ArticleBMC family practice2015
Near-patient tests and the clinical gaze in decision-making of Swedish GPs not following current guidelines for sore throat - a qualitative interview study.
Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Point-of-care tests to manage acute respiratory tract infections in primary care: a systematic review and qualitative synthesis of healthcare professional and patient views.The Journal of antimicrobial chemotherapy · 2025Pooled it
- Outcomes of guidelines from health technology assessment organizations in community-based primary care: a systematic mixed studies review.International journal of technology assessment in health care · 2024Pooled it
- Group C beta hemolyticScandinavian journal of primary health care · 2020Pooled it
- Antibiotic prescribing for acute respiratory tract infections in primary care: an updated and expanded meta-ethnography.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Ambulatory Antibiotic Stewardship through a Human Factors Engineering Approach: A Systematic Review.Journal of the American Board of Family Medicine : JABFMPooled it
- General Practitioner's Practice in Romanian Children with Streptococcal Pharyngitis.Medicina (Kaunas, Lithuania) · 2025Article
- Use of point-of-care tests in pharyngotonsillitis - a registry-based study in primary health care.Scandinavian journal of primary health care · 2025Article
- The use and usefulness of point-of-care tests in patients with pharyngotonsillitis - an observational study in primary health care.BMC primary care · 2024Observational
- Article
- Seasonal variations in use and outcome of rapid antigen detection tests and cultures in pharyngotonsillitis: a register study in primary care.BMC infectious diseases · 2021Article
- Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study.JMIR medical informatics · 2021Article
- Long-term impact of an intervention on rapid antigen detection tests in acute pharyngitis.Atencion primaria · 2020Article
- Article
- A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis.Scandinavian journal of primary health care · 2020Article
- Management of sore throat in Danish general practices.BMC family practice · 2019Article
- How can Multi-Professional Education Support Better Stewardship?Infectious disease reports · 2017Review
- Antibiotic prescribing in relation to diagnoses and consultation rates in Belgium, the Netherlands and Sweden: use of European quality indicators.Scandinavian journal of primary health care · 2017Article
- Interacting factors associated with Low antibiotic prescribing for respiratory tract infections in primary health care - a mixed methods study in Sweden.BMC family practice · 2016Article
- Uncertainty in clinical practice - an interview study with Swedish GPs on patients with sore throat.BMC family practice · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExcessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT was recommended with 2-4 Centor criteria present and antibiotics were recommended if the test was positive. C- reactive protein (CRP) was not recommended for sore throats. Inappropriate use of RADT and CRP has been reported in several studies.
methodsFrom a larger project 16 general practitioners (GPs) who stated management of sore throats not according to the guidelines were identified. Half-hour long semi-structured interviews were conducted. The topics were the management of sore throats and the use of near-patient tests. Qualitative content analysis was used.
resultsThe use of the near-patient test interplayed with the clinical assessment and the perception that all infections caused by bacteria should be treated with antibiotics. The GPs expressed a belief that the clinical picture was sufficient for diagnosis in typical cases. RADT was not believed to be relevant since it detects only one bacterium, while CRP was considered as a reliable numerical measure of bacterial infection.
conclusionsInappropriate use of near-patient test can partly be understood as remnants of outdated knowledge. When new guidelines are introduced the differences between them and the former need to be discussed more explicitly.
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