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  • 1. Andre, M
    et al.
    Odenholt, I
    Schwan, Åke
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Upper respiratory tract infections in general practice:: Diagnosis, antibiotic prescribing, duration of symptoms and use of diagnostic tests.2002In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, Vol. 34, no 12, 880-886 p.Article in journal (Refereed)
    Abstract [en]

    A diagnosis/antibiotic prescribing study was performed in 5 counties in Sweden for 1 week in November 2000. As part of this study, the characteristics and clinical management of patients with upper respiratory tract infections (n = 2899) in primary care were analyzed. Almost half of the patients were aged < 15 y and one-fifth of the patients consulted out of hours. Of all patients seeking primary care for upper respiratory tract infections, 56.0% were prescribed an antibiotic. Almost all patients who were given the diagnoses streptococcal tonsillitis, acute otitis media or acute sinusitis were prescribed antibiotics, compared to 10% of patients with common cold or acute pharyngitis. The most frequently prescribed antibiotic was penicillin V (79.2%) and this was even more pronounced out of hours, when the diagnoses otitis media and streptococcal tonsillitis were more frequently used. In patients with common cold and acute pharyngitis, the percentage who received antibiotics increased with increasing length of symptoms and increasing CRP levels. In patients with acute pharyngitis or streptococcal tonsillitis, antibiotics were prescribed less frequently provided streptococcal tests were performed. The management of patients with upper respiratory tract infections in general practice seems to be in good agreement with current Swedish guidelines. However, the study indicates some areas for improvement. The diagnosis of acute sinusitis seems to have been overestimated and used only to justify antibiotic treatment.

  • 2. Andre, Malin
    et al.
    Molstad, Sigvard
    Stålsby Lundborg, Cecilia
    Odenholt, Inga
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Management of urinary tract infections in primary care:: a repeated 1-week diagnosis-prescribing study in five counties in Sweden in 2000 and 2002.2004In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, Vol. 36, no 2, 134-138 p.Article in journal (Refereed)
    Abstract [en]

    A diagnosis-antibiotic prescribing study was performed in 5 counties in Sweden during 1 week in November in the y 2000 and 2002, respectively. As part of the study, the characteristics and clinical management of patients who received diagnoses of urinary tract infections (UTIs) (n = 1564) in primary care, were analysed. 85% of the visits were by women, and 74% of all consultations were diagnosed as lower UTIs. One or more diagnostic tests were performed in 98% of the women with suspected lower or recurrent UTIs and 95% were prescribed an antibiotic. The most commonly prescribed antibiotics for lower UTIs were trimethoprim followed by pivmecillinam and a quinolone. The study indicated a change in antibiotic prescribing with improved adherence to the national recommendations. There was an increase of prescribed nitrofurantoin and a decrease of prescribed quinolones to women with lower UTIs between the studied y. Furthermore, 3-d treatment with trimethoprim increased although the prescribed duration was mostly 7 d. In contrast to the guidelines, few urine cultures were performed. The study highlights the necessity of updating the guidelines for the management of lower UTIs in general practice.

  • 3. André, Malin
    et al.
    Eriksson, Margareta
    Möstad, Sigvard
    Stålsby Lundborg, Cecilia
    Jacobsson, Anders
    Odenholt, Inga
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Runehagen, Arne
    Schwan, Åke
    The management of infections in children in general practice in Sweden.: a repeated 1-week diagnosis-prescribing study in 5 counties in 2000 and 2002.2005In: The Journal of Infectious Diseases, ISSN 0022-1899, Vol. 37, no 11-12, 863-869 p.Article in journal (Refereed)
    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.

  • 4. André, Malin
    et al.
    Schwan, Åke
    Odenholt, Inga
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    The use of CRP tests in patients with respiratory tract infections in primary care in Sweden care can be questioned.2004In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, Vol. 36, no 3, 192-197 p.Article in journal (Refereed)
    Abstract [en]

    A diagnosis-antibiotic prescribing study was performed in 5 counties in Sweden during 1 week in November in 2000 and 2002 respectively. As a part of the study, the use and results of C-reactive protein (CRP) tests in relation to duration of symptoms and antibiotic prescribing in 6778 patients assigned a diagnosis of respiratory tract infections were analysed. In almost half (42%) of the patients, a CRP test was performed. The majority of CRP tests (69%) were performed in patients assigned diagnosis upper respiratory tract infection, where the test is not recommended. Overall, there was a minor decrease in antibiotic prescribing when CRP was used (41%), in comparison to 44% of the patients where no CRP was performed (p < 0.01). Patients assigned diagnoses implying a bacterial aetiology were prescribed antibiotics irrespective of result of CRP or length of symptoms before consultation. For patients assigned viral diagnoses, antibiotic prescribing increased with increasing duration of symptoms and increasing value of CRP. The use of CRP decreased antibiotic prescribing in patients assigned to viral diagnoses and with longstanding symptoms (p < 0.001). However, 59% of the patients assigned viral diagnoses with CRP > or = 25 received antibiotics, which seems to indicate a misinterpretation of CRP and a non-optimal use of antibiotics.

