Prescribing antibiotics when the stakes are higher — do GPs prescribe less when patients are pregnant? A retrospective observational study by Guro Haugen.

Slides:



Advertisements
Similar presentations
RESPIRATORY TRACT INFECTIONS: ANTIBIOTIC PRESCRIBING
Advertisements

The course of C-reactive protein response in untreated upper respiratory tract infection by Hasse Melbye, Dag Hvidsten, Arne Holm, Sveine Arne Nordbø,
Skin infections and antibiotic prescribing: a comparison of surveillance and prescribing data by Douglas M Fleming, Alex J Elliot, and Helen Kendall BJGP.
Point of care tests Presentation , Nordisk kongress København Morten Lindbæk, professor University of Oslo and ASP.
Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling by Kathryn O’Brien,
Achievement of cholesterol targets and prescribing of higher-cost statins: a cross-sectional study in general practice by Robert Fleetcroft, Peter Schofield,
Oral penicillin prescribing for children in the UK: a comparison with BNF for Children age-band recommendations by Sonia Saxena, Zareen Ismael, Macey L.
Caring for people living with, and beyond, cancer: an online survey of GPs in England by Fiona M Walter, Juliet A Usher-Smith, Suresh Yadlapalli, and Eila.
Implementation and outcomes of a 5-year intervention program to improve use of antibiotics in respiratory tract infection in primary care Judith Mackson.
Trends and inequities in beta-blocker prescribing for heart failure by Sunil M Shah, Iain M Carey, Stephen DeWilde, Nicky Richards, and Derek G Cook BJGP.
Procalcitonin versus C-reactive protein for predicting pneumonia in adults with lower respiratory tract infection in primary care by Anette Holm, Svend.
Surveillance diagnoses 465.9URI 462Acute Pharyngitis 461.9Acute Sinusitis 466Acute Bronchitis 463Acute Tonsillitis Viral Infection 460Common Cold.
by SJ Davis, A Lott, and E Besada
Clinical features of patients with non-metastatic lung cancer in primary care: a case-control study by Marcela Ewing, Peter Naredi, Chenyang Zhang, Lars.
Cost-effectiveness of antibiotic treatment of uncomplicated urinary tract infection in women: a comparison of four antibiotics by Susannah Sadler, Michael.
Cost-effectiveness of antibiotic treatment of uncomplicated urinary tract infection in women: a comparison of four antibiotics by Susannah Sadler, Michael.
by Carol Sinnott, Sheena Mc Hugh, Maria B Boyce, and Colin P Bradley
Prescribing antibiotics when the stakes are higher — do GPs prescribe less when patients are pregnant? A retrospective observational study by Guro Haugen.
Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis by Tau-Hong Lee, Joshua.
by SJ Davis, A Lott, and E Besada
by Anwen L Cope, Ivor G Chestnutt, Fiona Wood, and Nick A Francis
Bacteriology in uncomplicated urinary tract infections in Norwegian general practice from 2001–2015 by Marianne Bollestad, Ingvild Vik, Nils Grude, Hege.
Bacteriology in uncomplicated urinary tract infections in Norwegian general practice from 2001–2015 by Marianne Bollestad, Ingvild Vik, Nils Grude, Hege.
The course of C-reactive protein response in untreated upper respiratory tract infection by Hasse Melbye, Dag Hvidsten, Arne Holm, Sveine Arne Nordbø,
by Ingrid Looijmans-van den Akker, Karen van Luijn, and Theo Verheij
Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data by Gary A Abel, Silvia C Mendonca,
Reducing inappropriate antibiotic prescribing for children in primary care: a cluster randomised controlled trial of two interventions by Marieke B Lemiengre,
Signs and symptoms for diagnosis of serious infections in children: a prospective study in primary careCommentary by Ann Van den Bruel, Bert Aertgeerts,
by Claire Blacklock, Tanya Ali Haj-Hassan, and Matthew J Thompson
Tumour stage and implementation of standardised cancer patient pathways: a comparative cohort study by Henry Jensen, Marie Louise Tørring, Morten Fenger-Grøn,
by Gail N Hayward, Charles Vincent, and Daniel S Lasserson
by Silvia C Mendonca, Gary A Abel, and Georgios Lyratzopoulos
Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling by Kathryn O’Brien,
Oral penicillin prescribing for children in the UK: a comparison with BNF for Children age-band recommendations by Sonia Saxena, Zareen Ismael, Macey L.
Clinical presentation and microbiological diagnosis in paediatric respiratory tract infection: a systematic review by Hannah V Thornton, Peter S Blair,
Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data by Gary A Abel, Silvia C Mendonca,
Developing patient reference groups within general practice: a mixed-methods study by Jane Smiddy, Joanne Reay, Stephen Peckham, Lorraine Williams, and.
Delayed antibiotic prescribing and associated antibiotic consumption in adults with acute cough by Nick A Francis, David Gillespie, Jacqueline Nuttall,
Bacteriology in uncomplicated urinary tract infections in Norwegian general practice from 2001–2015 by Marianne Bollestad, Ingvild Vik, Nils Grude, Hege.
Alarm signs and antibiotic prescription in febrile children in primary care: an observational cohort study by Gijs Elshout, Yvette van Ierland, Arthur.
Symptoms of adult chronic and acute leukaemia before diagnosis: large primary care case-control studies using electronic records by Elizabeth A Shephard,
GPs' classification of headache: is primary headache underdiagnosed?
Point-of-care C-reactive protein to assist in primary care management of children with suspected non-serious lower respiratory tract infection: a randomised.
Caring for people living with, and beyond, cancer: an online survey of GPs in England by Fiona M Walter, Juliet A Usher-Smith, Suresh Yadlapalli, and Eila.
Pointers to earlier diagnosis of endometriosis: a nested case-control study using primary care electronic health records by Christopher Burton, Lisa Iversen,
by Kristina Star, Andrew Bate, Ronald HB Meyboom, and I Ralph Edwards
Early diagnostic suggestions improve accuracy of GPs: a randomised controlled trial using computer-simulated patients by Olga Kostopoulou, Andrea Rosen,
Acute infective conjunctivitis in primary care: who needs antibiotics
by Ali Albasri, Suman Prinjha, Richard J McManus, and James P Sheppard
by Mark Hann, and Hugh Gravelle
Variations in GP–patient communication by ethnicity, age, and gender: evidence from a national primary care patient survey by Jenni Burt, Cathy Lloyd,
Volume ():bjgpmar tau-hong_lee-fl-p
Expectations for consultations and antibiotics for respiratory tract infection in primary care: the RTI clinical iceberg by Cliodna AM McNulty, Tom Nichols,
Distribution of the paediatricians who prescribed amoxicillin alone at the index prescription to at least 50% of their patients included in the study (A.
Therapeutic alternatives for supporting GPs to deprescribe opioids: a cross-sectional survey by Ruth A White, Chris Hayes, Allison W Boyes, Simon Chiu,
by Torunn Bjerve Eide, Jørund Straand, and Elin Olaug Rosvold
by Ali Albasri, Suman Prinjha, Richard J McManus, and James P Sheppard
by Paul Baughan, Jennifer Keatings, and Bill O'Neill
Trends and inequities in beta-blocker prescribing for heart failure
Clinical predictors of antibiotic prescribing for acutely ill children in primary care: an observational study by Kathryn O’Brien, Thomas Wyn Bellis, Mark.
Barriers in providing primary care for immigrant patients with dementia: GPs’ perspectives by Rosa Vissenberg, Ozgul Uysal, Miriam Goudsmit, Jos van Campen,
Encouraging adolescents to contact their GP: a community-based trial
by Melanie J Calvert, Richard J McManus, and Nick Freemantle
by Yafang Huang, Rui Chen, Tao Wu, Xiaoming Wei, and Aimin Guo
by Ivana Pericin, Gerard Mansfield, James Larkin, and Claire Collins
by Kevin Moore, Elizabeth Cottrell, and Ruth Chambers
by Nada F Khan, Sian E Harrison, and Peter W Rose
by Abi Eccles, Michael Hopper, Amadea Turk, and Helen Atherton
Pyramid of incidence of acute cough.
by Marion Murphy, Stephen Byrne, and Colin P Bradley
Presentation transcript:

