Diagnosis-prescribing surveys in 2000, 2002 and 2005 in Swedish general practice: Consultations, diagnosis, diagnostics and treatment choices

Autor:	Ake Schwan, Inge Axelsson, Malin André, Sigvard Mölstad, Cecilia Stålsby Lundborg, Arne Runehagen, Margareta Eriksson, Inga Odenholt, Åsa Vernby
Rok vydání:	2008
Předmět:	Adult Male Microbiology (medical) Pediatrics medicine.medical_specialty Adolescent Cross-sectional study Infections Drug Prescriptions Statistics Nonparametric Young Adult chemistry.chemical_compound medicine Sore throat Humans Practice Patterns Physicians' Medical prescription Child Referral and Consultation Respiratory Tract Infections Aged Sweden General Immunology and Microbiology Respiratory tract infections business.industry Infant General Medicine Middle Aged Trimethoprim Anti-Bacterial Agents Pivmecillinam Cross-Sectional Studies Infectious Diseases chemistry Infectious disease (medical specialty) Nitrofurantoin Child Preschool Urinary Tract Infections Penicillin V Female medicine.symptom Family Practice business medicine.drug
Zdroj:	Scandinavian Journal of Infectious Diseases. 40:648-654
ISSN:	1651-1980 0036-5548
DOI:	10.1080/00365540801932439
Popis:	The aim of this study is to present diagnostic patterns, diagnostics used and antibiotic treatment in relation to guidelines in 3 repeated diagnosis-prescription studies conducted simultaneously in general practice in 5 Swedish counties, during 1 week in November 2000, 2002 and 2005. General practitioners (GPs) at the participating health centres were asked to complete a form for all patients with symptoms of an infectious disease. During the studied periods a total of 15,371 consultations was registered. Consultations with GPs diagnosed as respiratory tract infection (RTI), especially consultations for sore throat, decreased considerably between y 2000 and 2005. The percentage of patients allocated an RTI diagnosis and prescribed an antibiotic declined significantly from 54% to 49% and the decline was most pronounced among children. Penicillin V remained the dominant antibiotic prescribed throughout the study periods. For lower urinary tract infections there was a significant change in choice of prescribed antibiotics with an increase for pivmecillinam and nitrofurantoin and a decrease for trimethoprim, in accordance with recommendations. The results indicate a quite close adherence to current guidelines, with changes in the pattern of consultations as well as in the management of infectious diseases in general practice in Sweden.
Databáze:	OpenAIRE
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