Evidence map›Paper›PMID 28569649›Full record

ArticleScandinavian journal of primary health care2017

Antibiotic prescribing for acute respiratory tract infections in Norwegian primary care out-of-hours service.

Bent H Lindberg, Svein Gjelstad, Mats Foshaug, Sigurd Høye

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

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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

26 citing papers in PubMed.

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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

4 authors.

Bent H Lindberga Hamar Out-of-hours Primary Care Centre , Hamar , Norway.
Svein Gjelstadc Antibiotic Centre for Primary Care, Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.
Mats Foshaugd Tønsberg Out-of-hours Primary Care Centre , Vestfold , Norway.
Sigurd Høyec Antibiotic Centre for Primary Care, Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine factors correlating with antibiotic prescribing for acute respiratory tract infections (ARTIs) in Norwegian primary care out-of-hours service. MATERIALS AND

methodsRetrospective data analysis for the year 2014 in two out-of-hours primary care units located in the towns of Hamar and Tønsberg in Norway, analysing type and frequency of different antibiotics prescribed by 117 medical doctors for ARTIs, and factors correlating with these.

resultsThe 117 doctors in two out-of-hours units diagnosed 6757 cases of ARTIs. 2310 (34.2%) of these resulted in an antibiotic prescription, where of 1615 (69.9%) were penicillin V (PcV). Tonsillitis and sinusitis were the two ARTI diagnoses with the highest antibiotic prescription rate. The antibiotic prescription rate increased successively with increasing activity level, measured as shorter median duration of consultations per session, from 28.7% (reference) in the least busy quintile of sessions to 36.6% (OR: 1.38 (95% CI =1.06-1.80)) in the busiest quintile of sessions. Prescribing of broad-spectrum antibiotics was not correlated with median duration of consultations per session. Female doctors had an OR of 0.61 (0.40-0.92) of a broad-spectrum antibiotic prescription compared to their male colleagues.

conclusionsAntibiotic prescribing for ARTIs in the primary care out-of-hours services investigated is at the same level as in Norwegian general practice, but with a higher prescription rate of PcV. Antibiotic prescribing increases on busy sessions, measured as median duration of consultations per session. The work frame in primary care out-of-hours service might influence the quality of clinical decisions.

Indexed as

AdultAfter-Hours CareAnti-Bacterial AgentsDrug PrescriptionsFemaleHumansLogistic ModelsMaleMiddle AgedNorwayPractice Patterns, Physicians'Primary Health CareRespiratory Tract InfectionsRetrospective StudiesAnti-Bacterial AgentsAntibacterial agentsNorwayout-of-hoursphysician prescribing patternprimary carerespiratory tract infection

Identifiers

PMID28569649
PMCPMC5499318

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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.