Antibacterial prescriptions for acute gastrointestinal infections: uncovering the iceberg

Authors

Paweł Stefanoff, Justyna Rogalska, Marcin Czech, Ewa Staszewska, Magdalena Rosińska.

Reference

Antibacterial prescriptions for acute gastrointestinal infections: uncovering the iceberg. Epidemiol Infect 2013; 141(4): 859-67.

The article examined how antibacterial drugs were used to treat acute gastrointestinal infections in Poland. It was based on a detailed survey in selected general practices and hospital wards admitting people with stomach and intestinal symptoms. Although only a small proportion of patients were prescribed antibacterial drugs, the study showed that overall use was high because these infections are extremely common.

In Poland, most gastrointestinal infections are not caused by bacteria that respond to common antibiotics, so these medicines usually do not benefit patients. Instead, unnecessary use can lead to harmful side effects and contribute to antibiotic resistance. Because gastrointestinal infections occur so frequently, even small levels of inappropriate prescribing can result in very large overall misuse of antibiotics. The article therefore stressed the importance of clear national guidelines and proper testing to ensure that antibiotics are used only when truly needed, helping to protect both individual patients and public health in the long term.