SynthesisScandinavian journal of primary health care2015
A systematic review of parent and clinician views and perceptions that influence prescribing decisions in relation to acute childhood infections in primary care.
Synthesis in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 9 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
116 citing papers in PubMed, 9 syntheses or guidelines pooled it, 202 citations in OpenAlex.
- Should my child be given antibiotics? A systematic review of parental decision making in rural and remote locations.Antimicrobial resistance and infection control · 2024Pooled it
- Factors associated with inappropriateness of antibiotic prescriptions for acutely ill children presenting to ambulatory care in high-income countries: a systematic review and meta-analysis.The Journal of antimicrobial chemotherapy · 2024Pooled it
- Antibiotic use in ambulatory care for acutely ill children in high-income countries: a systematic review and meta-analysis.Archives of disease in childhood · 2022Pooled it
- Barriers and facilitators to clinical behaviour change by primary care practitioners: a theory-informed systematic review of reviews using the Theoretical Domains Framework and Behaviour Change Wheel.Systematic reviews · 2022Pooled it
- Health Equity in the Effectiveness of Web-Based Health Interventions for the Self-Care of People With Chronic Health Conditions: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Does locally relevant, real-time infection epidemiological data improve clinician management and antimicrobial prescribing in primary care? A systematic review.Family practice · 2018Pooled it
- Impact of acute otitis media clinical practice guidelines on antibiotic and analgesic prescriptions: a systematic review.Archives of disease in childhood · 2018Pooled it
- Parental views on otitis media: systematic review of qualitative studies.European journal of pediatrics · 2016Pooled it
- Systematic Review of Factors Associated with Antibiotic Prescribing for Respiratory Tract Infections.Antimicrobial agents and chemotherapy · 2016Pooled it
- Improved diagnostic management of children with acute infections following the introduction of point-of-care C-reactive protein testing and general practitioner education in Latvia: aScandinavian journal of primary health care · 2026Trial
- Implementation of the CHIldren with acute COugh (CHICO) intervention to improve antibiotics management: a qualitative study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Trial
- A multifaceted intervention to reduce antibiotic prescribing among CHIldren with acute COugh and respiratory tract infection: the CHICO cluster RCT.Health technology assessment (Winchester, England) · 2023Trial
- Multi-faceted intervention to improve management of antibiotics for children presenting to primary care with acute cough and respiratory tract infection (CHICO): efficient cluster randomised controlled trial.BMJ (Clinical research ed.) · 2023Trial
- Comparing GPs' antibiotic prescribing decisions to a clinical prediction rule: an online vignette study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- French general practitioners' and patients' acceptability of a public commitment charter and patient information leaflets targeting unnecessary antibiotic use: a qualitative study.Antimicrobial resistance and infection control · 2022Trial
- Antibiotics for lower respiratory tract infection in children presenting in primary care in England (ARTIC PC): a double-blind, randomised, placebo-controlled trial.Lancet (London, England) · 2021Trial
- Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear-based messages about antimicrobial resistance.BMC medicine · 2020Trial
- Reducing Primary Care Attendance Intentions for Pediatric Respiratory Tract Infections.Annals of family medicine · 2019Trial
- Trial
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56 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo investigate the views of parents, clinicians, and children pertaining to prescribing decisions for acute childhood infection in primary care.
methodsA systematic review of qualitative studies. Meta-ethnographic methods were used, with data drawn from the primary studies in an interpretive analysis.
resultsA total of 15 studies met the inclusion criteria. The literature was dominated by concerns about antibiotic over-prescription. Children's views were not reported. Clinicians prescribed antibiotics when they felt pressured by parents or others (e.g. employers) to do so, when they believed there was a clear clinical indication, but also when they felt uncertain of clinical or social outcomes they prescribed "just in case". Parents wanted antibiotics when they felt they would improve the current illness, and when they felt pressure from daycare providers or employers. Clinicians avoided antibiotics when they were concerned about adverse reactions or drug resistance, when certain they were not indicated, and when there was no perceived pressure from parents. Parents also wished to avoid adverse effects of antibiotics, and did not want antibiotics when they would not relieve current symptoms. Some parents preferred to avoid medication altogether. Within paediatric consultations, parents sought a medical evaluation and decision. Primary care clinicians want satisfied parents and short consultations.
conclusionsAntibiotic prescriptions for childhood infections in primary care often result from "just in case" prescribing. These findings suggest that interventions which reduce clinician uncertainty regarding social or clinical outcomes and provide strategies to meet parents' needs within a short consultation are most likely to reduce antibiotic prescribing.
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What OpenQuestion holds
Registered trials
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.