[Introduction of rapid streptococcal antigen test: can its use improve adherence to antibiotic therapy?]

Autor:	Bonet-Esteve AM; Unitat de Farmàcia Atenció Primària. Gerència Territorial Catalunya Central. Institut Català de la Salut, Sant Fruitós de Bages, España; Grupo de Investigación PROSAARU (Promoción de la Salud en el Ámbito Rural), Gerència Territorial Catalunya Central. Institut Català de la Salut, Sant Fruitós de Bages, España., Font-Ribera L; Agencia de Salut Pública de Barcelona, Barcelona., Dorca-Vila J; Xarxa Assistencial Universitària de Manresa, Calle Dr. Joan Soler, 1-3, Manresa 08243, España., Retamal-Cañiz A; Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Sant Fruitós de Bages, España., Roura-Poch P; Servei d'Atenció Primària d'Osona. Gerència Territorial de la Catalunya Central, Institut Català de la Salut, Sant Fruitós de Bages, España., Vidal-Alaball J; Grupo de Investigación PROSAARU (Promoción de la Salud en el Ámbito Rural), Gerència Territorial Catalunya Central. Institut Català de la Salut, Sant Fruitós de Bages, España; Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Sant Fruitós de Bages, España; Facultat de Medicina. Universitat de Vic-Universitat Central de Catalunya, Vic, España. Electronic address: jvidal.cc.ics@gencat.cat.
Jazyk:	Spanish; Castilian
Zdroj:	Atencion primaria [Aten Primaria] 2021 Dec; Vol. 53 (10), pp. 102102. Date of Electronic Publication: 2021 Sep 08.
DOI:	10.1016/j.aprim.2021.102102
Abstrakt:	Objective: To evaluate the influence of the result of a rapid streptococcal antigen test in paediatric pharyngotonsillitis infections, in terms of improvement of antibiotic therapy adherence. Design: Randomized community clinical trial with two study groups. Location: Primary Care Centers in Central Catalonia. Participants: Patients aged from 3 to 15 years, who were attended at paediatric consultations on suspicion of pharyngotonsillitis caused by an infection between November 2010 and February 2011 (both included), were included in the study on a consecutive basis. 557 patients met the inclusion criteria and 519 were evaluated. Intervention: The control group received the usual diagnostic-therapeutic algorithm. Rapid streptococcal antigen test was additionally performed to experimental group participants and it was indicated the more convenient treatment. Main Measurements: Antibiotic adherence, non-adherence causes and socio-demographic risk factors were evaluated via telephone survey. Results: Antibiotics were prescribed to 65.6% and paediatricians of the control group were more likely to prescribe antibiotic than the ones in the intervention group (88.5% vs 45.5%, p< 0.0001). 64.8% followed doctor's treatment orders, being failure following medication scheduling the main cause of non-adherence (25.6%). Medication adherence was higher in the experimental group (68%) than in the control group (62.9%) but no significant differences were found. Conclusion: Rapid strep test, complementing the use of Centor Criteria avoids unnecessary antibiotics prescriptions, but had not been proven to be effective in increasing medication adherence. (Copyright © 2021 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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