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Upper respiratory tract infections in general practice: diagnosis, antibiotic prescribing, duration of symptoms and use of diagnostic tests.

https://arctichealth.org/en/permalink/ahliterature31113
Source
Scand J Infect Dis. 2002;34(12):880-6
Publication Type
Article
Date
2002
Author
Malin André
Inga Odenholt
Ake Schwan
Inge Axelsson
Margareta Eriksson
Mikael Hoffman
Sigvard Mölstad
Arne Runehagen
Cecilia Stålsby Lundborg
Rolf Wahlström
Author Affiliation
Center for Clinical Research, Falun, Sweden.
Source
Scand J Infect Dis. 2002;34(12):880-6
Date
2002
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Aged
Anti-Bacterial Agents - therapeutic use
Child, Preschool
Common Cold - drug therapy
Diagnostic Tests, Routine
Family Practice
Female
Humans
Infant, Newborn
Male
Middle Aged
Otitis Media - drug therapy
Pharyngitis - drug therapy
Physician's Practice Patterns
Prescriptions, Drug
Research Support, Non-U.S. Gov't
Respiratory Tract Infections - diagnosis - drug therapy
Sinusitis - drug therapy
Tonsillitis - drug therapy
Abstract
A diagnosis/antibiotic prescribing study was performed in 5 counties in Sweden for 1 week in November 2000. As part of this study, the characteristics and clinical management of patients with upper respiratory tract infections (n = 2899) in primary care were analyzed. Almost half of the patients were aged
PubMed ID
12587619 View in PubMed
Less detail

The use of CRP tests in patients with respiratory tract infections in primary care in Sweden can be questioned.

https://arctichealth.org/en/permalink/ahliterature30359
Source
Scand J Infect Dis. 2004;36(3):192-7
Publication Type
Article
Date
2004
Author
Malin André
Ake Schwan
Inga Odenholt
Author Affiliation
Centre for Clinical Research, Nissers väg 3, Falun, Sweden. malin.andre@ltdalarna.se
Source
Scand J Infect Dis. 2004;36(3):192-7
Date
2004
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Analysis of Variance
Anti-Bacterial Agents - therapeutic use
C-Reactive Protein - analysis - diagnostic use
Child
Child, Preschool
Comparative Study
Drug Utilization - standards - trends
Female
Humans
Male
Middle Aged
Physician's Practice Patterns
Primary Health Care - methods
Probability
Prospective Studies
Research Support, Non-U.S. Gov't
Respiratory Tract Infections - diagnosis - drug therapy
Sensitivity and specificity
Severity of Illness Index
Sweden
Unnecessary Procedures - statistics & numerical data
Abstract
A diagnosis-antibiotic prescribing study was performed in 5 counties in Sweden during 1 week in November in 2000 and 2002 respectively. As a part of the study, the use and results of C-reactive protein (CRP) tests in relation to duration of symptoms and antibiotic prescribing in 6778 patients assigned a diagnosis of respiratory tract infections were analysed. In almost half (42%) of the patients, a CRP test was performed. The majority of CRP tests (69%) were performed in patients assigned diagnosis upper respiratory tract infection, where the test is not recommended. Overall, there was a minor decrease in antibiotic prescribing when CRP was used (41%), in comparison to 44% of the patients where no CRP was performed (p or = 25 received antibiotics, which seems to indicate a misinterpretation of CRP and a non-optimal use of antibiotics.
PubMed ID
15119364 View in PubMed
Less detail