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– Nearly 46 per cent of urgent care facility visits involving antibiotic prescriptions involved conditions not requiring antibiotic treatment, revealing that antibiotic management programs More stringent might be needed in these settings, according to a study by The Pew Charitable Trusts and the CDC.
Pew noted that individuals make about 160 million visits to these outpatient clinics each year. Since most antibiotics are used on an outpatient basis, emergency care centers play an important role in the fight against inappropriate prescriptions and antibiotic resistance.
Lack of antibiotic management led to the proliferation of drug-resistant superbugs, the death of incurable infection patients
The CDC previously found that nearly 80% of hospital hospitals were using too much antibiotics, and Pew and the CDC have studied outpatient prescribing rates, including physician offices, emergency departments (EDs) and hospital specialty clinics.
However, investigations on the management of antibiotics in the emergency care environment are less common.
To determine the number of antibiotic prescriptions resulting from emergency care visits, the researchers compared medical and pharmaceutical claims for antibiotics within three days of their appointments in the treatment centers. emergency care
. 46% of visits led to prescriptions for common conditions that do not respond to antibiotic treatment, including colds, bronchitis and viral pneumonia.
the rate was significantly higher than in other outpatient facilities. In retail clinics, emergency departments and office clinics, appointments for these conditions resulted in antibiotic prescriptions between 14% and 25% of the time.
Although prescriptions for respiratory infections are the most preventable prescriptions of antibiotics. A 2016 study by the CDC revealed that nearly one in three unnecessary antibiotic prescriptions written each year, 44% are intended to treat respiratory infections.
"Antibiotics are life-saving drugs, and if we continue on the path of inappropriate use, Tom Frieden, MD, MPH, director of the CDC, said at the time
" Losing these antibiotics would compromise our ability to treat patients with fatal infections, the study of emergency care also revealed high levels of prescriptions for three common conditions that do not always need of antibiotic treatment, including sinus infections, middle ear infections and pharyngitis.
Patients with sinus infections received antibiotics in 82% of cases of urgency, but only 68% of emergency room visits
.In 83% of cases, antibiotics were used for middle ear infections, while 72% of visits required treatment antibiotic for this diagnosis. One hundred percent of pharyngitis diagnoses resulted in antibiotic prescriptions in emergency care facilities, compared with 47% of emergency pharyngitis cases
Pew states that increased efforts were made to reduce the incidence of pharyngitis. stewardship in the urgent care centers will help providers to prescribe them.
The badysis had several limitations, including the fact that the number of emergency care visits studied was relatively small compared to the total number of visits that these institutions undergo each year.
In addition, the study did not include However, research shows that antibiotic management efforts may be beneficial in emergency care settings, as these clinics provide care to an increasing number of patients
. ] Implementing ASPs in emergency care clinics would help fight antibiotic resistance, improve patient outcomes, and reduce the cost of care.
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