Featured Research

from universities, journals, and other organizations

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

Date:
April 18, 2013
Source:
Oregon State University
Summary:
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.

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.

"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."


Story Source:

The above story is based on materials provided by Oregon State University. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jessina C. McGregor, David T. Bearden, John M. Townes, Susan E. Sharp, Paul N. Gorman, Miriam R. Elman, Motomi Mori, David H. Smith. Comparison of antibiograms developed for inpatients and primary care outpatients. Diagnostic Microbiology and Infectious Disease, 2013; DOI: 10.1016/j.diagmicrobio.2013.01.026

Cite This Page:

Oregon State University. "Outpatients, hospital patients face growing, but different problems with antibiotic resistance." ScienceDaily. ScienceDaily, 18 April 2013. <www.sciencedaily.com/releases/2013/04/130418134119.htm>.
Oregon State University. (2013, April 18). Outpatients, hospital patients face growing, but different problems with antibiotic resistance. ScienceDaily. Retrieved September 2, 2014 from www.sciencedaily.com/releases/2013/04/130418134119.htm
Oregon State University. "Outpatients, hospital patients face growing, but different problems with antibiotic resistance." ScienceDaily. www.sciencedaily.com/releases/2013/04/130418134119.htm (accessed September 2, 2014).

Share This



More Health & Medicine News

Tuesday, September 2, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Snack Attack: Study Says Action Movies Make You Snack More

Snack Attack: Study Says Action Movies Make You Snack More

Newsy (Sep. 2, 2014) You're more likely to gain weight while watching action flicks than you are watching other types of programming, says a new study published in JAMA. Video provided by Newsy
Powered by NewsLook.com
U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

Newsy (Sep. 2, 2014) The U.N. says the problem is two-fold — quarantine zones and travel restrictions are limiting the movement of both people and food. Video provided by Newsy
Powered by NewsLook.com
Doctors Fear They're Losing Battle Against Ebola

Doctors Fear They're Losing Battle Against Ebola

AP (Sep. 2, 2014) As a third American missionary is confirmed to have contracted Ebola in Liberia, doctors on the ground in West Africa fear they're losing the battle against the outbreak. (Sept. 2) Video provided by AP
Powered by NewsLook.com
Tech Giants Bet on 3D Headsets for Gaming, Healthcare

Tech Giants Bet on 3D Headsets for Gaming, Healthcare

AFP (Sep. 2, 2014) When Facebook acquired the virtual reality hardware developer Oculus VR in March for $2 billion, CEO Mark Zuckerberg hailed the firm's technology as "a new communication platform." Duration: 02:24 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins