Tag

Antibiotic Stewardship

All articles tagged with #antibiotic stewardship

Drug-resistant gonorrhoea: a wake-up call that AMR is now a community-wide threat
health1 month ago

Drug-resistant gonorrhoea: a wake-up call that AMR is now a community-wide threat

A surge in drug-resistant gonorrhoea in Europe shows antimicrobial resistance is spreading through everyday contact and travel, not just hospitals, with LMICs bearing a heavy burden as treatment options dwindle. The situation underscores the need for stronger antibiotic stewardship, surveillance, and new drug development—ideally via not-for-profit models like zoliflodacin—to ensure access and sustainable use across all countries; otherwise common infections could become increasingly hard or impossible to treat.

Japan's pay-for-not-prescribing antibiotics shows promise; could the US copy it?
health1 month ago

Japan's pay-for-not-prescribing antibiotics shows promise; could the US copy it?

Japan’s national effort to curb antibiotic resistance includes an incentive that pays pediatricians about 800 yen (~$5) when they don’t prescribe antibiotics for illnesses likely caused by viruses. Rolled out in 2018 and later expanded to more clinics and conditions, the program reduced total antibiotic use in eligible clinics by about 17.8% in the first year and lowered broad-spectrum prescriptions by 20–24% over four years, without raising hospitalizations. The piece questions whether the US could adopt a similar approach and explores drivers of doctors’ prescribing decisions and cultural factors that influence such policies.

New York Faces a Rising Superbug Challenge Fueled by Antibiotic Misuse
health5 months ago

New York Faces a Rising Superbug Challenge Fueled by Antibiotic Misuse

New York is confronting a surge in the drug‑resistant fungus Candida auris and other 'nightmare bacteria'; infections are rising, largely driven by improper antibiotic use, while experts urge better antibiotic stewardship, the development of new drugs, and the PASTEUR Act to stabilize the market and spur research. Statewide last year recorded 623 clinical and 849 surveillance Candida auris cases, with the NYC metro area accounting for about 20% of US cases.

Dentists still prescribe millions of clindamycin despite life-threatening C. difficile risk
health6 months ago

Dentists still prescribe millions of clindamycin despite life-threatening C. difficile risk

Dentists prescribed over 2.3 million clindamycin prescriptions last year despite a decades‑old black‑box warning for serious C. difficile infections, even as overall dental antibiotic use rose about 6% from 2020 to 2025. The investigation ties unnecessary dental antibiotic prescribing to higher C. difficile risk and antimicrobial resistance, highlighting how private dental practice has lagged in antibiotic stewardship and guideline updates, with the story of Dolores Owens illustrating the potential harms of such prescribing.