  • 5. André, Malin
    et al.
    Vernby, Åsa
    Odenholt, Inga
    Stålsby Lundborg, Cecilia
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Eriksson, Margareta
    Runehagen, Arne
    Schwan, Åke
    Mölstad, Sigvard
    Diagnosis-prescribing surveys in 2000, 2002 and 2005 in Swedish general practice: Consultations, diagnosis, diagnostics and treatment choices2008In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 40, no 8, 648-654 p.Article in journal (Refereed)
  • 6. Anonym (I.Ax.),
    Två fall av letala neonatala GBS-infektioner [Two cases of lethal neonatal GBS infections].2003Other (Other academic)
  • 7. Antonopo, C.A.
    et al.
    Axelsson, Inge
    Lunds universitet.
    Heinegård, D
    Gardell, S
    Extraction and purification of proteoglycans from various types of connective tissue1974In: Biochimica et Biophysica Acta, ISSN 0006-3002, Vol. 338, no 1, 108-119 p.Article in journal (Refereed)
  • 8.
    Axelsson, I.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Barn med okontrollerad astma sällan bättre av ökad dos inhalerade steroider2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, 976-977 p.Article in journal (Refereed)
  • 9.
    Axelsson, I.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Metaanalys av vacciner mot kikhosta2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 9, 463- p.Article in journal (Other academic)
  • 10.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    75. Smärtlindring för spädbarn: Översikt över randomiserade studier [pain treatment in infants: overview over randomized studies] (peer-reviewed). Läkartidningen 2000:97(44):4971-2. 2000In: Läkartidningen, ISSN 0023-7205, Vol. 97, no 44, 4971-4972 p.Article in journal (Refereed)
  • 11.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Acute otitis media in children: to treat or not to treat?2000In: Paediatric pulmonology and allergology, ISSN 1392-5261, Vol. 3, no 3, 1022-1032 p.Article in journal (Other academic)
    Abstract [en]

    Every day millions of children world-wide take antibiotics against acute otitis media despite the fact that this treatment has not been shown to benefit the otherwise healthy, average AOM patient. Treatment differs greatly between similar, developed countries. These differences do not seem to be based on rational causes but on differences in mentality and culture. An adoptions of Dutch guidelines for AOM in the USA should result in 400.000 fewer US children on antibiotics during one average day! The incidence of severe complications (mastoiditis, meningitis) must be carefully monitored but there is no evidence that these complications are more common in the Netherlands than in the USA. The number of patients who die due to bacteria made antibiotic-resistant by overuse of antibiotics when treating AOM in children is unknown, but is most probably significant (this is never included in "good versus harm" calculations). We know little about what treatment is best for children suffering from AOM in poor countries, but it is probably wise to be more aggressive there and to adapt a freer usage of antibiotics than is advisable in rich countries.

  • 12.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Advances in airway infections. 1. Pneumonia in children: systematic review. 2. Acute otitis media in children: systematic review.2004Other (Other scientific)
    Abstract [en]

    Peer reviewed. Also published in Hungarian (translated by Tamas Nyeste) and Swedish (translated by I. Axelsson).

