Antibiotics Frequently Given To Patients With Advanced Dementia

A new study by researchers in the US found that people with advanced dementia are frequently given antibiotics toward the end of life, and has thrown into question whether this practice should be curtailed in view of the increased risk of developing drug resistant superbugs.

The study is the work of Drs Erika D'Agata and Susan L Mitchell of the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, and is published in the 25th February issue of the Archives of Internal Medicine.

Advanced dementia patients in nursing homes are at high risk of infections and antimicrobial exposure near the end of life, wrote the researchers.

D'Agata and Mitchell studied a group of 214 residents, of average age 85.2, with advanced dementia being cared for in 21 nursing homes in and around Boston.

The residents were assessed between 2003 and 2006 and then every three months for up to 18 months. At each assessment, the number and type of antibiotics prescribed, with reasons (indication), were noted from records kept at the nursing home...Read More...

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