About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Longer Hospital Stays, Higher Costs For Asthma Patients Given Unnecessary Antibiotics

by Sushma Rao on May 24, 2018 at 2:01 PM
Font : A-A+

Longer Hospital Stays, Higher Costs For Asthma Patients Given Unnecessary Antibiotics

Unnecessary antibiotics prescribed for asthma patients, unless there is a strong presence of lung infection, are not required suggests Clinical guidelines, and the Global Initiative for Asthma , reveals a recent study by author Mihaela S. Stefan, MD, PhD, a research scientist at the Institute for Healthcare Delivery and Population Science and associate professor at the University of Massachusetts Medical School in Springfield.

Dr. Stefan noted that a prior study conducted by her research group found that 60 percent of patients received antibiotics without an indication of lung infection. "Nevertheless, few studies have assessed whether antibiotics could be beneficial in these patients," she added.

Advertisement


In the largest observational comparative effectiveness study to date, the researchers analyzed the medical records of patients hospitalized for asthma over a two-year period at 554 U.S. hospitals. They excluded patients with any potential reason for receiving antibiotics, including being diagnosed with a sinus infection, pneumonia, bronchitis, emphysema, sepsis or any other condition that should be treated with antibiotics.

Of the remaining 22,043 patients, 46.1 percent were treated with antibiotics within their first two hospital days. The researchers conducted several types of analyses. Using propensity-matched analysis, which they characterized as the most "robust," they found that those receiving antibiotics had:
Advertisement

  • longer hospital stays, 4.64 vs 3.4 days
  • higher hospitalization costs, $6,427 vs. $5,387
  • a 55 percent higher risk of antibiotic-related diarrhea.


There was no difference in treatment failure between those who received antibiotics and those who did not. Treatment failure was defined as the initiation of invasive or noninvasive mechanical ventilation, transfer to the intensive care unit after hospital day two, and in-hospital mortality or readmission for asthma exacerbation within 30 days of discharge.

"Our results strengthen the evidence that antibiotics should not be prescribed routinely in adult patients hospitalized with asthma," Dr. Stefan said, adding that all patients in the study had received systemic steroids and bronchodilators, the standard of care for patients experiencing an asthma exacerbation. "All hospitals should assess their practice in caring for patients hospitalized with asthma and increase their antibiotic stewardship."

She added that her research group is planning a qualitative study to understand why physicians use antibiotics in asthma.



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Cochlear Implants may Consequently Drive Hearing Loss
E-cigarettes Use Linked to Erectile Dysfunction
Memory Loss - Can it be Recovered?
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Childhood Asthma Asthma MRSA - The Super Bug Remedies for Seasonal Allergy Relief Allergy - Symptom Evaluation Wheezing Antibiotics Churg-Strauss Syndrome Eye Infections Natural Antibiotics to Fight Bacterial Infections 

Recommended Reading
Air Conditioner Health Hazards
This section gives a brief introduction about what air conditioner health hazard means and what ......
Asthma
It's a lung condition characterized by inflammation of the bronchi and constriction of the airways ....
Childhood Asthma
Childhood asthma is a condition that affects airways in children and interferes with their daily ......
Childhood Allergies
Childhood allergies are on the rise, may be potentially debilitating, may last lifelong, and ......
Allergy - Symptom Evaluation
An allergic reaction may be mild or severe. It usually involves the skin, respiratory system, eyes,...
Antibiotics
Antibiotics are among the most used and abused medications. This article explains some general featu...
Churg-Strauss Syndrome
Churg-Strauss Syndrome is a rare disease characterized by inflammation of blood vessels that can res...
Eye Infections
Eye infection is a common problem that often causes pain and discomfort to the eyes. Common symptoms...
MRSA - The Super Bug
MRSA infection is the most dreaded hospital or community acquired infection that can become ......
Natural Antibiotics to Fight Bacterial Infections
Fighting infections the natural way and preventing them is always more effective than consuming medi...
Remedies for Seasonal Allergy Relief
Understanding the cause and mechanism of seasonal allergy can help in choosing the right treatment. ...
Wheezing
Wheezing is a sound arising from the airways due to an obstruction or narrowing, which prevents the ...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use