Antibiotics for sore throat: impact of feedback to patients on the probability of bacterial infection.
Antibiotics are overused in the management of sore throat. Using a scoring system with 108 attenders, we provided feedback on the likelihood of bacterial infection and measured the impact on initial patient expectation for antibiotic therapy. Patient attitudes and beliefs regarding antibiotics were also examined. Of sixty two patients whose score suggested viral infection, 18(29%) opted not to take an antibiotic prescription. The 42(67%) who still wanted an antibiotic, despite being told it was "unlikely or highly unlikely" to help, had a higher mean attendance rate for sore throat (1.63 v 0.83 (p = 0.14)) and other illness (6.53 v 4.22 (p = 0.22)), and a higher mean re-attendance rate following the study (1.68 v 0.50 (p = 0.025)). Qualitative analysis suggests that this subgroup may believe in the analgesic properties of antibiotics.
Macnamara
J
J
Harrington
P
P
Walsh
M
M
Walsh
M
M
Burke
M
M
Walsh
N
N
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002648:Child; D003625:Data Collection; D004363:Drug Utilization; D005246:Feedback; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation; D017060:Patient Satisfaction; D010612:Pharyngitis / Q000188:drug therapy* / Q000382:microbiology / Q000821:virology; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy*; D016896:Treatment Outcome; D014777:Virus Diseases / Q000175:diagnosis / Q000188:drug therapy*
D000900:Anti-Bacterial Agents