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Trends in number of...
Trends in number of consultations and antibiotic prescriptions for respiratory tract infections between 1999 and 2005 in primary healthcare in Kalmar County, Southern Sweden
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- Neumark, Thomas (författare)
- Linköpings universitet,Allmänmedicin,Hälsouniversitetet
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- Brudin, Lars (författare)
- Linköpings universitet,Klinisk fysiologi,Hälsouniversitetet
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- Engström, Sven (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Allmänmedicin,Hälsouniversitetet,Primärvård: Vårdcentraler, Rörelse & Hälsa, LAH, Ungdomsmottagningen,Unit of Research and Development in Primary Care, Jönköping, Sweden
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- Mölstad, Sigvard (författare)
- Linköpings universitet,Allmänmedicin,Hälsouniversitetet
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(creator_code:org_t)
- 2009-07-12
- 2009
- Engelska.
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 27:1, s. 18-24
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https://www.tandfonl...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Respiratory tract infections (RTIs) comprise the most common indication for consulting a general practitioner and obtaining an antibiotic prescription.Objective: To study changes in the number of visits, diagnoses, and antibiotic prescriptions for RTI in primary healthcare during the period 1999-2005.Design: A retrospective, descriptive, population-based study of electronic patient records.Setting: County of Kalmar in southeastern Sweden.Patients: Patients visiting primary healthcare units in Kalmar County for an RTI between 1 July 1999 and 31 December 2005. Main outcome measures. RTI diagnoses, antibiotic prescriptions, age groups.Results: A total of 240 447 visits for RTI made between 1999 and 2005 were analysed. The yearly consultation rates for the diagnoses acute tonsillitis and AOM decreased by 12% and 10%, respectively (p = 0.001). Of all patients consulting for an RTI diagnosis, 45% received antibiotics. Of all prescribed antibiotics, 60% were for phenoxymethylpenicillin (PcV) and 18% doxycycline. Amoxicillin or amoxicillin + clavulanic acid was prescribed to a lesser extent. The proportion of patients obtaining an antibiotic prescription was almost constant over time (44-46%). The prescriptions of doxycycline showed increasing values (NS). The prescriptions of remaining antibiotics decreased significantly especially for patients up to middle age.Conclusion: This large population study, comprising more than six years of observations, showed the number of primary healthcare patients receiving an RTI diagnosis decreased during the period 1999-2005, but the proportion of patients receiving an antibiotic prescription remained the same. The large seasonal variations indicate a need for further interventions to decrease antibiotic use for RTIs.
Nyckelord
- Antibiotics
- electronic patient records
- family practice
- general practice
- phenoxymethylpenicillin (PcV)
- primary healthcare
- respiratory tract infections
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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