Evidence map›Paper›PMID 34263906›Full record

ArticleFamily practice2022

Antibiotics for gastroenteritis in general practice and out-of-hour services in Norway 2006-15.

Knut Erik Emberland, Knut-Arne Wensaas, Sverre Litleskare, Leo Larsen, Kristine Morch, Sabine Ruths, Guri Rortveit

Open access · hybridAbstract read
In one paragraph

Article in Family practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

7 authors at 3 institutions in 1 country.

Knut Erik EmberlandDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0002-1635-7894
Knut-Arne WensaasResearch Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway.
Sverre LitleskareResearch Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway.
Leo LarsenDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0001-5303-208X
Kristine MorchNorwegian National Advisory Unit on Tropical Infectious Diseases, Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Sabine RuthsDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Guri RortveitDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
NORCE Research AS · NOHaukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen patients with gastroenteritis (GE) seek health care, they are generally managed in primary care. Little is known about the use of antibiotic treatment in these cases.

objectiveThe aim of this study was to investigate time trends and patient characteristics associated with antibiotic treatment for GE in Norwegian primary care in a 10-year period.

methodsWe linked data from two nationwide registries, reimbursement claims data from Norwegian primary care (the KUHR database) and The Norwegian Prescription Database, for the period 2006-15. GE consultations were extracted, and courses of systemic antibiotics dispensed within 1 day were included for further analyses.

resultsAntibiotic treatment was linked to 1.8% (n = 23 663) of the 1 279 867 consultations for GE in Norwegian primary care in the period 2006-15. The proportion of GE consultations with antibiotic treatment increased from 1.4% in 2006 to 2.2% in 2012 and then decreased to 1.8% in 2015. Fluoroquinolones (28.9%) and metronidazole (26.8%) were most frequently used. Whereas the number of fluoroquinolones courses decreased after 2012, the number of metronidazole courses continued to increase until year 2015. The antibiotic treatment proportion of GE consultations was lowest in young children and increased with increasing age.

conclusionAntibiotic treatment is infrequently used in GE consultations in Norwegian primary care. Although there was an overall increase in use during the study period, we observed a reduction in overall use after year 2012. Young children were treated with antibiotics in GE consultations less frequent than older patients.

Indexed as

After-Hours CareGastroenteritisGeneral PracticeAnti-Bacterial AgentsChildChild, PreschoolFamily PracticeHumansNorwayPractice Patterns, Physicians'Anti-Bacterial AgentsAntibioticsconsultationgastroenterologyhealth services researchinfectious diseasesprimary care

Identifiers

PMID34263906
PMCPMC8769278
OpenAlexW3178491269

What OpenQuestion holds

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LicenceCC BY
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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.