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by regoldste
4427 days ago
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I think it's also occurring in part because of doctors who are prescribing aggressive and often unnecessary courses of antibiotics. I expect this is at least one explanation for why (as the article notes) antibiotics are ineffective at treating more than half of urinary tract infections caused by E. Coli. One standard treatment for persistent, recurrent UTIs in women is to prescribe a prophylactic antibiotic to be taken post-coitally, which typically means that a woman takes a pill irregularly--either every time after she has sex or once a week. This can last for years, without the doctor reevaluating the necessity of the treatment. While this is completely necessary for truly severe, recurring cases, I've seen several doctors prescribe this casually to women who don't have recurring UTIs but request it anyway. This is detrimental for the community and the patient, who has a higher risk of developing drug-resistant infections. I think one way to address this problem is making doctors more aware of the community-wide effects of aggressive courses of treatment, informing them about alternative treatments that don't involve antibiotics, and encouraging them to use aggressive courses of antibiotics (such as prophylacticly for recurrent UTIs) as a treatment of last-resort. |
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The other problem that exists in the US is that the "family doctor" has an incentive to pack his schedule full of as many people as he can to collect as much money as possible. If someone comes in complaining that they have had a sore throat for a day, then they are going to get a pill; regardless of whether or not the infection is viral or bacterial. It is way, way faster to send the patient out the door with a pill that they think will make them feel better than it is to educate them about the macro effects of improper prescription of antibiotics. The only thing they care about is missing another day of work because they have a big deadline and the boss is breathing down their neck.