Duration of antibiotic treatment for common infections in English primary care: cross sectional analysis and comparison with guidelines.

BMJ : British Medical Journal
Koen B PouwelsJulie V Robotham

Abstract

To evaluate the duration of prescriptions for antibiotic treatment for common infections in English primary care and to compare this with guideline recommendations. Cross sectional study. General practices contributing to The Health Improvement Network database, 2013-15. 931 015 consultations that resulted in an antibiotic prescription for one of several indications: acute sinusitis, acute sore throat, acute cough and bronchitis, pneumonia, acute exacerbation of chronic obstructive pulmonary disease (COPD), acute otitis media, acute cystitis, acute prostatitis, pyelonephritis, cellulitis, impetigo, scarlet fever, and gastroenteritis. The main outcomes were the percentage of antibiotic prescriptions with a duration exceeding the guideline recommendation and the total number of days beyond the recommended duration for each indication. The most common reasons for antibiotics being prescribed were acute cough and bronchitis (386 972, 41.6% of the included consultations), acute sore throat (239 231, 25.7%), acute otitis media (83 054, 8.9%), and acute sinusitis (76 683, 8.2%). Antibiotic treatments for upper respiratory tract indications and acute cough and bronchitis accounted for more than two thirds of the total prescriptions con...Continue Reading

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Citations

Mar 1, 2019·BMJ : British Medical Journal·Alastair D Hay
Jul 10, 2019·Expert Review of Anti-infective Therapy·Karolin HijaziIan M Gould
Jun 30, 2019·BMJ Quality & Safety·Nathan HouchensAshwin Gupta
Nov 5, 2019·BMJ Open Respiratory Research·Marie StolbrinkJohn D Blakey
Jun 22, 2019·BMC Medicine·Koen B PouwelsJulie V Robotham
Apr 23, 2020·Journal of Family Medicine and Primary Care·Dhirja GoelDeshraj Jain
Aug 21, 2019·The Journal of Antimicrobial Chemotherapy·Magdalena NowakowskaVictoria Palin
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May 12, 2021·NPJ Primary Care Respiratory Medicine·Mengyuan FuDennis Ross-Degnan
Aug 4, 2021·Drug and Therapeutics Bulletin·Michael Wilcock, Alastair D Hay

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