ArticleBMC family practice2002
Antibiotics for coughing in general practice: a questionnaire study to quantify and condense the reasons for prescribing.
Article in BMC family practice, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Treatments for subacute cough in primary care: systematic review and meta-analyses of randomised clinical trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Amoxicillin for acute lower respiratory tract infection in primary care: subgroup analysis of potential high-risk groups.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Trial
- Reducing unnecessary prescriptions of antibiotics for acute cough: adaptation of a leaflet aimed at Turkish immigrants in Germany.BMC family practice · 2008Trial
- Improving management of patients with acute cough by C-reactive protein point of care testing and communication training (IMPAC3T): study protocol of a cluster randomised controlled trial.BMC family practice · 2007Trial
- Antimicrobial Prescription Behavior in Equine Asthma Cases: An International Survey.Animals : an open access journal from MDPI · 2024Article
- Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing.BMC family practice · 2021Article
- General Practitioners' Views on the Acceptability and Applicability of Using Quality Indicators as an Intervention to Reduce Unnecessary Prescription of Antibiotics in Four South American Countries.Antibiotics (Basel, Switzerland) · 2018Article
- Antimicrobial Stewardship Initiatives Throughout Europe: Proven Value for Money.Infectious disease reports · 2017Article
- Article
- Physicians' attitudes and knowledge concerning antibiotic prescription and resistance: questionnaire development and reliability.BMC infectious diseases · 2016Article
- Primary care clinicians' perceptions about antibiotic prescribing for acute bronchitis: a qualitative study.BMC family practice · 2014Article
- Observational
- Attitudes of primary care physicians to the prescribing of antibiotics and antimicrobial resistance: a qualitative study from Spain.Family practice · 2012Article
- Article
- Infectious disease management in primary care: perceptions of GPs.BMC family practice · 2011Article
- Sputum colour for diagnosis of a bacterial infection in patients with acute cough.Scandinavian journal of primary health care · 2009Article
- The determinants of the antibiotic resistance process.Infection and drug resistance · 2009Article
- Antibiotic availability and the prevalence of pediatric pneumonia during a physicians' strike.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2007Article
- Antibiotic prescribing for acute cough: the effect of perceived patient demand.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Influence of patient symptoms and physical findings on general practitioners' treatment of respiratory tract infections: a direct observation study.BMC family practice · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntibiotics are being overprescribed in ambulant care, especially for respiratory tract infections (RTIs). Gaining insight into the actual reasons for prescribing remains important for the design of effective strategies to optimise antibiotic prescribing. We aimed to determine items of importance for the antibiotic prescribing decision and to make them operational for an intervention trial.
methodsA postal questionnaire based upon focus group findings was sent to 316 Flemish general practitioners (GPs). On a verbal rating scale the GPs scored to what extent they consider the questionnaire items in decision making in case of suspected RTI in a coughing patient and how strongly the items support or counter antibiotic treatment. Factor analysis was used to condense the data. The relative importance of the yielded operational factors was assessed using Wilcoxon Matched Pairs test.
results59.5% completed the study. Response group characteristics (mean age: 42.8 years; 65.9% men) approximated that of all Flemish GPs. Participants considered all the items included in the questionnaire: always the operational factor 'lung auscultation', often 'whether or not there is something unusual happening' - both medical reasons - and to a lesser extent 'non-medical reasons' (P < 0.001). Non-medical as well as medical reasons support antibiotic treatment, but non-medical reasons to a lesser extent (P < 0.001).
conclusionThis study quantified, condensed and confirmed the findings of previous focus group research. Practice guidelines and interventions to optimise antibiotic prescribing have to take non-medical reasons into account.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.