Evidence map›Paper›PMID 34205866›Full record

ArticleAntibiotics (Basel, Switzerland)2021

Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study.

Lise Bisgaard, Camilla Aakjær Andersen, Morten Sig Ager Jensen, Lars Bjerrum, Malene Plejdrup Hansen

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–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

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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Article
  5. Point-of-care C-reactive protein testing in general practice out-of-hours services: tool or trap?The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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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

5 authors.

Lise BisgaardCenter for General Practice, Aalborg University, 9220 Aalborg, Denmark.
Camilla Aakjær AndersenCenter for General Practice, Aalborg University, 9220 Aalborg, Denmark.
Morten Sig Ager JensenCenter for General Practice, Aalborg University, 9220 Aalborg, Denmark.ORCID 0000-0002-3075-882X
Lars BjerrumSection of General Practice and Research Unit for General Practice, Department of Public Health, University of Copenhagen, 1014 Copenhagen, Denmark.ORCID 0000-0003-0969-0063
Malene Plejdrup HansenCenter for General Practice, Aalborg University, 9220 Aalborg, Denmark.ORCID 0000-0002-8444-1369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the most common indications for antibiotic prescribing in general practice is acute lower respiratory tract infections (LRTI). This study aimed to explore general practitioners' (GPs') considerations and experiences when managing patients with symptoms of an acute LRTI. Individual semi-structured interviews were conducted with seven GPs in the North Denmark Region from January to March 2020. Data were analysed by means of systematic text condensation. The analysis revealed four themes: (1) practicalities of assessing patients with LRTI, (2) assessment of the patient, (3) treatment decisions, and (4) patient expectations. The GPs described having developed individual diagnostic strategies and routines when managing patients with symptoms of an acute LRTI. However, a general assessment of the patient was essential to all the GPs and the diagnosis was seldom based on a single symptom or finding. Most GPs described having great faith in abnormal lung auscultation. The use of C-reactive protein testing served several purposes, such as deciding on the severity of the infection, prescribing antibiotics or not, and as a communicative tool. Diagnostic uncertainty is a driver of antibiotic use and clinical practice might benefit from the development of clinical prediction rules for diagnosing pneumonia.

Indexed as

acute lower respiratory tract infectionantibioticsgeneral practicequalitative study

Identifiers

PMID34205866
PMCPMC8228607

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Registered trials

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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.