Recent Findings in Infectious Diseases and Conditions Described by a Researcher from Boston University (1574. Patient, Health System, and Clinical Encounter Characteristics Associated with Use Of Antibiotics Without A Prescription In The United …): Health and Medicine – Infectious Diseases and Conditions

2022 DEC 29 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in infectious diseases and conditions. According to news reporting originating from Boston, Massachusetts, by NewsRx correspondents, research stated, “Use of antibiotics without a prescription (purchased in the United States (U.S.), purchased in other countries, or obtained from friends and relatives) is potentially unsafe and may increase the global risk of antimicrobial resistance. We evaluated the effect of patient, health system, and clinical encounter factors on intention to use antibiotics without a prescription.”

The news correspondents obtained a quote from the research from Boston University: “Waiting room survey conducted from January 2020 and March 2021 in three continuity and three same-day public primary care clinics and two private emergency departments. Non-prescription use was defined as the consumption of antibiotics not prescribed for the individual’s current condition. Intended use was defined as professed intention to take antibiotics if feeling sick, without contacting a doctor, nurse, or clinic, in any of the following situations: 1) buying antibiotics without a prescription in the U.S., 2) buying antibiotics without a prescription in another country, and 3) getting antibiotics from friends or relatives. The effect of patient, health care system, and clinical encounter factors were studied using multivariate logistic regression. Of the 564 respondents, 247 (43.8%) reported prior use of non-prescription antibiotics; half of these instances involved penicillins (mostly amoxicillin). Overall, 177 (31.4%) of the respondents intended to use antibiotics without a prescription from one of the three sources (Figure 1). Younger age, lack of health insurance and high cost of doctor visits were predictors of intention to buy antibiotics without a prescription in the U.S. (Table 1). Predictors of intention to buy antibiotics without a prescription from other countries included younger age, being interviewed in Spanish, and reporting that a language barrier is a major problem for medical appointments. Lack of health insurance and high cost of physician visits were associated with the intention to use antibiotics obtained from relatives or friends.”

According to the news reporters, the research concluded: “Interventions aimed at reducing non-prescription antibiotic use should focus on addressing language barriers, ensuring health insurance coverage, and reducing financial barriers to primary care visits. Disclosures: Larissa Grigoryan, MD, PhD, Rebiotix Inc: Grant/Research Support Michael K. Paasche-Orlow, MD, MPH, GlaxoSmithKline: Advisor/Consultant Barbara Trautner, MD, PhD, Genetech: Advisor/Consultant.”

For more information on this research see: 1574. Patient, Health System, and Clinical Encounter Characteristics Associated with Use Of Antibiotics Without A Prescription In The United States. Open Forum Infectious Diseases, 2022,9(Supplement_2). (Open Forum Infectious Diseases - https://academic.oup.com/ofid). The publisher for Open Forum Infectious Diseases is Oxford University Press (OUP).

A free version of this journal article is available at https://doi.org/10.1093/ofid/ofac492.103.

Our news editors report that more information may be obtained by contacting Michael K Paasche-Orlow, School of Medicine, Boston University, Boston, Massachusetts, United States. Additional authors for this research include Larissa Grigoryan, Osvaldo Alquicira, Kenneth Barning, Hamad Mahmood, Thomas Porter, Fareed Khan, Juanita Salinas, Jean Raphael, Michele Fowler, Richard Street, Barbara Trautner.

(Our reports deliver fact-based news of research and discoveries from around the world.)