Monday, 18 August 2008

Adverse Reactions To Antibiotics Send Thousands Of Patients To The ER

�Adverse events from antibiotics cause an estimated 142,000 emergency department visits per class in the United States, according to a work published in the September 15, 2008 issue of Clinical Infectious Diseases.
"This number is an important reminder for physicians and patients that antibiotics tin have serious side personal effects and should only be taken when necessary," aforementioned study writer Daniel Budnitz, M.D., at the Centers for Disease Control and Prevention (CDC).


Prior to this study, detailed data on the scope and burden of antibiotic adverse events in the U.S. were not available. This investigation is the first to use of goods and services timely, nationally representative surveillance data to estimate and compare the numbers and rates of adverse events from systemic antibiotics by class, do drugs, and issue type.


Half of the visits were for reactions to penicillins and the other half were from reactions to other antibiotics used to treat a wide variety of bacterial infections. After accounting for how much antibiotics were prescribed, children less than one yr old were found to have the highest rate of adverse drug events.


Almost 80 percent of all antibiotic drug adverse events in the study were allergic reactions, ranging from rash to anaphylaxis, and the unexpended 20 pct were caused by errors and overdoses. Unlike errors and overdoses from other drugs, allergic reactions to antibiotics typically can only when be prevented by avoiding exposure to the dose in the first place.


The study draws from the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance (NEISS-CADES) project, a sample of 63 hospitals in the United States and its territories. NEISS-CADES is a joint effort of the CDC, the United States Consumer Product Safety Commission, and the Food and Drug Administration.


Previous studies receive suggested that half of the estimated 100 billion antibiotic prescriptions written in the community setting each year for respiratory nerve pathway infections may be unnecessary. "For conditions in which antibiotics feature questionable benefit, such as many balmy upper respiratory tract infections, weighing the benefits of antibiotics with the risks of a serious inauspicious event will be especially important," aforesaid Budnitz. "Because antibiotics ar frequently used, both appropriately and unsuitably, if doctors would reduce the number of antibiotics they prescribe to their patients by even a small per centum, we could significantly lose weight the turn of emergency visits for antibiotic adverse events. Physicians need to communicate to their patients that antibiotics are non harmless," he added.


The researchers found that only 6 percent of the patients wHO experienced adverse events required hospitalization. The others were all treated and released. However, the study only reflected emergency department admissions. Unreported cases and visits to a physician's billet could non be taken into account.


Additional Resources: CDC has resources for both clinicians and patients on conquer use of antibiotics for upper respiratory infections. Visit the Get Smart: Know When Antibiotics Work campaign website at: http://www.cdc.gov/getsmart.


Founded in 1979, Clinical Infectious Diseases publishes clinical articles twice monthly in a kind of areas of infectious disease, and is one of the most extremely regarded journals in this specialty. It is promulgated under the auspices of the Infectious Diseases Society of America (IDSA). Based in Arlington, Virginia, IDSA is a professional society representing more than 8,000 physicians and scientists who narrow in infectious diseases. For more selective information, visit hTTP://www.idsociety.org.

Infectious Diseases Society of America


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