  • 13.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Antibiotika ökar risken för hemolytiskt uremiskt syndrom: Escherichia coli O157:H72000In: Läkartidningen, ISSN 0023-7205, Vol. 97, no 25, 3060-3060 p.Article in journal (Other scientific)
  • 14.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Avslöjande vårdreportage viktig bok.2013In: Svenska dagbladet, ISSN 1101-2412Article, book review (Other (popular science, discussion, etc.))
  • 15.
    Axelsson, Inge
    Lunds universitet.
    Biology of corneal and skeletal proteoglycans1978In: Biochimie des tissus conjonctifs normaux et pathologiques : Biochemistry of normal and pathological connective tissues / 6th Colloquium of the Federation of European connective tissue clubs, Faculté de médecine, Université Paris Val-de Marne Créteil 28-30 août 1978; publ. sous la direction de A.-M. Robert et L. Robert, 1978, , 385 p.Conference paper (Refereed)
  • 16.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Cervarix mot Gardasil: hälsoekonomisk tävling eller cancer-prevention?2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 44, 2212-2212 p.Article in journal (Other academic)
  • 17.
    Axelsson, Inge
    Lunds universitet.
    Characterization of proteins and other macromolecules by agarose gel chromatography1978In: Journal of Chromatography, ISSN 0021-9673, Vol. 152, no 1, 21-32 p.Article in journal (Refereed)
  • 18.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Clinical evidence, Cochrane och PubMed (Compendium, 18 pp.).2001Other (Other scientific)
  • 19.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Cochrane-möte i Sydafrika. The number of South Africans living with AIDS-HIV has risen 12 percent to 4.7 million, or one in nine of the population, the goverment said on Tuesda [www.CNN.com on March 20, 2001, the day before publication of my paper]: Evidensbaserad medicin möter tredje världen2001In: Läkartidningen, ISSN 0023-7205, Vol. 98, no 12, 1368-1369 p.Article in journal (Refereed)
  • 20.
    axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Cochrane-översikt om att förebygga navelinfektioner: Antiseptisk lösning är onödig i i-länder men livräddande i u-länder; evidensbaserad medicin2002In: Läkartidningen, ISSN 0023-7205, Vol. 99, no 14, 1563-1566 p.Article in journal (Refereed)
    Abstract [en]

    One million newborn infants die every year by bacterial infections, which often have entered the body via the umbilicus. A Cochrane systematic review on "Topical umbilical cord care at birth" by J Zupan and P Garner is reviewed. Zupan and Garner conclude that simply to keep the umbilical cord dry and clean is sufficient for healthy, term neonates in rich countries; disinfectants do not offer any advantage. However, cleaning the umbilical cord with disinfectants may reduce the risk of serious bacterial infections in babies in poor countries or in neonatal wards. Observational studies in poor countries indicate that the life of numerous infants can be saved if pregnant women are vaccinated against tetanus and disinfectants are substituted for harmful cord care traditions. This Cochrane review is credible, but it should be updated and considered tentative since no data on sepsis are included. The search strategy should be better described and observational studies (case control and cohort studies) from poor countries should be included since there are no randomized control trials from these countries.

  • 21.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Commentary: Malaria vaccine was safe for infants and did not interfere with the immunogenicity of coadministered antigens2009In: Evidence-Based Medicine, ISSN 1356-5524, E-ISSN 1473-6810, Vol. 14, no 3, 87-87 p.Article, review/survey (Other academic)
  • 22.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Commentary: Oral prednisolone did not improve outcomes in preschool children with an attack of wheezing2009In: Evidence-Based Medicine, ISSN 1356-5524, E-ISSN 1473-6810, Vol. 14, no 3, 77-77 p.Article, review/survey (Other academic)
  • 23.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Evidence-based Child Health: 1. Evidence-Based Medicine: what it is, and what it isn't. 2. Evidence-Based Child Health: what it is, and why it should be used. 3. A brief history of EBM. 2004Other (Other scientific)
  • 24.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Evidence-based child health and epidemiology: glossary. (Peer-reviewed. Also Hungarian version, translated by T Nyeste, and Swedish version, translated by I. Axelsson: Ordlista för evidensbaserad barnmedicin och epidemiologi.)2004Other (Other scientific)
    Abstract [en]

    About 170 entries

  • 25.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Evidensbaserad medicin: Vinstkrav försämrar och fördyrar vården2012In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 4, 165-166 p.Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Undvik vård på sjukhus eller vårdhem som drivs med vinstkrav. Landstingen bör inte sluta avtal med sådana institutioner. Det är ett par av de slutsatser som Inge Axelsson drar efter att ha gått igenom litteraturen om kvalitet och kostnad i vård med respektive utan krav på vinst.

  • 26.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Gör vapnen svåråtkomliga2011Other (Other (popular science, discussion, etc.))
  • 27.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    HPV-Vaccination av svenska flickor; HPV-Vaccination av vuxna kvinnor och män: [HPV-vaccination of Swedish girls; HPV-vaccination of adult women and men].2011Report (Other academic)
  • 28.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Hårdnad konkurrens ger dopad forskning2016Other (Other (popular science, discussion, etc.))
  • 29.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Internationell utblick [International review]2004In: Läkare mot kärnvapen, ISSN 1400-2256, no 96, 20-21 p.Article in journal (Other (popular scientific, debate etc.))
  • 30.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Järntillskott till barn medför inte fler infektioner2003In: Läkartidningen, ISSN 0023-7205, Vol. 99, no 11, 926-926 p.Article in journal (Other (popular scientific, debate etc.))
  • 31.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Kan antibiotika öka risken för HUS?: Motstridiga svar i metaanalys2002In: Läkartidningen, ISSN 0023-7205, no 44, 4383-4383 p.Article in journal (Other scientific)
  • 32.
    Axelsson, Inge
    Lunds universitet.
    Keratan sulfate proteoglycans.1977Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Summary of PhD thesis in biochemistry (physiological chemistry). (The 6 papers were cited 628 times 1974-2004.)

