Diagnosis-prescribing surveys in 2000, 2002 and 2005 in Swedish general practice: Consultations, diagnosis, diagnostics and treatment choices
(2008) In Scandinavian Journal of Infectious Diseases 40(8). p.648-654- Abstract
- The aim of this study is to present diagnostic patterns, diagnostics used and antibiotic treatment in relation to guidelines in 3 repeated diagnosis-prescription studies conducted simultaneously in general practice in 5 Swedish counties, during 1 week in November 2000, 2002 and 2005. General practitioners (GPs) at the participating health centres were asked to complete a form for all patients with symptoms of an infectious disease. During the studied periods a total of 15,371 consultations was registered. Consultations with GPs diagnosed as respiratory tract infection (RTI), especially consultations for sore throat, decreased considerably between y 2000 and 2005. The percentage of patients allocated an RTI diagnosis and prescribed an... (More)
- The aim of this study is to present diagnostic patterns, diagnostics used and antibiotic treatment in relation to guidelines in 3 repeated diagnosis-prescription studies conducted simultaneously in general practice in 5 Swedish counties, during 1 week in November 2000, 2002 and 2005. General practitioners (GPs) at the participating health centres were asked to complete a form for all patients with symptoms of an infectious disease. During the studied periods a total of 15,371 consultations was registered. Consultations with GPs diagnosed as respiratory tract infection (RTI), especially consultations for sore throat, decreased considerably between y 2000 and 2005. The percentage of patients allocated an RTI diagnosis and prescribed an antibiotic declined significantly from 54% to 49% and the decline was most pronounced among children. Penicillin V remained the dominant antibiotic prescribed throughout the study periods. For lower urinary tract infections there was a significant change in choice of prescribed antibiotics with an increase for pivmecillinam and nitrofurantoin and a decrease for trimethoprim, in accordance with recommendations. The results indicate a quite close adherence to current guidelines, with changes in the pattern of consultations as well as in the management of infectious diseases in general practice in Sweden. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1249733
- author
- Andre, Malin ; Vernby, Asa ; Odenholt, Inga LU ; Lundborg, Cecilia Stalsby ; Axelsson, Inge ; Eriksson, Margareta ; Runehagen, Arne ; Schwan, Ake and Molstad, Sigvard
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Infectious Diseases
- volume
- 40
- issue
- 8
- pages
- 648 - 654
- publisher
- Informa Healthcare
- external identifiers
-
- wos:000258295000009
- scopus:48249111820
- pmid:18979603
- ISSN
- 1651-1980
- DOI
- 10.1080/00365540801932439
- language
- English
- LU publication?
- yes
- id
- b9d85c55-5055-430b-a7ad-1db72c530b10 (old id 1249733)
- date added to LUP
- 2016-04-01 14:51:02
- date last changed
- 2022-01-28 02:53:20
@article{b9d85c55-5055-430b-a7ad-1db72c530b10, abstract = {{The aim of this study is to present diagnostic patterns, diagnostics used and antibiotic treatment in relation to guidelines in 3 repeated diagnosis-prescription studies conducted simultaneously in general practice in 5 Swedish counties, during 1 week in November 2000, 2002 and 2005. General practitioners (GPs) at the participating health centres were asked to complete a form for all patients with symptoms of an infectious disease. During the studied periods a total of 15,371 consultations was registered. Consultations with GPs diagnosed as respiratory tract infection (RTI), especially consultations for sore throat, decreased considerably between y 2000 and 2005. The percentage of patients allocated an RTI diagnosis and prescribed an antibiotic declined significantly from 54% to 49% and the decline was most pronounced among children. Penicillin V remained the dominant antibiotic prescribed throughout the study periods. For lower urinary tract infections there was a significant change in choice of prescribed antibiotics with an increase for pivmecillinam and nitrofurantoin and a decrease for trimethoprim, in accordance with recommendations. The results indicate a quite close adherence to current guidelines, with changes in the pattern of consultations as well as in the management of infectious diseases in general practice in Sweden.}}, author = {{Andre, Malin and Vernby, Asa and Odenholt, Inga and Lundborg, Cecilia Stalsby and Axelsson, Inge and Eriksson, Margareta and Runehagen, Arne and Schwan, Ake and Molstad, Sigvard}}, issn = {{1651-1980}}, language = {{eng}}, number = {{8}}, pages = {{648--654}}, publisher = {{Informa Healthcare}}, series = {{Scandinavian Journal of Infectious Diseases}}, title = {{Diagnosis-prescribing surveys in 2000, 2002 and 2005 in Swedish general practice: Consultations, diagnosis, diagnostics and treatment choices}}, url = {{http://dx.doi.org/10.1080/00365540801932439}}, doi = {{10.1080/00365540801932439}}, volume = {{40}}, year = {{2008}}, }