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Rx excess: Millions of kids get unneeded prescriptions, study shows

September 15, 2014 / 02:14

This episode discusses the overprescription of antibiotics in children, featuring Dr. Holly Phillips from the American Academy of Pediatrics. Key topics include the findings of a study revealing that 11.4 million antibiotic prescriptions for respiratory infections are unnecessary, with 57% of cases receiving antibiotics when only 27% are caused by bacteria.

Dr. Phillips explains the challenges doctors face in determining whether an infection is viral or bacterial, often leading to educated guesses. She highlights the implications of overprescribing antibiotics, including the rise of superbugs and potential adverse reactions in children.

The conversation emphasizes the importance of understanding the appropriate use of antibiotics and the need for better diagnostic practices to prevent unnecessary prescriptions.

TLDR

Overprescription of antibiotics in children leads to 11.4 million unnecessary prescriptions annually, warns Dr. Holly Phillips.

Episode

2:14
00:00:00
new research this morning claims millions of children get antibiotics they don't need the American Academy of
00:00:05
Pediatrics says they're being prescribed twice as often as they should be for children with respiratory infections the
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study estimates 11.4 million antibiotic prescriptions each year are unnecessary our Dr Holly Phillips is with us this
00:00:18
morning good morning good morning Nora so tell us what this study found out you know this study really looked at data on
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thousands of kids that had common respiratory infections that can be caused either by viruses or bacteria
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these are things like sore throats um ear infections sinusitis even some bronchitis symptoms and they found that
00:00:37
about 27% of the time these infections are caused by bacteria in which case antibiotics will help but in 57% of
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cases where kids were brought to the doctor with these symptoms they were prescribed an antibiotic so basically
00:00:51
that's more than twice as many antibiotics that should be prescribed was never a good thing it seems like
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we're always hearing stories about kids being overprescribed but what makes this
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one different well you know this really gives us numbers absolutely we know antibiotics is overprescribed this gives
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us really a sense of how significant the you know the the problem is why is it happening you know the bottom line is
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it's actually very difficult to tell whether or not an infection is caused by a bacteria or a virus it's an imperfect
00:01:21
science so in the office we have a few tests we can use for instance for sore throats we have a strep culture or a
00:01:27
swab that can give a sort of a scientific answer but most of the time doctors we have to take an educated
00:01:33
guess we look at how severe the symptoms are how long they've lasted um and we do
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some physical exam in the office and we basically have to guess this study is suggesting that sometimes at least half
00:01:45
the time we guess wrong right and a reminder about how harmful antibiotics can be in the long term this
00:01:50
overprescription of them absolutely you know that's really the main reason we're
00:01:54
seeing the emergence of super bugs these are uh bacteria that are resistant to all antibiotics kids can also have just
00:02:01
common adverse reactions it's nausea stomach upset severe allergic reactions antibiotics really are not completely
00:02:09
benign drugs thank you Dr Holly Phillips sure thank you

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Episode Highlights

  • Overprescription of Antibiotics
    A new study reveals that millions of children are prescribed antibiotics unnecessarily each year.
    “11.4 million antibiotic prescriptions each year are unnecessary.”
    @ 00m 14s
    September 15, 2014

Episode Quotes

  • Antibiotics really are not completely benign drugs.
    Rx excess: Millions of kids get unneeded prescriptions, study shows

Key Moments

  • Study Findings00:03
  • Overprescription Issue00:55
  • Super Bugs Emergence01:56

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