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Management of sore throat in Danish general practices
BACKGROUND: The national guideline for sore throat, endorsed by the Danish Society of General Medicine, recommends the use of the modified Centor score and streptococcal rapid antigen detection test to guide diagnosis and treatment of sore throat. The aim was to investigate Danish general practition...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545212/ https://www.ncbi.nlm.nih.gov/pubmed/31153357 http://dx.doi.org/10.1186/s12875-019-0970-3 |
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author | Reinholdt, Kasper Basse Rusan, Maria Hansen, Pernille Rosbjerg Klug, Tejs Ehlers |
author_facet | Reinholdt, Kasper Basse Rusan, Maria Hansen, Pernille Rosbjerg Klug, Tejs Ehlers |
author_sort | Reinholdt, Kasper Basse |
collection | PubMed |
description | BACKGROUND: The national guideline for sore throat, endorsed by the Danish Society of General Medicine, recommends the use of the modified Centor score and streptococcal rapid antigen detection test to guide diagnosis and treatment of sore throat. The aim was to investigate Danish general practitioners (GPs) routine management of sore throat patients with a focus on the modalities used and adherence to the guideline. METHODS: A cross-sectional study. GPs in the Central Denmark Region answered an online questionnaire in October 2017. The main outcome measure was modalities used in the management of sore throat patients. RESULTS: In total, 266 of 500 (53%) GPs answered the survey. Ten percent of participants were adherent or almost adherent to the guideline, while 82% of GPs added one or more extra modalities (general clinical assessment (67%), biochemical parameters (48%), and throat swabs for bacterial culture (18%)) to differentiate viral and bacterial etiology. Sixty-five percent of participants used the Centor Score or modified Centor Score, 96% of GPs used a streptococcal rapid antigen detection test, and all GPs chose narrow-spectrum penicillin as the first-line antibiotic. The most common reasons for non-adherence to the guideline were greater confidence in the clinical assessment (39%), time pressure (33%), and difficulty recalling the guideline (19%). CONCLUSION: Danish GPs rarely adhere to the recommended sore throat management guideline, but use various combinations of different modalities in the assessment of bacterial infection. This practice may increase antibiotic prescription rates. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-019-0970-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6545212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65452122019-06-05 Management of sore throat in Danish general practices Reinholdt, Kasper Basse Rusan, Maria Hansen, Pernille Rosbjerg Klug, Tejs Ehlers BMC Fam Pract Research Article BACKGROUND: The national guideline for sore throat, endorsed by the Danish Society of General Medicine, recommends the use of the modified Centor score and streptococcal rapid antigen detection test to guide diagnosis and treatment of sore throat. The aim was to investigate Danish general practitioners (GPs) routine management of sore throat patients with a focus on the modalities used and adherence to the guideline. METHODS: A cross-sectional study. GPs in the Central Denmark Region answered an online questionnaire in October 2017. The main outcome measure was modalities used in the management of sore throat patients. RESULTS: In total, 266 of 500 (53%) GPs answered the survey. Ten percent of participants were adherent or almost adherent to the guideline, while 82% of GPs added one or more extra modalities (general clinical assessment (67%), biochemical parameters (48%), and throat swabs for bacterial culture (18%)) to differentiate viral and bacterial etiology. Sixty-five percent of participants used the Centor Score or modified Centor Score, 96% of GPs used a streptococcal rapid antigen detection test, and all GPs chose narrow-spectrum penicillin as the first-line antibiotic. The most common reasons for non-adherence to the guideline were greater confidence in the clinical assessment (39%), time pressure (33%), and difficulty recalling the guideline (19%). CONCLUSION: Danish GPs rarely adhere to the recommended sore throat management guideline, but use various combinations of different modalities in the assessment of bacterial infection. This practice may increase antibiotic prescription rates. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-019-0970-3) contains supplementary material, which is available to authorized users. BioMed Central 2019-06-01 /pmc/articles/PMC6545212/ /pubmed/31153357 http://dx.doi.org/10.1186/s12875-019-0970-3 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Reinholdt, Kasper Basse Rusan, Maria Hansen, Pernille Rosbjerg Klug, Tejs Ehlers Management of sore throat in Danish general practices |
title | Management of sore throat in Danish general practices |
title_full | Management of sore throat in Danish general practices |
title_fullStr | Management of sore throat in Danish general practices |
title_full_unstemmed | Management of sore throat in Danish general practices |
title_short | Management of sore throat in Danish general practices |
title_sort | management of sore throat in danish general practices |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545212/ https://www.ncbi.nlm.nih.gov/pubmed/31153357 http://dx.doi.org/10.1186/s12875-019-0970-3 |
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