| Autor: |
Rachel C. Greer, Thomas Althaus, Sabine Dittrich, Christopher C. Butler, Phaik Yeong Cheah, Tri Wangrangsimakul, Frank M. Smithuis, Nicolas P.J. Day, Yoel Lubell |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Healthcare in Low-resource Settings, Vol 11, Iss 1 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2281-7824 |
| DOI: |
10.4081/hls.2023.11278 |
| Popis: |
C-reactive protein (CRP) point-of-care testing can reduce antibiotic prescribing in primary care patients with febrile and respiratory illness, yet little is known about its effects on treatment-seeking behavior. If patients go on to source antibiotics elsewhere, the impact of CRP testing will be limited. A randomized controlled trial assessed the impact of CRP testing on antibiotic prescriptions in Myanmar and Thai primary care patients with a febrile illness. Here we report patients’ treatmentseeking behavior before and during the twoweek study period. Self-reported antibiotic use is compared against urine antibacterial activity. Patients’ opinions towards CRP testing were evaluated. Antibiotic use before study enrolment was reported by 5.4% while antimicrobial activity was detected in 20.8% of samples tested. During the study period, 14.8% of the patients sought additional healthcare, and 4.3% sourced their own antibiotics. Neither were affected by CRP testing. Overall, patients’ satisfaction with their care and CRP testing was high. CRP testing did not affect patients’ treatment-seeking behavior during the study period whilst modestly reducing antibiotic prescriptions. CRP testing appears to be acceptable to patients and their caregivers. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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