According to a survey, more than 70% of doctors said they would administer antibiotics to treat asymptomatic bacteria found in urine tests, disobeying recommended guidelines A study of primary care doctors found that, on the basis of a single positive urine sample, an estimated 70% of them would
The overwhelming body of evidence shows that antibiotics are ineffective for asymptomatic people and may cause side effects such as diarrhea, vomiting, rashes, and yeast infections.
In the study, 723 primary care professionals from Texas, the Mid-Atlantic, and the Pacific Northwest were questioned about how they would treat a fictitious patient with asymptomatic bacteriuria, which is when bacteria are detected in the urine of a patient who has no signs of a urinary tract infection. They discovered that, despite doing so going against the recommended guidelines, 392 out of the 551 physicians who responded to the study would choose to treat such a patient with antibiotics.
“We found other factors also played a role in prescribing like whether a physician had a stronger preference in favor of over-treating a condition and fear of missing a diagnosis; that person was more likely to favor prescribing antibiotics compared to a physician who felt more comfortable with uncertainty in practicing medicine,” said study leader Daniel Morgan, MD, MS, Professor of Epidemiology & Public Health at UMSOM.
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