Study: Hospitals Give Patients Antibiotics for No Reason at All

<a href="http://www.thinkstockphotos.com/image/stock-photo-taking-medicine/156218085/popup?sq=antibiotic%20/f=CPIHVX/s=Popularity">Alexander Raths</a>/Thinkstock

For indispensable reporting on the coronavirus crisis, the election, and more, subscribe to the Mother Jones Daily newsletter.


Some hospital patients are on antibiotics for good reason: They have an infection, or they’re at high risk for getting one. But according to a new study, other patients are given antibiotics for no reason whatsoever. Researchers could find “no documented rationale” for 7 percent of surveyed participants who had been given prescriptions. 

Scientists from the Centers for Disease Control and Prevention surveyed patients in 183 hospitals across 10 states over the course of five months to capture a clearer picture of how often antibiotics are prescribed, how much is prescribed, and for how long. Of the roughly 11,000 patients surveyed close to half confirmed they had been given antibiotics. Most of this group also reported they were taking more than one form—some up to four different kinds at once.

To understand how to improve antibiotic use, researchers also sought to identify which drugs are most commonly used and why. Though there are 83 different antibiotic drugs available, four specific kinds (parenteral vancomycin, piperacilintazobactam, cefriaxone, and levofloxacin) are used most often, sometimes when they are not the best fit for the infection being treated.

More than 2 million people in the US contract dangerous antibiotic-resistant infections each year, killing more than 23,000.

“Despite the evidence supporting early, appropriate therapy, a substantial proportion of antimicrobial use in the US acute care hospitals may be inappropriate,” the researchers write. “Inappropriate antimicrobial use needlessly puts patients at risk.”

Antibiotics are essential to battling a variety of bad bugs, and that’s why it is so important that they are used sparingly. Superbugs are developing at an alarming rate, and antibiotic resistance is a worldwide problem. A report released by the CDC last year detailed the rise in “nightmare bacteria” that stand to “pose a catastrophic threat.” More than 2 million people in the US contract dangerous antibiotic-resistant infections each year, killing more than 23,000. The CDC reports that even more die from complications from those infections. And, because these infections require long hospital stays and prolonged treatment, the cost is immense. Some estimates range as high as $20 billion in healthcare costs and up to $35 billion for productivity lost.

There have been attempts to curb the demand for the drugs, and the CDC even implemented a “Hospital Antibiotic Stewardship Program,” intended to improve the way doctors prescribe the drugs. But researchers involved in this study say more needs to be done. “To minimize patient harm and preserve effectiveness, it is imperative to critically examine and improve the ways in which antimicrobial drugs are used,” they write. “Improving antimicrobial use in hospitals benefits individual patients and also contributes to reducing antimicrobial resistance nationally.”

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate