Academic Journal
Danish GPs’ and practice nurses’ management of acute sore throat and adherence to guidelines
| Title: | Danish GPs’ and practice nurses’ management of acute sore throat and adherence to guidelines |
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| Authors: | Janni Katharina Stuhr, Jesper Lykkegaard, Jette Kolding Kristensen, Jette Brommann Kornum, Malene Plejdrup Hansen |
| Source: | Stuhr, J K, Lykkegaard, J, Kristensen, J K, Kornum, J B & Hansen, M P 2019, 'Danish GPs' and practice nurses' management of acute sore throat and adherence to guidelines', Family Practice, vol. 36, no. 2, pp. 192–198. https://doi.org/10.1093/fampra/cmy059 Stuhr, J K, Lykkegaard, J, Kristensen, J K, Kornum, J B & Hansen, M P 2019, ' Danish GPs' and practice nurses' management of acute sore throat and adherence to guidelines ', Family Practice, vol. 36, no. 2, pp. 192-198 . https://doi.org/10.1093/fampra/cmy059 |
| Publisher Information: | Oxford University Press (OUP), 2018. |
| Publication Year: | 2018 |
| Subject Terms: | Male, Denmark, Nurses, nurses, Pharyngitis/drug therapy, diagnostic tests, 03 medical and health sciences, Nurses/statistics & numerical data, 0302 clinical medicine, General Practitioners/statistics & numerical data, General Practitioners, Humans, Practice Patterns, Physicians'/statistics & numerical data, Practice Patterns, Physicians', guideline adherence, general practice, Diagnostic Tests, Routine, Disease Management, Pharyngitis, sore throat, Anti-Bacterial Agents, 3. Good health, Anti-Bacterial Agents/therapeutic use, Antibacterial agents, Cross-Sectional Studies, Guideline Adherence/standards, Female, Guideline Adherence |
| Description: | Sore throat is a frequent presentation of acute respiratory tract infections in general practice. Though these infections are often harmless and self-limiting, antibiotics are frequently prescribed. In Denmark, practice nurses manage an increasing part of patients with acute minor illnesses.We aimed (i) to investigate Danish practice nurses' and GPs' management of patients presenting with a sore throat and (ii) to explore to what extent management is according to current Danish guidelines.A cross-sectional study was conducted during winter 2017, involving GPs and practice nurses in Danish general practices. Patients with a sore throat were registered according to the Audit Project Odense method.A total of 44 practices participated with the registration of 1503 patients presenting with a sore throat. Most patients had a strep A test performed, especially when managed by a practice nurse (84.6% versus 61.8%, χ2 = 90.1, P < 0.05). In total, 40.6% of performed strep A tests were not according to guideline recommendations. Antibiotics were prescribed for about one-third of patients, regardless whether managed by a practice nurse or a GP (χ2 = 0.33, P = 0.57). However, 32.4% of these prescriptions were not in line with Danish guidelines.Patients with acute sore throat were managed similarly by GPs and practice nurses, apart from a higher use of strep A tests in patients seen by practice nurses. Importantly, this study demonstrated that there is still room for improvement of the management of these patients in Danish general practice. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1460-2229 |
| DOI: | 10.1093/fampra/cmy059 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/29924311 https://vbn.aau.dk/da/publications/572c104e-3541-421c-b29e-e72940becc9f https://doi.org/10.1093/fampra/cmy059 http://www.scopus.com/inward/record.url?scp=85063276151&partnerID=8YFLogxK https://academic.oup.com/fampra/article/36/2/192/5040020 https://www.ncbi.nlm.nih.gov/pubmed/29924311 https://europepmc.org/article/MED/29924311 https://vbn.aau.dk/da/publications/danish-gps-and-practice-nurses-management-of-acute-sore-throat-and-adherence-to-guidelines(572c104e-3541-421c-b29e-e72940becc9f).html https://vbn.aau.dk/da/publications/danish-gps-and-practice-nurses-management-of-acute-sore-throat-an https://portal.findresearcher.sdu.dk/da/publications/danish-gps-and-practice-nurses-management-of-acute-sore-throat-an https://portal.findresearcher.sdu.dk/da/publications/1b3fe842-0536-43cf-a2fc-09f39d394bdb https://portal.findresearcher.sdu.dk/da/publications/1b3fe842-0536-43cf-a2fc-09f39d394bdb https://doi.org/10.1093/fampra/cmy059 |
| Rights: | OUP Standard Publication Reuse |
| Accession Number: | edsair.doi.dedup.....442531c4094e3e48861fe07e356c7d94 |
| Database: | OpenAIRE |
| ISSN: | 14602229 |
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| DOI: | 10.1093/fampra/cmy059 |