Sign up for Englemed updates from TwitterSign up for Englemed updates from Facebook
Contact Englemed
Our contact email address.
We can provide a specialist, tailored health and medical news service for your site.
Click here for more information
RSS graphic XML Graphic Add to Google
About Englemed news services - services and policies.
Englemed News Blog - Ten years and counting.
Diary of a reluctant allergy sufferer - How the British National Health Service deals with allergy.
BookshopFor books on women's health, healthy eating ideas, mental health issues, diabetes, etc click here
Copyright Notice. All reports, text and layout copyright Englemed Ltd, 52 Perry Avenue, Birmingham UK B42 2NE. Co Registered in England No 7053778 Some photos copyright Englemed Ltd, others may be used with permission of copyright owners.
Disclaimer: Englemed is a news service and does not provide health advice. Advice should be taken from a medical professional or appropriate health professional about any course of treatment or therapy.
Face masks at home could curb Covid-19
Fri May 29th - Wearing face masks at home could help to stop the spread of Covid-19 among people in the same household, but only before symptoms develop, according to a Chinese study. More
Immunotherapy hope for advanced bladder cancer patients
Fri May 29th - An immunotherapy drug significantly improves survival in some bladder cancer patients, according to results of a global phase III clinical trial. More
On 08/02/2018 David Kelly wrote:
Would you like to write a piece about this to be i... on Researchers unveil new pain re...
On 23/10/2017 Cristina Pereira wrote: on HIV breakthrough - MRC...
On 12/09/2017 Aparna srikantam wrote:
Brilliant finding! indeed a break through in under... on Leprosy research breakthrough...
On 01/07/2017 Annetta wrote:
I have been diagnosed with COPD for over 12 years.... on Seaweed plan for antimicrobial...
On 12/03/2017 Steph wrote:
The photo you have paired with this article is its... on 'Fat shaming' limits...

GPs face new antibiotics pressure

Thursday February 28th, 2019

Pensioners with urinary tract infections should get rapid antibiotic treatment to reduce risk of sepsis, researchers say today.

Attempts to delay antibiotics are linked to a significant increased risk of death from sepsis, researchers report in The BMJ.

A second report in the journal highlights over-treatment with antibiotics – arguing that many patients are prescribed courses that last longer than guidelines recommend.

The first study, led by Professor Paul Aylin, of Imperial College, London, examined outcomes for 150,000 patients over the age of 65 diagnosed with UTIs over a recent eight-year period.

6% had antibiotic prescriptions delayed while 7% did not get antibiotics.

According to the analysis, there was one extra case of sepsis for every 37 patients who did not receive antibiotics and one extra case for every 51 patients who had deferred treatment.

These patients also faced a doubled rate of hospital admission.

The researchers point out the study is observational and there could be confounding factors explaining the increased rates of sepsis and admission.

But they say doctors should “consider early prescription of antibiotics for this vulnerable group of older adults, in view of their increased susceptibility to sepsis following UTI and despite a growing pressure to reduce inappropriate antibiotic use.”

The second study involved examining 931,000 consultations for 13 common conditions, mostly acute cough and acute sore throat.

The researchers from Oxford University and Brighton and Sussex Medical School say that prescriptions for 80% of respiratory conditions exceeded the recommended seven days.

The Royal College of GPs said the studies highlighted the conflicting pressures on GPs to manage their antibiotic prescribing.

Chair Professor Helen Stokes-Lampard said: “GPs are in an incredibly difficult position when it comes to antibiotics prescribing. We are under huge pressure not to prescribe - and publicly vilified when we are deemed to do so too readily - yet, we know that in some cases antibiotics are a matter of life or death.

“Getting the balance right every time is extremely challenging."

BMJ 28 February 2019

Tags: Elderly Health | Internal Medicine | Pharmaceuticals | UK News

Printer friendly page Printer friendly page

Comment on this article:

<a>,<b> & <p> tags allowed
Please enter the letters displayed:
(not case sensitive)