ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
The reducing incidence of respiratory tract infection and its relation to antibiotic prescribing.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.
- Clostridium difficile infection seasonality: patterns across hemispheres and continents - a systematic review.PloS one · 2015Pooled it
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- Northeastern U.S. Salmonella Strains from Retail Meat Are More Prevalent and More Resistant to Antimicrobials.Journal of food protection · 2020Article
- Geographic Variation in Antibiotic Consumption-Is It Due to Doctors' Prescribing or Patients' Consulting?Antibiotics (Basel, Switzerland) · 2018Article
- Temporal relationship between antibiotic use and respiratory virus activities in the Republic of Korea: a time-series analysis.Antimicrobial resistance and infection control · 2018Article
- 70,489 primary care encounters: retrospective analysis of morbidity at a primary care centre in Ireland.Irish journal of medical science · 2016Article
- Modelling estimates of age-specific influenza-related hospitalisation and mortality in the United Kingdom.BMC public health · 2016Article
- Impact of a United Kingdom-wide campaign to tackle antimicrobial resistance on self-reported knowledge and behaviour change.BMC public health · 2016Article
- Seasonal variations in onset and exacerbation of inflammatory bowel diseases in children.BMC research notes · 2015Article
- Respiratory tract infections in children in primary healthcare in Poland.Advances in experimental medicine and biology · 2015Article
- Appropriate international measures for outpatient antibiotic prescribing and consumption: recommendations from a national data comparison of different measures.The Journal of antimicrobial chemotherapy · 2014Article
- Seasonal variations in the onset of ulcerative colitis in Japan.World journal of gastroenterology · 2013Article
- Managing self-limiting respiratory tract infections: a qualitative study of the usefulness of the delayed prescribing strategy.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Respiratory fluoroquinolone use and influenza.Infection control and hospital epidemiology · 2011Article
- Mycoplasma pneumoniae infection in primary care investigated by real-time PCR in England and Wales.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2011Article
- Selective decrease in consultations and antibiotic prescribing for acute respiratory tract infections in UK primary care up to 2006.Journal of public health (Oxford, England) · 2009Article
- Decreasing incidence of adenotonsillar problems in Dutch general practice: real or artefact?The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Reduced antibiotic prescribing for acute respiratory infections in adults and children.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Increasing hospital admissions for pneumonia, England.Emerging infectious diseases · 2008Article
- Applying psychological theories to evidence-based clinical practice: identifying factors predictive of managing upper respiratory tract infections without antibiotics.Implementation science : IS · 2007Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is good evidence of reduced prescribing of antibiotics in recent years, but the reason for this has not been established.
aimTo study the incidence of respiratory tract infections presenting to general practitioners (GPs) in England and Wales in relation to the incidence of other infections and to the prescription of antibiotics.
settingSentinel practices in England and Wales who contribute to the Weekly Returns Service (WRS) of the Royal College of General Practitioners.
designTime-series analysis of disease incidence data reported by the practices and of antibiotic prescription data from the Prescription Pricing Authority (PPA) during the years 1994-2000.
methodIncidence data reported weekly from 73 practices in England and Wales, serving a population of 600,000, for acute respiratory tract infections, otitis media, infectious mononucleosis, shingles, urinary tract infections, and skin infections, were consolidated into quarterly datasets and examined graphically for evidence of secular and seasonal trends. Trends in antibiotic prescription items (data for England only were supplied by the PPA) were examined for association after adjustment for seasonal variation.
resultsThe incidence of respiratory tract infections and antibiotic prescribing showed virtually identical seasonal variation, with both declining from 1995: respiratory tract infections by 48% in winter and 38% in summer, and antibiotic prescriptions by 34% and 21%, respectively. Trends in both were very highly correlated. The incidence of shingles and skin infections was constant. The incidence of urinary tract infections declined by 10%. The incidence of otitis media in children and acute bronchitis in the elderly followed the all-age trend in the reduction of respiratory tract infections.
conclusionThe considerable reduction in the incidence of respiratory tract infections between 1995 and 2000 is the main reason for the decline in antibiotic prescribing rather than changing prescribing thresholds for antibiotics.
Indexed as
Identifiers
14601353PMC1314710W2161320052What OpenQuestion holds
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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.