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Near-patient tests and the clinical gaze in decision-making of Swedish GPs not following current guidelines for sore throat - a qualitative interview study.

Gröndal, Hedvig; Hedin, Katarina LU ; Strandberg, Eva-Lena LU ; André, Malin and Brorsson, Annika LU (2015) In BMC Family Practice 16.
Abstract
Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT was recommended with 2-4 Centor criteria present and antibiotics were recommended if the test was positive. C- reactive protein (CRP) was not recommended for sore throats. Inappropriate use of RADT and CRP has been reported in several studies.
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Family Practice
volume
16
publisher
BioMed Central
external identifiers
  • pmid:26141740
  • wos:000357305200001
  • scopus:84936083135
ISSN
1471-2296
DOI
10.1186/s12875-015-0285-y
language
English
LU publication?
yes
id
f17161e5-4945-4d49-985b-f22d50a7e524 (old id 7750759)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26141740?dopt=Abstract
date added to LUP
2015-08-06 22:41:56
date last changed
2017-07-02 04:13:56
@article{f17161e5-4945-4d49-985b-f22d50a7e524,
  abstract     = {Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT was recommended with 2-4 Centor criteria present and antibiotics were recommended if the test was positive. C- reactive protein (CRP) was not recommended for sore throats. Inappropriate use of RADT and CRP has been reported in several studies.},
  articleno    = {81},
  author       = {Gröndal, Hedvig and Hedin, Katarina and Strandberg, Eva-Lena and André, Malin and Brorsson, Annika},
  issn         = {1471-2296},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Family Practice},
  title        = {Near-patient tests and the clinical gaze in decision-making of Swedish GPs not following current guidelines for sore throat - a qualitative interview study.},
  url          = {http://dx.doi.org/10.1186/s12875-015-0285-y},
  volume       = {16},
  year         = {2015},
}