ArticleScandinavian journal of primary health care2009
Trends in number of consultations and antibiotic prescriptions for respiratory tract infections between 1999 and 2005 in primary healthcare in Kalmar County, Southern Sweden.
Article in Scandinavian journal of primary health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 68 citations in OpenAlex.
- Changes in the Prescription of Antibiotics and Phytopharmaceuticals in Children Treated for Acute Upper and Lower Respiratory Tract Infections in Pediatric Practices in Germany in 2013, 2018, and 2022.Antibiotics (Basel, Switzerland) · 2023Article
- Trends in Remote Health Care Consumption in Sweden: Comparison Before and During the First Wave of the COVID-19 Pandemic.JMIR human factors · 2022Article
- Systematic Review on the Impact of Guidelines Adherence on Antibiotic Prescription in Respiratory Infections.Antibiotics (Basel, Switzerland) · 2020Review
- Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study.BMC nursing · 2020Article
- Infectious disease burden and antibiotic prescribing in primary care in Israel.Annals of clinical microbiology and antimicrobials · 2018Article
- Actual versus 'ideal' antibiotic prescribing for common conditions in English primary care.The Journal of antimicrobial chemotherapy · 2018Article
- Lessons learnt during 20 years of the Swedish strategic programme against antibiotic resistance.Bulletin of the World Health Organization · 2017Article
- Reduction in antibiotic prescribing for respiratory tract infections in Swedish primary care- a retrospective study of electronic patient records.BMC infectious diseases · 2016Article
- Article
- COMPARATIVE EFFICACY AND SAFETY OF CEFIXIME AND CIPROFLOXACIN IN THE MANAGEMENT OF ADULTS WITH COMMUNITY-ACQUIRED PNEUMONIA IN IBADAN, NIGERIA.Annals of Ibadan postgraduate medicine · 2015Article
- The role of microbes in the pathogenesis of acute rhinosinusitis in young adults.The Laryngoscope · 2015Article
- Management of patients with sore throats in relation to guidelines: an interview study in Sweden.Scandinavian journal of primary health care · 2014Article
- "I'm Dr Jekyll and Mr Hyde": are GPs' antibiotic prescribing patterns contextually dependent? A qualitative focus group study.Scandinavian journal of primary health care · 2013Article
- Awareness of antibiotic resistance and antibiotic prescribing in UTI treatment: a qualitative study among primary care physicians in Sweden.Scandinavian journal of primary health care · 2013Article
- Article
- Symptoms of respiratory tract infection and associated care-seeking in subjects with and without obstructive lung disease; the Tromsø Study: Tromsø 6.BMC pulmonary medicine · 2012Article
- The medico-professional quality of GP consultations assessed by analysing patient records.Scandinavian journal of primary health care · 2011Article
- ENT problems in Dutch children: trends in incidence rates, antibiotic prescribing and referrals 2002-2008.Scandinavian journal of primary health care · 2011Article
- The problems of antibiotic overuse.Scandinavian journal of primary health care · 2010Article
- Quality indicators for diagnosis and treatment of respiratory tract infections in general practice: a modified Delphi study.Scandinavian journal of primary health care · 2010Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledBACKGROUND. Respiratory tract infections (RTIs) comprise the most common indication for consulting a general practitioner and obtaining an antibiotic prescription.
objectiveTo study changes in the number of visits, diagnoses, and antibiotic prescriptions for RTI in primary healthcare during the period 1999-2005.
designA retrospective, descriptive, population-based study of electronic patient records. Setting. County of Kalmar in southeastern Sweden. PATIENTS: Patients visiting primary healthcare units in Kalmar County for an RTI between 1 July 1999 and 31 December 2005.
main outcome measuresRTI diagnoses, antibiotic prescriptions, age groups.
resultsA total of 240 447 visits for RTI made between 1999 and 2005 were analysed. The yearly consultation rates for the diagnoses acute tonsillitis and AOM decreased by 12% and 10%, respectively (p = 0.001). Of all patients consulting for an RTI diagnosis, 45% received antibiotics. Of all prescribed antibiotics, 60% were for phenoxymethylpenicillin (PcV) and 18% doxycycline. Amoxicillin or amoxicillin + clavulanic acid was prescribed to a lesser extent. The proportion of patients obtaining an antibiotic prescription was almost constant over time (44-46%). The prescriptions of doxycycline showed increasing values (NS). The prescriptions of remaining antibiotics decreased significantly especially for patients up to middle age.
conclusionThis large population study, comprising more than six years of observations, showed the number of primary healthcare patients receiving an RTI diagnosis decreased during the period 1999-2005, but the proportion of patients receiving an antibiotic prescription remained the same. The large seasonal variations indicate a need for further interventions to decrease antibiotic use for RTIs.
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