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The management of infections in children in general practice in Sweden.: a repeated 1-week diagnosis-prescribing study in 5 counties in 2000 and 2002.
Vise andre og tillknytning
2005 (engelsk)Inngår i: The Journal of Infectious Diseases, ISSN 0022-1899, Vol. 37, nr 11-12, s. 863-869Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

A diagnosis-prescribing study was performed in 5 Swedish counties during 1 week in November in 2000 and repeated in 2002. The aim of the present study was to analyse data for children 0-15y of age who consulted a general practitioner with symptoms of an infection. During the 2 weeks studied, 4049 children were consulted. Respiratory tract infections (RTI) were the predominant diagnoses, above all among the youngest children, while the proportion of urinary tract infections and skin infections increased with increasing age. Between the y 2000 and 2002, the proportion of children allocated the diagnosis streptococcal tonsillitis and pneumonia decreased (p<0.01 and p<0.001, respectively) while the proportion of common cold increased (p<0.001). Antibiotic prescribing decreased from 55% to 48% (p<0.001) for respiratory infections between the years studied. The only significant changes in type of antibiotics prescribed were the increase of isoxazolylpenicillins (p<0.001) used for skin infection and the decrease of macrolides (p=0.001). A diagnostic test was used in more than half of the consultations. Of children allocated a RTI diagnosis, 36% were prescribed antibiotics when a C-reactive protein test was performed compared to 58% in those not tested. Further studies are needed in general practice to determine the optimal use of near-patient tests in children with RTI.

sted, utgiver, år, opplag, sider
2005. Vol. 37, nr 11-12, s. 863-869
Emneord [en]
Antibiotics, children.
HSV kategori
Identifikatorer
URN: urn:nbn:se:miun:diva-1185PubMedID: 16358447Lokal ID: 3096OAI: oai:DiVA.org:miun-1185DiVA, id: diva2:26217
Tilgjengelig fra: 2008-09-30 Laget: 2008-09-30bibliografisk kontrollert

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