Evidence map›Paper›PMID 33482752›Full record

ArticleBMC infectious diseases2021

Incidence, healthcare-seeking behaviours, antibiotic use and natural history of common infection syndromes in England: results from the Bug Watch community cohort study.

Catherine M Smith, Laura J Shallcross, Peter Dutey-Magni, Anne Conolly, Christopher Fuller, Suzanne Hill, Arnoupe Jhass, Franziska Marcheselli, Susan Michie, Jennifer S Mindell and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. A Systematic Review of Health-Related Quality-of-Life Measurement in Patients With Acute Bacterial Skin and Skin Structure Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Pooled it
  2. Review
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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

15 authors at 5 institutions in 1 country.

Catherine M SmithInstitute of Health informatics, UCL, 222 Euston Road, London, NW1 2DA, UK. catherine.m.smith@ucl.ac.uk.
Laura J ShallcrossInstitute of Health informatics, UCL, 222 Euston Road, London, NW1 2DA, UK.
Peter Dutey-MagniInstitute of Health informatics, UCL, 222 Euston Road, London, NW1 2DA, UK.
Anne ConollyNatCen Social Research, 35 Northampton Square, London, EC1V 0AX, UK.
Christopher FullerInstitute of Health informatics, UCL, 222 Euston Road, London, NW1 2DA, UK.
Suzanne HillNatCen Social Research, 35 Northampton Square, London, EC1V 0AX, UK.
Arnoupe JhassInstitute of Health informatics, UCL, 222 Euston Road, London, NW1 2DA, UK.
Franziska MarcheselliNatCen Social Research, 35 Northampton Square, London, EC1V 0AX, UK.
Susan MichieCentre for Behaviour Change, UCL, 1-19 Torrington Place, London, WC1E 7HB, UK.
Jennifer S MindellResearch Department of Epidemiology and Public Health, UCL, 1-19 Torrington Place, London, WC1E 7HB, UK.
Matthew J RiddHealth Science Institute, University of Bristol, 39 Whatley Road, Bristol, BS8 2PS, UK.
Georgios TsakosResearch Department of Epidemiology and Public Health, UCL, 1-19 Torrington Place, London, WC1E 7HB, UK.
Andrew C HaywardInstitute of Epidemiology and Health Care, UCL, 1-19 Torrington Place, London, WC1E 7HB, UK.
Ellen B FragaszyInstitute of Health informatics, UCL, 222 Euston Road, London, NW1 2DA, UK.
PASS research group
University College London · GBNatCen Social Research · GBLondon School of Hygiene & Tropical Medicine · GBRoland Hill (United Kingdom) · GBUniversity of Bristol · GB

Funding

ESRC National Centre for Research Methods, University of Southampton ES/P008321/1Medical Research Council G0600511Medical Research Council G0800767Medical Research Council MR/K006584/1
6 · The paper itself

Abstract

backgroundBetter information on the typical course and management of acute common infections in the community could inform antibiotic stewardship campaigns. We aimed to investigate the incidence, management, and natural history of a range of infection syndromes (respiratory, gastrointestinal, mouth/dental, skin/soft tissue, urinary tract, and eye).

methodsBug Watch was an online prospective community cohort study of the general population in England (2018-2019) with weekly symptom reporting for 6 months. We combined symptom reports into infection syndromes, calculated incidence rates, described the proportion leading to healthcare-seeking behaviours and antibiotic use, and estimated duration and severity.

resultsThe cohort comprised 873 individuals with 23,111 person-weeks follow-up. The mean age was 54 years and 528 (60%) were female. We identified 1422 infection syndromes, comprising 40,590 symptom reports. The incidence of respiratory tract infection syndromes was two per person year; for all other categories it was less than one. 194/1422 (14%) syndromes led to GP (or dentist) consultation and 136/1422 (10%) to antibiotic use. Symptoms usually resolved within a week and the third day was the most severe.

conclusionsMost people reported managing their symptoms without medical consultation. Interventions encouraging safe self-management across a range of acute infection syndromes could decrease pressure on primary healthcare services and support targets for reducing antibiotic prescribing.

Indexed as

Anti-Bacterial AgentsAntimicrobial StewardshipCohort StudiesDelivery of Health CareEnglandFemaleHumansIncidenceInfectionsMaleMiddle AgedReferral and ConsultationSurveys and QuestionnairesSyndromeAnti-Bacterial AgentsAntibiotic stewardshipcommon infectionscommunity cohort studieshealthcare-seeking behaviourIncidence

Identifiers

PMID33482752
PMCPMC7820521
OpenAlexW3126022391

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.