Evidence map›Paper›PMID 15720932›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005

Prescribing antibiotics for respiratory tract infections by GPs: management and prescriber characteristics.

Annemiek E Akkerman, Marijke M Kuyvenhoven, Johannes C van der Wouden, Theo J M Verheij

Abstract readMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Systemic corticosteroids for acute sinusitis.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Pooled it
  5. The Effect of Expert Feedback on Antibiotic Prescribing in Pediatrics: Experimental Evidence.Medical decision making : an international journal of the Society for Medical Decision Making · 2019
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  15. Antibacterial Effect of 16 Essential Oils and Modulation ofAntibiotics (Basel, Switzerland) · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Annemiek E AkkermanJulius Center for Health Sciences and Primary Care, Rotterdam, The Netherlands. A.Akkerman-2@umcutrecht.nl
Marijke M Kuyvenhoven
Johannes C van der Wouden
Theo J M Verheij

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to clinical and non-clinical factors, considerable variation exists in the prescribing of antibiotics for respiratory tract infections (RTIs) by GPs based in the Netherlands.

aimTo assess, in patients with RTIs in Dutch general practice: the prescribing rates of antibiotics; the relationship between GP characteristics and antibiotic prescribing; and the type of antibiotics prescribed. DESIGN OF STUDY: Descriptive and prognostic.

settingEighty-four GPs in the middle region of the Netherlands.

methodAll patient consultations for RTIs were registered by 84 GPs during 3 weeks in autumn and winter 2001 and 2002. In addition, all GPs completed a questionnaire related to individual and practice characteristics.

resultsThe mean proportion of consultations in which GPs prescribed antibiotics was 33% (95% CI = 29 to 35%) of all RTIs. This proportion varied from 21% for patients with upper RTIs or an exacerbation of asthma/COPD, to about 70% when patients had sinusitis-like complaints or pneumonia. Amoxycillin and doxycycline were the most frequently prescribed antibiotics, while 17% of the antibiotics prescribed were macrolides. Multiple linear regression analysis showed that the longer GPs had practised, the more frequently they prescribed antibiotics, especially in combination with relatively little knowledge about RTIs or the less time GPs felt they had available per patient. The final model, with seven factors, explained 29% of the variance of antibiotic prescribing.

conclusionThe prescribing behaviour of Dutch GPs might be improved with regard to choice of type and indication of antibiotics.

Indexed as

Practice Patterns, Physicians'AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsChildChild, PreschoolFamily PracticeFemaleHumansInfantInfant, NewbornMaleMiddle AgedNetherlandsAnti-Bacterial Agents

Identifiers

PMID15720932
PMCPMC1463185

What OpenQuestion holds

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Registered trials

None linked

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.