• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Infectious Disease

Antibiotic prescription patterns in China may contribute to resistance

byAshley AaroeandJames Jiang
October 7, 2014
in Infectious Disease, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. A significant proportion of antibiotics given at Chinese primary health care clinics were not appropriate prescriptions.

2. Judicious use of antibiotics is essential to preventing propagation of resistant organisms.

Evidence Rating Level: 4 (Below Average)

Study Rundown: Increased use of antibiotics worldwide has undoubtedly improved morbidity and mortality from infectious diseases. However, inappropriate use of antibiotics results in the selection of drug-resistant organisms, presenting a major public health issue. This study sought to assess the appropriateness of antibiotic prescriptions given at community hospitals or clinics in China. Of the 39 primary health care facilities included in the survey, only 39.4% of outpatient and 28.2% of inpatient antibiotic prescriptions were deemed appropriate.

The study hypothesizes that inadequate training of prescribers, in conjunction with financial pressures, may be contributing factors to this issue. Government subsidization of these facilities forces them to rely on drug sales, and therefore over-prescription, to remain financially solvent. Though the findings of this paper shed light on the extent of antibiotic misuse in such settings, several limitations exist. Western regions of China were not considered for study due to difficulties in data acquisition, and such difficulties also precluded measurement of daily doses of antibiotics given to patients. As antibiotics are the most commonly used medicine in Chinese health care, maintaining proper standards for antibiotic use is essential to prevent antimicrobial resistance.

Click to read the study, published today in JAMA Internal Medicine

Relevant Reading: Origins and Evolution of Antibiotic Resistance

RELATED REPORTS

Mass administration of three-dose azithromycin reduces community prevalence of yaws

Amoxicillin shows no benefit in children with uncomplicated lower respiratory tract infections

Increasing obesity and BMI trends have slowed in the past decade among the general Chinese adult population

In-Depth [retrospective case series]: Data was acquired via survey of 48 primary health care facilities, 39 of which were ultimately included in analysis. A total of 10,199 quality-controlled prescriptions were evaluated. Most staff at these facilities had less than a college degree. Antibiotics accounted for a median of 22.8% drugs sales. The most commonly used antibiotics were cephalosporins, fluoroquinolones, penicillins, and nitroimidazoles. Appropriateness was defined as using the gold standard antibiotic for a given clinical infection or prophylaxis. Partial appropriateness was defined as justified use of antibiotics, but with an improper agent or for an ineffective duration.

Of the 7,311 outpatient prescriptions studied, 52.9% of them were antibiotics and 39.4% were appropriate. Of the 2,888 inpatient prescriptions, 77.5% were antibiotics and 24.6% were appropriate. Of 1,931 surgical patient prescriptions, 98.0% were antibiotics and 18.0% were appropriate. The most outpatient antibiotic prescriptions were in Jilin, and the lowest were in Beijing. More penicillins and fluoroquinolones were used in Shandong and Jilin than in other areas studied.

More from this author: Glatiramer acetate (Copaxone) therapy may alter B cell function in multiple sclerosis, Dementia patients frequently on medications with minimal benefit, Walk test linked to quality of life in multiple sclerosis, Deep brain stimulation may be safe for older Parkinson patients, Exome sequencing potentially valuable in diagnosing familial cerebellar ataxias

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.

Tags: antibiotic resistancechina
Previous Post

Equivalent efficacy but differing tolerability among HIV regimens

Next Post

Antibiotic use prevalent among hospitalized patients in the US

RelatedReports

Implementation of pneumococcal vaccine programs linked to decreased antibiotic prescription
Chronic Disease

Mass administration of three-dose azithromycin reduces community prevalence of yaws

January 17, 2022
Tonsillectomy may have short-term benefits in recurrent throat infection
Infectious Disease

Amoxicillin shows no benefit in children with uncomplicated lower respiratory tract infections

November 10, 2021
Many new pediatric asthma cases attributable to obesity
Chronic Disease

Increasing obesity and BMI trends have slowed in the past decade among the general Chinese adult population

July 15, 2021
Antibiotic misconceptions persist in Medicaid-insured parents
Infectious Disease

Delayed antibiotic prescribing is a safe and effective for respiratory tract infections in a community setting

May 14, 2021
Next Post
Pediatric chronic pain patients typically Caucasian, female adolescents.

Antibiotic use prevalent among hospitalized patients in the US

Diffusion tensor imaging valuable in the evaluation of peripheral neuropathy

Quality of life measures similar between teens with and without cerebral palsy

X-ray after foreign body removal by esophagoscopy is not cost effective

Beta-lactam monotherapy may be inferior to combination therapy in pneumonia

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Daily disposable contact lenses may lower risk for Acanthamoeba keratitis
  • Vitamin D deficiency may be associated with sleep disorders in children
  • Prasinezumab therapy does not affect Parkinson’s Disease progression
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.