City , NY ... Marcum MicroCap Conference   Where: Grand Hyatt ...
(Date:5/26/2016)... May 26, 2016 According to a ... Management Market - U.S. Industry Analysis, Size, Share, Growth, Trends, ... in the U.S. was valued at US$ 5.89 Bn in ... 3.4% from 2015 to 2023 to reach US$ 7.99 Bn ... current and emerging needle free drug delivery devices and the ...
(Date:5/26/2016)... -- TARE (Transarterial Radio-embolization) Using Yttrium-90 ... Overall Decreased Use of Hospital Resource ... healthcare company, has today announced the publication of ... ISPOR (International Society for Pharmacoeconomics and Outcomes Research), ... yttrium-90 glass microspheres is associated with cost savings ...
Breaking Medicine Technology: