Evidence map›Paper›PMID 19734168›Full record

ArticleJournal of public health (Oxford, England)2009

Selective decrease in consultations and antibiotic prescribing for acute respiratory tract infections in UK primary care up to 2006.

Martin Gulliford, Radoslav Latinovic, Judith Charlton, Paul Little, Tjeerd van Staa, Mark Ashworth

Open access · bronzeAbstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% of its field
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, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Corticosteroids as standalone or add-on treatment for sore throat.The Cochrane database of systematic reviews · 2020
    Pooled it
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  5. Probiotic capsules and xylitol chewing gum to manage symptoms of pharyngitis: a randomized controlled factorial trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
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  15. Comorbidities of chronic rhinosinusitis in children and adults.Clinical and translational allergy · 2024
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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

6 authors at 3 institutions in 2 countries.

Martin GullifordDepartment of Public Health Sciences, King's College London, Capital House, 42 Weston St, London SE1 3QD UK. martin.gulliford@kcl.ac.uk
Radoslav Latinovic
Judith Charlton
Paul Little
Tjeerd van Staa
Mark Ashworth
King's College London · GBUniversity of Southampton · GBUtrecht University · NL

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundThe aim of this study was to estimate trends in primary care consultations and antibiotic prescribing for acute respiratory tract infections (RTIs) in the UK from 1997 to 2006.

methodsData were analysed for 100,000 subjects registered with 78 family practices in the UK General Practice Research Database; the numbers of consultations for RTI and associated antibiotic prescriptions were enumerated.

resultsThe consultation rate for RTI declined in females from 442.2 per 1000 registered patients in 1997 to 330.9 in 2006, and in males from 318.5 to 249.0. The rate of consultations for colds, rhinitis and upper respiratory tract infection (URTI) declined by 4.2 (95% CI 2.3-6.1) per 1000 per year in females and by 3.6 (2.3-4.8) in males. The rate of antibiotic prescribing for RTI was higher in females and declined by 8.5 (2.0-15.1) per 1000 in females and 6.7 (2.7-10.8) in males. For colds, rhinitis and URTI, the proportion of consultations with antibiotics was prescribed declined by 1.7% per year in females and 1.8% in males.

conclusionsDecreasing frequency of consultation and antibiotic prescription for colds, rhinitis and 'URTI' continues to drive a reduction in the rate of antibiotic utilization for RTIs.

Indexed as

Primary Health CareAcute DiseaseAnti-Bacterial AgentsDatabases as TopicFamily PracticeFemaleHumansMalePractice Patterns, Physicians'Referral and ConsultationRespiratory Tract InfectionsUnited KingdomAnti-Bacterial Agents

Identifiers

PMID19734168
PMCPMC2781723
OpenAlexW2154370358

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.