Delayed antibiotic prescribing and associated antibiotic consumption in adults with acute cough

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Delayed antibiotic prescribing and associated antibiotic consumption in adults with acute cough.

BACKGROUND Delayed antibiotic prescribing is promoted as a strategy to reduce antibiotic consumption, but its use and its effect on antibiotic consumption in routine care is poorly described. AIM To quantify delayed antibiotic prescribing in adults presenting in primary care with acute cough/lower respiratory tract infection (LRTI), duration of advised delay, consumption of delayed antibioti...

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Antibiotic prescribing for adults with acute cough/lower respiratory tract infection: congruence with guidelines.

European guidelines for treating acute cough/lower respiratory tract infection (LRTI) aim to reduce nonevidence-based variation in prescribing, and better target and increase the use of first-line antibiotics. However, their application in primary care is unknown. We explored congruence of both antibiotic prescribing and antibiotic choice with European Respiratory Society (ERS)/European Society...

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Clinical and haematological predictors of antibiotic prescribing for acute cough in adults in Swiss practices – an observational study

BACKGROUND Acute cough is a common problem in general practice and is often caused by a self-limiting, viral infection. Nonetheless, antibiotics are often prescribed in this situation, which may lead to unnecessary side effects and, even worse, the development of antibiotic resistant microorganisms worldwide. This study assessed the role of point-of-care C-reactive protein (CRP) testing and oth...

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Visit complexity, diagnostic uncertainty, and antibiotic prescribing for acute cough in primary care: a retrospective study

BACKGROUND Guidelines and performance measures recommend avoiding antibiotics for acute cough/acute bronchitis and presume visits are straightforward with simple diagnostic decision-making. We evaluated clinician-assigned diagnoses, diagnostic uncertainty, and antibiotic prescribing for acute cough visits in primary care. METHODS We conducted a retrospective analysis of acute cough visits - c...

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Optimizing antibiotic prescribing for acute cough in general practice: a cluster-randomized controlled trial.

OBJECTIVES To assess the effect of a tailored professional intervention, including academic detailing, on antibiotic prescribing for acute cough. METHODS In a cluster-randomized controlled before and after study 85 Flemish GPs included adult patients with acute cough consulting in the periods February-April 2000 and 2001. The intervention consisted of a clinical practice guideline for acute c...

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ژورنال

عنوان ژورنال: British Journal of General Practice

سال: 2012

ISSN: 0960-1643,1478-5242

DOI: 10.3399/bjgp12x654614