STOP USING ANTIBIOTICS IN NURSING HOMES
SOURCE: ARCHIVES OF INT MEDICINE, 2.25.07
A study from Boston reviewing nursing home use of antibiotics claim the patients received no benefit from the antibiotics used and the patients would be better served by use of oxygen and pain medications.
The study was of 214 patients of whom 150 had Alzheimer’s disease, and the rest had some degree of dementia. Half of the patients had antibiotics for respiratory infections and one third had urinary infections.
Two thirds of patients get antibiotics in nursing home and 40% of them become drug resistant. In the last two weeks of life 40% of the patients currently get antibiotics. Lead author Dr. D’Agota stated antibiotics could cause an unnecessary burden and they are not sure it will improve the quality of life or prolong their lives.
The suggestion is that we should not treat people with dementia when they get infections. There is an increase risk of contributing to antibiotic resistance.
COMMENT: The patients can’t make these judgments but it is hoped their families and society would have difficulty embracing the opinions of the authors of this study. Are we at that point that costs overshadow the treatment of elderly patients in nursing homes?
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Medical commentaries on controversial medical subjects by Dr. Carl Sarnacki M.D., a physician since 1958,retired from active practice in 2013. Webmaster www.drneedles.com since 1994.
Thursday, March 6, 2008
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