  • 33.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Kliniska tecken på appendicitis acuta: CRP eller LPK förhöjt hos alla vuxna och hos de flesta barn2001In: Läkartidningen, ISSN 0023-7205, Vol. 98, no 36, 3808-3808 p.Article in journal (Other scientific)
  • 34.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Krupp (pseudokrupp, falsk krupp) [Clinical practice guidelines for croup; peer-reviewed]. 2001Other (Other scientific)
    Abstract [sv]

    b) Printed book: p. 23-26 i Axelsson I et al., Lungsjukdomar - Öppen vård.

  • 35.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Medicina basada en la evidencia en la práctica: tratar o no tratar la otitis media? [Evidence-based medicine in practice: to treat or not to treat otitis media?]1999In: Pediatría Atención Primaria, Vol. 1, no 4, 629-637 p.Article in journal (Refereed)
    Abstract [en]

    Axelsson I. ; also published electronically: http:// ).

  • 36.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Navelvård [topical umbilical cord care].2002Other (Other scientific)
  • 37.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Paediatric cases 20042004Other (Other scientific)
  • 38.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Paediatric news 20042004Other (Other scientific)
  • 39.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Paracetamol plus ibuprofen reduced fever in young children faster than paracetamol alone but not ibuprofen alone2009In: Evidence-Based Medicine, ISSN 1356-5524, E-ISSN 1473-6810, Vol. 14, no 6, 174- p.Article in journal (Other academic)
  • 40.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Paracetamol till barn och gravida – försiktighetsprincipen bör råda: Var återhållsam med paracetamol medan riskerna för adhd och astma utreds2014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 34-35, 1350- p.Article in journal (Refereed)
  • 41.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Pneumoni hos barn. [Clinical practice guidelines for pneumonia in children.] a) Electronic version:www.internetmedicin.se, Göteborg 2003; latest update 2004.2003Other (Other scientific)
    Abstract [en]

    b) Printed book: p. 40-46 i Axelsson I et al., Lungsjukdomar - Öppen vård. Göteborg: Internetmedicin.se, 2004.

  • 42.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Re: HPV vaccine prices in Italy. Rapid Response.2011In: BMJ. British Medical Journal, E-ISSN 1756-1833, no 13 OctArticle in journal (Other academic)
  • 43.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Reviewer's Report. Pre-publication history: Gabriel J Escobar, Anthony S Masaquel, Sherian X Li, Eileen M Walsh and Patricia Kipnis. Persistent recurring wheezing in the fifth year of life after laboratory-confirmed, medically attended respiratory syncytial virus infection in infancy. BMC Pediatrics 2013, 13:972013Other (Refereed)
  • 44.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    RS-virus hos barn: [RS virus in children]2011Other (Other academic)
  • 45.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    RS-virusinfektioner hos barn2001Other (Other scientific)
    Abstract [en]

    a) Electronic version: www.internetmedicin.se, Göteborg 2001; latest update in November 2004. b) Printed book: p. 31-35 i Axelsson I et al., Lungsjukdomar - Öppen vård. Internetmedicin.se, 2004.

  • 46.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sju utvecklingsstörda syskon: Om nyttan med PKU-provet2005In: Läkartidningen, ISSN 0023-7205, Vol. 102, no 20, 1560-1560 p.Article in journal (Other scientific)
  • 47.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    ”Självmorden glöms bort i debatten om skjutvapen”2012In: Dagens Nyheter, ISSN 1101-2447, no 20120813, Debatt- p.Article in journal (Other (popular science, discussion, etc.))
  • 48.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Skärpning, JK!2003In: Läkartidningen, ISSN 0023-7205, Vol. 100, no 32-33, 2534-2534 p.Article in journal (Other (popular scientific, debate etc.))
    Abstract [en]

    [Letter about the Thalidomide disaster].

  • 49.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sluta ge steroider till nyfödda, underburna barn2001In: Läkartidningen, ISSN 0023-7205, Vol. 98, no 40, 4355-4355 p.Article in journal (Other (popular scientific, debate etc.))
  • 50.
    Axelsson, Inge
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Studie till grund för diskussion om spädbarnsvaccin2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 15Article in journal (Other academic)
12 1 - 50 of 98
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