Breaking News
February 23, 2018 - Beetroot may reduce kidney failure risk after heart x-ray, research reveals
February 23, 2018 - Sleep disruptions in menopause correlated with hot flashes and depression
February 23, 2018 - Scientists discover new treatment approach to curb severe myocarditis
February 23, 2018 - ‘Click chemistry’ approach may improve disease-fighting properties of drugs
February 23, 2018 - NIGHTSEA and EMS team up to offer KEY Award in fluorescence stereo microscopy
February 23, 2018 - Tobacco Kills, No Matter How It’s Smoked: Study
February 23, 2018 - Q&A: Avindra Nath, MD | Medpage Today
February 23, 2018 - Adherence to sleep apnea treatment affects risk of hospital readmission
February 23, 2018 - Zika virus could be alternative for treatment of aggressive brain cancer
February 23, 2018 - Carbon monoxide enhances efficacy of antibiotic against stomach infection
February 23, 2018 - MSD and Ferring Pharmaceuticals Complete Largest Ever Clinical Trial in Postpartum Haemorrhage
February 23, 2018 - Portable ultrasound can help better detect fluid in the lungs of patients with end-stage kidney disease
February 23, 2018 - Postnova AF2000 system offers reliable characterization of trace metal colloid distribution in the environment
February 23, 2018 - Pioneering study may pave way for effective painkillers to treat neuropathic pain
February 23, 2018 - Research opens up new avenue to minimize risks of transplants
February 22, 2018 - Cabozantinib Active in Advanced Thyroid Cancer
February 22, 2018 - Polluted air may pollute our morality
February 22, 2018 - New data from VOYAGE 2 trial shows promising results for Janssen’s guselkumab treatment
February 22, 2018 - Bank loans signed in the hospital leave patients vulnerable
February 22, 2018 - Researchers identify new nanostructure inside sperm tails
February 22, 2018 - Catheter-based procedure increases treatment options for mitral valve disease
February 22, 2018 - Sage Therapeutics Receives FDA Breakthrough Therapy Designation for SAGE-217 for the Treatment of Major Depressive Disorder
February 22, 2018 - Larger Endocarditis Vegetations More Likely to Embolize, Kill
February 22, 2018 - Parenting behavior in adoptive families
February 22, 2018 - Researchers discover new weakness in sleeping sickness parasites
February 22, 2018 - Research project aims to find new ways to identify and treat most aggressive brain cancers
February 22, 2018 - Researchers explore how people with Alzheimer’s disease use end-of-life medical services
February 22, 2018 - Stroke survivors and carers feel marginalized due to lack of support from primary care
February 22, 2018 - Neuroscientists discover novel mechanism of action behind schizophrenia
February 22, 2018 - After shooting, ‘honor how kids want to deal with their feelings’
February 22, 2018 - U.S., EU and Japan Health Authorities Accept Regulatory Submissions For Review Of Pfizer’s Third-generation ALK Inhibitor Lorlatinib
February 22, 2018 - At-Home Genetic Test Might Change Medicine
February 22, 2018 - Many second hand plastic toys could pose a risk to children’s health, study suggests
February 22, 2018 - Study shows that two different brain systems cooperate during learning
February 22, 2018 - Liquefied brain tissue after stroke may harm surviving brain, UA study finds
February 22, 2018 - New intervention improves communication behaviors in couples affected by dementia
February 22, 2018 - Clinical trial shows safety of promising TSRI stroke drug
February 22, 2018 - Researchers discover new interaction mechanism of unstructured proteins
February 22, 2018 - A Patient’s Journey: Can I Kill the Glucose Monster?
February 22, 2018 - The Problem That Piles Up
February 22, 2018 - Kids can roll up their sleeves—again—for mumps protection
February 22, 2018 - Scientists find significant amounts of toxic metals in e-cigarette vapors
February 22, 2018 - 3D Signatures reports positive results of new Telo-HL test for Hodgkin’s lymphoma
February 22, 2018 - Scientists reveal development of improved medicine to fight addiction
February 22, 2018 - USC-led researchers release dataset of brain scans from stroke patients
February 22, 2018 - Antibiotic-producing bacterium releases more metabolites than assumed
February 22, 2018 - Flu Season Shows First Signs of Slowing
February 22, 2018 - Nonstick Chemicals May Disrupt Metabolic Function in Women
February 22, 2018 - Calcium may play a role in the development of Parkinson’s disease
February 22, 2018 - Scientists visualize insulin receptor activation for the first time
February 22, 2018 - UC San Diego Health now offers new treatment option for people with refractory epilepsy
February 22, 2018 - First African child vaccinated with new typhoid conjugate vaccine
February 22, 2018 - BetterYou named as ‘Most Innovative Brand’ at FGB Awards 2018
February 22, 2018 - Assaults Among Young People Fall to Lowest Rate in 15 Years
February 22, 2018 - What do you know about Parkinson’s disease?
February 22, 2018 - Researchers discover five new genetic changes that may increase pancreatic cancer risk
February 22, 2018 - Gout medication may help improve heart function in adult patients
February 22, 2018 - Bioactive compound limits collateral damage in the kidneys after heart attack
February 22, 2018 - Study reveals HCT as effective treatment for NHL patients regardless of age
February 22, 2018 - Father’s age can affect offspring lifespan, mice study shows
February 22, 2018 - Opiant Pharmaceuticals Announces Publication of New Pre-Clinical Data Supporting Potential of OPNT005 as a Heroin Vaccine
February 22, 2018 - Make the Diagnosis: Strange Rash Surfaces
February 22, 2018 - Isolated sulfite oxidase deficiency – Genetics Home Reference
February 22, 2018 - Scientists identify weight loss ripple effect
February 22, 2018 - Smoking at record lows in New York
February 22, 2018 - Scientists pinpoint fertility hormone that could support early pregnancy
February 22, 2018 - Aggressive cancer stem cells can now be isolated successfully in a scientific breakthrough
February 22, 2018 - Researchers find high risk of suicide among unaccompanied refugee minors
February 22, 2018 - Protein levels linked to posture and gait problems in Parkinson’s
February 22, 2018 - Biomedical engineers create 3D hydrogel scaffolds  to transform cells into muscle
February 22, 2018 - Study employs novel approach to uncover new biomarker for CHD
February 22, 2018 - Study finds strong connection between midwifery and birth outcomes
February 22, 2018 - Verastem Submits NDA to FDA for Duvelisib for the Treatment of Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma and Follicular Lymphoma
February 22, 2018 - Low BP Associated With Risk in HFpEF
February 22, 2018 - More U.S. women obese before pregnancy, experts sound the alarm
February 22, 2018 - Study aims to examine effects of PTSD symptoms in police officers
February 22, 2018 - Study reveals increased disease risk after early heart surgery
February 22, 2018 - Women with Type 1 diabetes come across unique challenges
February 22, 2018 - Researchers target abnormal epigenetic mechanisms involved in childhood cancers
February 22, 2018 - Wine polyphenols may be good for oral health
Researchers reduce over-prescription of antibiotics by using computer alerts to inform doctors

