Researchers studied insurance claims for 670,400 women aged 18 to 44 who received a urinary tract infection (UTI) diagnosis between April 2011 and June 2015, publishing their findings Feb. 24 in the journal Infection Control & Hospital Epidemiology. According to the study, nearly 47 percent of the prescriptions issued were incorrect, or “inappropriate based on clinical guidelines.” According to these guidelines, the study researchers classified fluoroquinolones and beta-lactams as inappropriate antibiotics. “Inappropriate antibiotic prescribing is quite common for the treatment of uncomplicated UTI,” the researchers concluded. And for more urinary problems, If Your Urine Is Anything But These Colors, Call Your Doctor.ae0fcc31ae342fd3a1346ebb1f342fcb Not only were inappropriate antibiotics often prescribed, but the researchers also found that most prescriptions were written for incorrect durations—even if an appropriate antibiotic was prescribed. According to the study, 76 percent of the patients were prescribed treatments for the wrong amount of time. Doctors were most likely to prescribe antibiotics for longer than medically necessary, not shorter. And for more health concerns, discover The Surprising Thing Your Earwax Says About Your Health, Study Finds. Anne Mobley Butler, PhD, lead author of the study and assistant professor of medicine and surgery at Washington University School of Medicine, St. Louis, explained in a statement that incorrect antibiotic prescriptions for UTIs come with “serious patient—and society—level consequences.” According to a 2019 report from the Centers for Disease Control and Prevention (CDC), a person in the U.S. dies every 15 minutes from an infection that has become resistant to antibiotics. “Accumulating evidence suggests that patients have better outcomes when we change prescribing from broad-acting to narrow-spectrum antibiotics and from longer to shorter durations,” Butler said. “Promoting optimal antimicrobial use benefits the patient and society by preventing avoidable adverse events, microbiome disruption, and antibiotic-resistant infections.” And for more up-to-date information, sign up for our daily newsletter. This study is particularly relevant to most of the female population, as the likelihood that you will have at least one UTI in your life is high. According to the World Health Organization (WHO), more than 50 percent of adult women report having one or more UTIs in their lives. Per the CDC, symptoms of a UTI can include “pain or burning while urinating, frequent urination, feeling the need to urinate despite having an empty bladder, bloody urine, and pressure or cramping in the groin or lower abdomen.” And for more CDC guidance you need to know, If Your Grocery Store Doesn’t Have This, Don’t Go Inside, CDC Says. Researchers suggest that more intervention measures are needed so that doctors are less likely to prescribe inappropriate antibiotics or antibiotic durations. This would include “establishing personal and policy commitment to change, reporting progress, and enhancing education around best practices,” especially in rural settings where UTI antibiotic prescribing is more likely to be incorrect. The study explains that rural patients were more likely to have been “diagnosed by family medicine or pediatric physicians or non-physicians,” rather than by internal medicine or obstetrics/gynecology (OBGYN) physicians, which may account for the lack of knowledge on best practices. And for more health advice, If You Take This Common Medication, Talk to a Doctor Before Your Vaccine.
