Community clinic and emergency department physicians' adherence to acute pharyngitis antibiotic treatment guidelines.

European Journal of Clinical Investigation
Esther Levi, Ohad Ronen

Abstract

Antibiotic treatment guidelines for common infectious diseases enable proper diagnosis and treatment and avoid unnecessary antibiotic treatment, preventing both financial expenditure and antimicrobial resistance to antibiotics. The aim of our study was to investigate whether community physicians referring patients to the medical centre and whether emergency department (ED) physicians diagnose and treat acute pharyngitis according to these guidelines. We conducted a retrospective study. Data were collected on 99 patients admitted with the diagnosis of acute pharyngitis. The patients were admitted to the medical centre between 2015 and 2014. The physicians' adherence to antibiotic guidelines for indication, type and duration of treatment for acute pharyngitis was examined. The adherence of community physicians regarding the indication for antibiotic treatment was low (16%). The adherence of community and ED physicians regarding the type of treatment was high (96% and 99%, respectively). The adherence of ED physicians regarding the duration of treatment was higher than the adherence among community physicians (58% and 13.3%, respectively, Wilcoxon signed-rank test, P < .001). Interns tended to adhere to the guidelines more than se...Continue Reading

References

Sep 13, 2005·The Journal of Antimicrobial Chemotherapy·Annemiek E AkkermanTheo J M Verheij
Sep 12, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Stanford T ShulmanUNKNOWN Infectious Diseases Society of America
Jun 17, 2015·The Nurse Practitioner·Susan D Ruppert, Vaunette P Fay
May 4, 2016·JAMA : the Journal of the American Medical Association·Katherine E Fleming-DutraLauri A Hicks
Jan 17, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Peter G Goldschmidt

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Citations

Aug 6, 2021·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Esther Levi, Ohad Ronen

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