Researchers reduce over-prescription of antibiotics by using computer alerts to inform doctors

image_pdfDownload PDFimage_print

Physicians at Kaiser Permanente in Southern California reduced the odds of prescribing an antibiotic for sinusitis by 22 percent using computer alerts to inform doctors when antibiotics may not be the best course of treatment. The research was published today in the American Journal of Managed Care.

The work is a continuation of research to better understand what drives over-prescription of antibiotics and determine best approaches to improving physician prescribing practices, said study leader Adam Sharp, MD, MS, a researcher with the Kaiser Permanente Department of Research & Evaluation who also works as an emergency department physician at the Kaiser Permanente Los Angeles Medical Center.

Antibiotic over-prescription is an important health issue. If antibiotics are used to treat illnesses for which they are not effective, such as viral infections, they don’t benefit the patient and can actually cause harm. Moreover, the overuse of antibiotics gives rise to bacteria that are resistant to them, making the drugs less effective for people with the types of infections they were meant to treat.

Patients who take antibiotics also may experience side effects such as nausea, rashes and diarrhea that can cause significant discomfort.

“We know that a tincture of time, not antibiotics, is generally the best treatment for infections more commonly caused by viruses rather than bacteria. However, health systems are discovering that stopping a common behavior, like prescribing antibiotics, can be even more difficult than spreading the use of a new test or treatment,” said Dr. Sharp. “Our research builds on research conducted at the U.S. Department of Veterans Affairs, the Centers for Disease Control and Prevention, and studies being conducted around the country to better understand how to limit routine use of unwarranted antibiotics.”

As part of the American Board of Internal Medicine Foundation’s national campaign called “Choosing Wisely,” several medical societies have been urging clinicians to reduce antibiotic overuse.

Southern California researchers have conducted multiple studies focused specifically on antibiotic prescriptions for acute sinusitis (also known as a sinus infection), which affects more than 30 million people each year in the United States. Around 9 in 10 people with acute sinusitis receive a prescription for antibiotics, even though current guidelines do not recommend antibiotics for most patients.

How antibiotic prescribing impacts patient satisfaction

Dr. Sharp led a different study published last month in The American Journal of Managed Care that examined the impact of antibiotic prescribing on how patients rate their overall satisfaction with a visit. Researchers found that antibiotics were correlated with slightly higher patient satisfaction scores, but the difference was only about 4 percent. More than 3 in 4 patients were satisfied with a visit even when not prescribed antibiotics for acute sinusitis, according to Dr. Sharp.

His study published today examined the effect of provider education and clinical decision support (alerts on the electronic health record that physicians see during appointments) on antibiotic prescribing for acute sinusitis, using a pragmatic stepped-wedge cluster randomized design. During an eight-month period (September 2014 through April 2015), the study tracked nearly 22,000 initial acute sinusitis encounters in adults at primary and urgent care offices. Among the key findings:

  • Clinical decision support was associated with a decrease of 1 in 5 (22 percent) in antibiotic use post-intervention, but the absolute reduction was small (2 percent).
  • Provider education had a large initial effect, but it was not sustained over the study period.
  • The intervention was associated with a substantial decrease in acute sinusitis diagnoses, compared to other common upper respiratory diagnoses, although no increase in antibiotic prescribing for those diagnoses was observed.
  • The effect of decision support did not appear to vary based on doctors’ experience.

Source:

Kaiser Permanente Researchers Reduce Antibiotic Prescriptions Through Physician Education and Intervention

Tagged with:

About author

Related Articles