Clinical factors, C-reactive protein point of care test and chest X-ray in patients with pneumonia: A survey in primary care
| Autor: | Robert J. van de Peppel, Margot W. M. de Waal, Theo J M Verheij, Jaap T. van Dissel, Geert H. Groeneveld |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Point-of-Care Systems Point-of-care testing Decision Making Antibiotics Primary care respiratory tract infections C-reactive protein 03 medical and health sciences 0302 clinical medicine General Practitioners Internal medicine Acute lower respiratory tract infection X-rays medicine Humans pneumonia In patient 030212 general & internal medicine Practice Patterns Physicians' Netherlands general practice lcsh:R5-920 Primary Health Care Respiratory tract infections biology business.industry 030503 health policy & services Original Articles medicine.disease Anti-Bacterial Agents respiratory tract diseases 3. Good health Radiography Pneumonia Cross-Sectional Studies Health Care Surveys biology.protein lcsh:Medicine (General) 0305 other medical science business Family Practice |
| Zdroj: | European Journal of General Practice, 25(4), 229-235 European Journal of General Practice European Journal of General Practice, 25(4), 229. Informa Healthcare The European Journal of General Practice European Journal of General Practice, Vol 25, Iss 4, Pp 229-235 (2019) |
| ISSN: | 1381-4788 |
| Popis: | Background: In patients with an acute lower respiratory tract infection (LRTI), general practitioners (GPs) often find it challenging to decide to prescribe antibiotics or not. C-reactive protein (CRP) point of care test (POCT), and chest X-ray are diagnostic tests that can optimize the treatment decision. However, their usefulness in clinical practice is unknown. Objectives: To determine the proportion of Dutch GPs using CRP and chest X-ray in patients with an acute LRTI. To determine whether clinical factors and C-reactive protein point of care test affect the behaviour in requesting chest X-rays. Methods: In 2014, a questionnaire was sent to a random sample of 900 Dutch GPs. Outcome parameters are the use of CRP and chest X-ray, the percentage of GPs who guide their decision in requesting chest X-rays by CRP testing and the GP’s expectation regarding presence or absence of pneumonia. In addition, considerations for requesting chest X-rays were assessed. Results: Two hundred and fifty-five completed questionnaires (29%) were returned. In 2014, 54% of the responding GPs used the CRP test. These GPs tend to use fewer chest X-rays (p = 0.07). GPs overestimate the chance that pneumonia will be present on the radiograph. Seventy percent consider the possibility of abnormalities other than pneumonia as the main reason for requesting a chest X-ray. Conclusion: In patients with an acute lower respiratory tract infection, GPs report that CRP results affect their behaviour regarding the request of a chest X-ray in patients with lower respiratory tract infection and therefore research is needed to substantiate the use of these diagnostic tools for this purpose. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|