Handing out antibiotics for illnesses they weren’t meant for is adding to the distress doctors feel
The majority of antibiotic prescriptions are written for things like bronchitis, sore throats, common colds, and the flu, even though they are inappropriate for them. This is not only create a public health concern, but a new study shows that it also contributes to physician distress.
The study, Clinician Distress and Inappropriate Antibiotic Prescribing for Acute Respiratory Tract Infections: A retrospective cohort study, appeared in the May 2022 issue of The Joint Commission Journal on Quality and Patient Safety, and looked at the association between clinician distress and the inappropriate prescribing in adult outpatients.
The researchers examined health records and included outpatient visits in family medicine, general internal medicine, and emergency department visits where an acute respiratory tract infection for an otherwise healthy adult was listed as the primary diagnosis. The depression, anxiety, and burnout levels for the physicians were assessed using the National Institute of Health Patient Report Outcomes Measurement Information System and the Stanford Professional Fulfillment Index Burnout Composite scale obtained from clinician wellness survey data.
Overall, approximately 34% and 50% of clinicians in the study reported depression/anxiety and burnout symptoms, respectively. Findings showed each one standard deviation increase in a clinician’s composite depression and anxiety score was associated with a 28% increase in the odds of an inappropriate antibiotic prescription for an acute RTI. Clinician burnout had no significant association with inappropriate antibiotic prescribing.
“Although the current study was conducted in the pre-COVID-19 era, it is plausible that had this work been repeated during the height of the pandemic, the unique stressor imposed by the COVID-19 pandemic would have shown an even greater prevalence of depression and/or anxiety among clinicians,” Sara C. Keller, MD, MSHP and Pranita D. Tamma, MD, MHS, said in a statement. “We applaud … shedding light on an important and unrecognized area in need of intervention—the impact of provider mental health on inappropriate antibiotic prescribing.”
This article was originally published by sister publication Medical Economics.
Fluoxetine helps refractory nocturnal enuresis but not for long
March 29th 2023A 12-week study in Egypt of the efficacy of fluoxetine (a selective serotonin reuptake inhibitor) in children with treatment-refractory nocturnal enuresis (NE) found that though the treatment achieved a good initial response, it was not sustainable.
Meet the Board: Vivian P. Hernandez-Trujillo, MD, FAAP, FAAAAI, FACAAI
May 20th 2022Contemporary Pediatrics sat down with one of our newest editorial advisory board members: Vivian P. Hernandez-Trujillo, MD, FAAP, FAAAAI, FACAAI to discuss what led to her career in medicine and what she thinks the future holds for pediatrics.
Are some patients predisposed to avascular necrosis after hip surgery?
March 14th 2023Although avascular necrosis (AVN) is believed to be an iatrogenic complication following treatment of developmental dysplasia of the hip, an investigation in China found 2 characteristics associated with the condition: the likelihood of AVN increases with both the grade of dislocation and of underdevelopment of the ossific nucleus.
Meet the board: Jessica L. Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN
April 22nd 2022In the latest episode of our podcast series, Jessica L. Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN shares why she got into medicine, the myths of pediatric, and what the future may hold for the specialty.