Navigation Links
Patient Education Helps Prevent Overuse of Antibiotics for Cough, Study Finds

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:
Related Image:
Patient Education Helps Prevent Overuse of Antibiotics for Cough, Study Finds
(Date:11/30/2015)... ... November 30, 2015 , ... ... states in the U.S. require dental technicians to be certified or obtain continuing ... NADL created the “What’s In Your Mouth?” campaign to inform dentists that the ...
(Date:11/30/2015)... Los Angeles, CA (PRWEB) , ... November 30, 2015 , ... ... such as grafts, strip harvesting and follicular unit extraction. These techniques and procedures have ... of helping patients suffering from hair loss. While Dr. Parsa Mohebi, M.D. has utilized ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... its annual fundraising campaign to raise funds for its research, education, support, and ... of the organization’s annual funding. , The Mesothelioma Applied Research Foundation, which also ...
(Date:11/30/2015)... ... , ... Cycling, running, and walking are regular Sunday activities for many South ... 28, 2016. , That’s when the 7th annual ANF Group Tour de Broward ... and families at Joe DiMaggio Children’s Hospital. , The community fundraiser, sponsored ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... athletic teams looking to maximize recovery through quality sleep. Tim DiFrancesco, training coach ... get a better night’s sleep. ChiliPad precisely regulates the surface temperature of each ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Nov. 30, 2015 Baxalta Incorporated ... leader dedicated to delivering transformative therapies to ... conditions, today announced the launch and first ... an extended circulating half-life recombinant factor VIII ... full-length ADVATE [Antihemophilic Factor (Recombinant)]. The treatment ...
(Date:11/30/2015)... 2015 (HK$,000)For the Six Months Ended 30 September 2015 2014RestatedChange%Turnover 545,575 ... 421,979 , 384,242 , 9.8 ... 34,719 , (18.3) Medical Insurance Administration Service Income ... 16.1 Medical Devices and Accessories Sales , 89,645 ... Medicines Sales , 2,822 , 2,917 ...
(Date:11/30/2015)... , November 30, 2015 --> ... report "Dental Lasers Market by Product (Soft Tissue, All Tissue, ... User (Hospitals, Clinics), and Geography - Global Forecast to 2020", ... by 2020, at a CAGR of 5.2% during the forecast ... market data Tables and 62 Figures spread through 167 P ...
Breaking Medicine Technology: