Black, Senior Patients More Likely to Get Unneeded Antibiotics

, according to a new study of 7 billion trips to health care centers – findings that doctors say warrant a further look into unequal prescription practices.

Most of those prescriptions were written for conditions like nonbacterial skin problems, viral respiratory tract infections, andThe study – which used data from visits to U.S. doctor’s offices, hospitals, and emergency departments – will be presented at this year’s European Congress of Clinical Microbiology & Infectious Diseases in Lisbon, Portugal, this weekend.

Doctors typically will prescribe an antibiotic if they fear a patient’s symptoms may lead to an infection, Young said. This is particularly true if the doctor believes a patient is unlikely to return for a follow-up, which, he says, “more frequently happens in minority populations.”estimates that at least 30% of outpatient antibiotic prescriptions are not needed, and up to 50% of antibiotics prescribed are either unnecessary or the wrong type and/or dosage.

Though the findings still need more study, at first glance they provide a concerning but unsurprising look at health inequities, says Rachel Villanueva, MD, president of the National Medical Association, the leading organization representing doctors and patients of African descent. For patients 65 and older, it may be less about bias and more about having a hard time diagnosing certain conditions within that population, says Preeti Malani, MD, a professor of infectious diseases at the University of Michigan Medical School and director of the National Poll on Healthy Aging.

Cos they can't communicate with the doc very well.

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