Prescribing antibiotics when the stakes are higher — do GPs prescribe less when patients are pregnant? A retrospective observational study by Guro Haugen Fossum, Svein Gjelstad, Kari J Kværner, and Morten Lindbaek Br J Gen Pract Open Volume 2(2):bjgpopen18X101505 July 24, 2018 Copyright © The Authors 2018

Selection of GPs and patients from the Rx-PAD study database and the Norwegian birth registry in the study period December 2004–February 2007. Selection of GPs and patients from the Rx-PAD study database and the Norwegian birth registry in the study period December 2004–February 2007. aGPs with <10 episodes were excluded. RTI = respiratory tract infection. Rx-PAD = Peer Academic Detailing. Guro Haugen Fossum et al. BJGP Open 2018;2:bjgpopen18X101505 Copyright © The Authors 2018

Diagnosis of respiratory tract infection episodes in study period, showing adjusted odds ratio for 'pregnant' and 95% confidence intervals (significant difference in bold and italic, P<0.05). Diagnoses based on ICPC-2: acute upper respiratory tract infections, URTI (R01–05, 07–29, 74, and 80), tonsillitis (R72 and 76), sinusitis (R75), bronchitis (R78), pneumonia (R81), otitis (H01, 71, 72, and 74), and other respiratory tract infections (R71, 77, 82, and 83). N = 18 890 episodes. Diagnosis of respiratory tract infection episodes in study period, showing adjusted odds ratio for 'pregnant' and 95% confidence intervals (significant difference in bold and italic, P<0.05). Diagnoses based on ICPC-2: acute upper respiratory tract infections, URTI (R01–05, 07–29, 74, and 80), tonsillitis (R72 and 76), sinusitis (R75), bronchitis (R78), pneumonia (R81), otitis (H01, 71, 72, and 74), and other respiratory tract infections (R71, 77, 82, and 83). N = 18 890 episodes. Guro Haugen Fossum et al. BJGP Open 2018;2:bjgpopen18X101505 Copyright © The Authors 2018

Antibiotic prescriptions for URTIs in patients who were pregnant during study period showing adjusted odds ratio for 'pregnant' and 95% confidence intervals, (significant difference in bold and italic, P<0.05). N = 18 890 episodes. Antibiotic prescriptions for URTIs in patients who were pregnant during study period showing adjusted odds ratio for 'pregnant' and 95% confidence intervals, (significant difference in bold and italic, P<0.05). N = 18 890 episodes. aCiprofloxacin and cephalosporins. Penicillins WES = penicillins with extended spectrum. Guro Haugen Fossum et al. BJGP Open 2018;2:bjgpopen18X101505 Copyright © The Authors 2018