Antibiotic prescription evaluation in the rehabilitation ward of a geriatric hospital

Afekouh, H.; Baune, Patricia; Abbas, R.; Falvelly, Diane de; Guermah, Fatima; Haber, Nicole

doi:10.1016/j.medmal.2015.09.010

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…Our study supports previous reports of increases in consumption of antibiotics in elderly [ 3 , 21 ]. Increased antibiotic prescription fill rates in the elderly may be explained by a change in patient behavior [ 10 , 22 ], physician education [ 10 , 23 ], seasonal differences in antibiotic use [ 21 ], antibiotic price reimbursement [ 3 , 22 ], type of infection [ 3 , 24 ], choice of antibiotics based on national policies [ 22 ], and application of antimicrobial treatment to prevent complications and loss of autonomy [ 25 ]. Further, the pressure exerted by the pharmaceutical industry on GPs plays an important part in the choice of antibiotic [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Time trends in antibiotic consumption in the elderly: Ten-year follow-up of the Spanish National Health Survey and the European Health Interview Survey for Spain (2003–2014)

et al. 2017

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BackgroundThe purposes of this study were: firstly, to estimate time trends in the prevalence of prescription antibiotic consumption between 2003 and 2014; secondly, to identify the factors associated with the probability of consuming antibiotics during this period in elderly persons in Spain.MethodsWe analyzed data collected from the Spanish National Health Survey in 2003 (n = 21,650), 2006 (n = 29,478), and 2012 (n = 20,007) and from the European Health Interview Survey for Spain in 2009 (n = 22,188) and 2014 (n = 22,842). Antibiotic consumption was the dependent variable. We also analyzed sociodemographic features, self-perceived health status, lifestyle habits, comorbid diseases, and disabilities using logistic regression models.ResultsThe prevalence of antibiotic consumption increased from 2003 to 2014 in both sexes. The variables that predicted antibiotic consumption (men; women) were secondary education (OR 1.38; OR 1.31), visits to a general practitioner (OR 2.05; OR 2.15), hospitalization (OR 1.91; OR 1.83), therapy with > 4 non-antibiotic drugs (OR 3.36; OR 5.84), instrumental activities of daily living (OR 1.50; OR 1.24), and activities of daily living (OR 1.39; OR 1.35). In contrast, age > 85 years was associated with low antibiotic consumption in both men (OR 0.81) and women (OR 0.88).ConclusionsThe prevalence of antibiotic prescription has increased in Spain in the last decade. Our study identified several factors that appear to affect antibiotic consumption in elderly persons, with potential implications for healthcare providers.

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Section: Discussionmentioning

confidence: 99%

Time trends in antibiotic consumption in the elderly: Ten-year follow-up of the Spanish National Health Survey and the European Health Interview Survey for Spain (2003–2014)

et al. 2017

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“…In the elderly population, Bacteroidetes especially contribute to the microbiota, but their numbers decrease and the phylogenetic diversity is reduced. 28 In a geriatric study, 50% of antibiotic prescriptions were found to be inappropriate, 29 but they may severely disturb the flora composition. The good news is that, even in geriatric patients, the gut flora can be reconstituted effectively by probiotics.…”

Section: Higher Risk Attributable To Physical Insufficiencies and Multimorbiditymentioning

confidence: 99%

Food allergies in the elderly

Jensen‐Jarolim

Jensen

2016

Annals of Allergy, Asthma & Immunology

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The population of elderly people in the European Union currently ranges from 12.2% (Ireland) to 20.6% (Germany). 1 Germany, with 17 million elderly people, thus currently represents the European country with the oldest population, and this cohort will increase to approximately 23.4 million by 2050. 1 According to the US Census Bureau, 2 in the United States approximately 47 million (15%) of the population are currently older than 65 years. It is moreover expected that the US population will become significantly older and reach 83.7 million people older than 65 years in 2050 (ie, 20% of the population). Notably, similar trends are expected in this report for all industrial countries. In all instances, the proportion of people older than 85 years will also significantly increase. From this, it can be expected that the new situation will challenge policymakers and health care professionals. In parallel with these changes, we may expect that the occurrence of allergies will also increase in the elderly cohort, especially considering environmental challenges.

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“…Among this half of the prescription was found as inappropriate, 32 prescription was inappropriate duration, 38 prescription was inappropriate spectrum of activity. 46 The drug prescription pattern of antibiotics in the elderly patients are still not accurate. The suitable interventions should be implemented in case of healthcare providers and patients for the achievement of clinical outcome.…”

Section: Antibiotics Prescribing Pattern In Geriatricsmentioning

confidence: 99%

Importance of antibiotic therapy in post-surgical patients

Pottananikkal¹,

Varghese²,

Sam³

et al. 2023

IJPP

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Antibiotics are the class of medication that prevent the infections that is caused by bacteria; antibiotics make it difficult to grow or multiply or directly killing them. But the widespread misuse of antibiotics can also lead to serious consequences. In the case of post-operative patients, the empirical antibiotics should be selected based on the site of infection, etiology, and pharmacokinetics of the antibiotics. Therefore, the rational use of empirical antibiotics is based on the increase in the total count and also the spike in temperature. The review focus on the time, duration, rationality, and selection of empirical antibiotics, and antibiotic prescription patterns in different departments and different age groups.

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Antibiotic prescription evaluation in the rehabilitation ward of a geriatric hospital

Cited by 4 publications

References 22 publications

Time trends in antibiotic consumption in the elderly: Ten-year follow-up of the Spanish National Health Survey and the European Health Interview Survey for Spain (2003–2014)

Time trends in antibiotic consumption in the elderly: Ten-year follow-up of the Spanish National Health Survey and the European Health Interview Survey for Spain (2003–2014)

Food allergies in the elderly

Importance of antibiotic therapy in post-surgical patients

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