Evidence map›Paper›PMID 19929185›Full record

ArticleScandinavian journal of primary health care2009

GPs' antibiotic prescription patterns for respiratory tract infections--still room for improvement.

Svein Gjelstad, Ingvild Dalen, Morten Lindbaek

Open access · bronzeAbstract read
In one paragraph

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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Effects on antibiotic dispensing rates of interventions to promote delayed prescribing for respiratory tract infections in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
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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

3 authors at 1 institution in 1 country.

Svein GjelstadDepartment of General Practice and Community Medicine, Antibiotic Centre for Primary Care, University of Oslo, Norway.
Ingvild Dalen
Morten Lindbaek
University of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInappropriate use of antibiotics is associated with increased antibiotic resistance in the community. About 90% of all antibiotic prescriptions in Norway are issued by general practitioners and in 60% issued for respiratory tract infections. The article describes and analyses antibiotic prescription patterns by general practitioners in Vestfold, Norway.

designProspective cohort study. SUBJECTS: A total of 145 list-holding general practitioners in Vestfold, Norway in February to March 2003.

methodsMerging of two electronic administrative data sets: antibiotic prescriptions dispensed in pharmacies and general practitioners' electronic bills from the National Insurance Agency.

main outcome measuresProportion and type of antibiotic prescribed for different respiratory tract infectious diagnoses.

resultsWe found large variations among general practitioners' antibiotic prescription habits. In 27% of consultations with RTI diagnoses, an antibiotic was prescribed; 37% were for Penicillin V and 28% for a macrolide. Quinolones and cephalosporins were only rarely prescribed. In a logistic regression analysis the following factors were independently associated with antibiotic prescription rate: type of infection, type of contact, being a general practitioner specialist, and years since medical exam. In another logistic regression analysis the following factors were independently associated with broad-spectrum antibiotic prescription: type of infection, age of patient, type of contact, being a specialist, length of list, and being a high prescriber of antibiotics.

conclusionThe variation in proportion of total antibiotic prescribing and broad-spectrum prescription for respiratory tract infections is high, and reveals potentials to change general practitioners' prescription behaviour, in order to maintain the positive situation in Norway as to antibiotic resistance.

Indexed as

Practice Patterns, Physicians'AdultAnti-Bacterial AgentsChildCohort StudiesDrug PrescriptionsDrug Resistance, BacterialFamily PracticeGuideline AdherenceHumansMacrolidesPenicillin VProspective StudiesRespiratory Tract InfectionsAnti-Bacterial AgentsMacrolidesPenicillin V

Identifiers

PMID19929185
PMCPMC3413912
OpenAlexW2041840053

What OpenQuestion holds

Textmetadata
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.