Antibiotics still being over-prescribed by GPs

Antibiotics are still being over-prescribed by GPs in contravention of guidelines, potentially contributing to antibiotic-resistant "superbugs", research launched at the British Pharmaceutical Conference (BPC) in Manchester has shown.

Researchers from John Moores University, Liverpool, studied almost 4,000 prescriptions issued in Western Cheshire during December 2007, and found that 13% of those for antibiotics were for specific medications not recommended in the local PCT antibiotic formulary guidelines, (Management of Infection Guidelines for Primary Care).

The study showed GP's preferences for certain medications, along with pressure they receive from patients to prescribe antibiotics, are possible reasons they write prescriptions that do not meet guidelines.

Four specific antibiotics were frequently prescribed (Co-Amoxiclav, Clarithromycin, Quinolones and Clindamyicn), despite the fact that they are not listed as first-line treatment for many illnesses and are linked to antibiotic resistance.

Head researcher Tristan Sweeney said: "The front-line of the fight against so called superbugs is with prescribing - determining why doctors prescribe certain antibiotics is key to our understanding of the problem and how to address it.

"Antibiotics are sometimes prescribed because doctors feel pressured by patients who have a misguided belief that they will be effective in treating their viral illness.

Pharmacists are the experts in medicines and can advise and educate patients about antibiotics and other medicines, and whether or not they should see a doctor."

http://www.rpsgb.org.uk/