Older Americans Are Awash in Antibiotics – The New York Times

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Last month, Caryn Isaacs went to see her primary care doctor for her annual Medicare wellness visit. A patient advocate who lives in Manhattan, Ms. Isaacs, 68, felt perfectly fine and expected a clean bill of health.

 

But her doctor, who’d ordered a variety of blood and urine tests, said she had a urinary tract infection and prescribed an antibiotic.

 

“The nurse said, ‘Can you take Cipro?’” Ms. Isaacs recalled. “I didn’t have any reason not to, so I said yes.”

 

There are actually plenty of reasons for older people to avoid Cipro and other antibiotics known as fluoroquinolones, which have prompted warnings from the Food and Drug Administration about their risks of serious side effects.

 

And there are good reasons to avoid any antibiotic when bacteria is detected in a urine culture in a patient who has no other signs of infection. So-called asymptomatic bacteriuria increases with age, but these women are not sick and don’t need drugs, so medical guidelines recommend against routine screening or treatment.

 

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