Predictors of an antibiotic prescription by GPs for respiratory tract infections: a pilot

Murray, S., Del Mar, C. and O'Rourke, P. K. (2000) Predictors of an antibiotic prescription by GPs for respiratory tract infections: a pilot. Family Practice, 17 5: 386-388. doi:10.1093/fampra/17.5.386


Author Murray, S.
Del Mar, C.
O'Rourke, P. K.
Title Predictors of an antibiotic prescription by GPs for respiratory tract infections: a pilot
Journal name Family Practice   Check publisher's open access policy
ISSN 0263-2136
Publication date 2000-10-01
Sub-type Article (original research)
DOI 10.1093/fampra/17.5.386
Volume 17
Issue 5
Start page 386
End page 388
Total pages 3
Place of publication Edinburgh
Publisher Oxford University Press
Language eng
Subject C1
321010 Infectious Diseases
730110 Respiratory system and diseases (incl. asthma)
Abstract Background. Antibiotics are over-prescribed for respiratory tract infections in Australia. Objectives. The aim of this study was to describe the clinical predictors of GPs' prescribing of antibiotics. Methods. We used Clinical Judgment Analysis to study the responses of GPs to hypothetical paper-based vignettes of a 20-year-old with a respiratory tract infection. The nature of four symptoms and signs (colour of nasal mucous discharge; soreness of the throat; presence of fever; and whether any cough was productive of sputum) was varied and their effect on prescribing measured using logistic regression. Results. Twenty GPs participated. The nature of each symptom and sign significantly predicted prescribing of an antibiotic. Cough productive of yellow sputum; presence of sore throat; fever; and coloured nasal mucus increased the probability of an antibiotic being prescribed. Conclusions. GPs are influenced by clinical signs and symptoms to use antibiotics for respiratory infections for which there is poor evidence of efficacy from the literature.
Keyword Medicine, General & Internal
Antibiotics
Clinical Signs
Gps
Prescribing
Respiratory Tract Infections
Acute Bronchitis
Primary-care
Physicians
Decisions
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 20 Aug 2007, 01:13:48 EST