Background
Methods
The study population
Data processing
Statistical method
Results
2008 | 2010 | 2013 | |
---|---|---|---|
Number of Primary Healthcare Centres (PHCC) | 47 | 58 | 88 |
Number of patient years (PY) | 460 529 | 556 192 | 785 070 |
Number of consultations (all causes) | 662 184 | 809 964 | 1 085 829 |
Consultations due to infections (percentage of all consultations) | 210 388 (31,8%) | 245 344 (30,3%) | 318 976 (29,4%) |
Prescribing rate | 53,7% | 45,5% | 38,6% |
Consultations for all infections
2008 | 2010 | 2013 | |||||||
---|---|---|---|---|---|---|---|---|---|
Consultations per 1000 PY | Share of all infection consultations (%) | Antibiotic prescriptions per 1000 PY | Consultations per 1000 PY | Share of all infection consultations (%) | Antibiotic prescriptions per 1000 PY | Consultations per 1000 PY | Share of all infection consultations (%) | Antibiotic prescriptions per 1000 PY | |
Respiratory tract, incl AOMa
| 251 | 54,9 | 102 | 254 | 57,5 | 84 | 227 | 55,8 | 56 |
Skin and soft tissue | 49 | 10,8 | 31 | 53 | 12,0 | 29 | 64 | 15,7 | 30 |
Urinary tract | 45 | 9,9 | 36 | 50 | 11,2 | 38 | 48 | 11,9 | 36 |
Other infectionsb
| 36 | 7,9 | 3 | 36 | 8,1 | 3 | 33 | 8,2 | 2 |
No infectious diagnosisc
| 76 | 16,6 | 74 | 49 | 11,2 | 48 | 34 | 8,3 | 32 |
All | 457 | 100 | 245 | 441 | 100 | 201 | 406 | 100 | 157 |
Consultations and antibiotic prescriptions for RTIs
2008 | 2010 | 2013 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Consultations per 1000 PY | Antibiotic prescription per 1000 PY | Prescribing rate per diagnosis, (%) | Consultations per 1000 PY | Antibiotic prescription per 1000 PY | Prescribing rate per diagnosis, (%) | Consultations per 1000 PY | Antibiotic prescription per 1000 PY | Prescribing rate per diagnosis, (%) | ||
Upper respiratory tract infections | Common cold | 103 | 12 | 11,8 | 101 | 8 | 7,8 | 86 | 4 | 4,5 |
Sore throata
| 42 | 28 | 67,7 | 38 | 23 | 61,4 | 29 | 18 | 59,7 | |
AOMb
| 27 | 23 | 84,5 | 24 | 20 | 80,6 | 16 | 12 | 74,9 | |
Sinusitis | 17 | 14 | 81,0 | 15 | 11 | 70,9 | 12 | 7 | 60,6 | |
Lower respiratory tract infections | Cough | 24 | 2 | 8,3 | 30 | 2 | 6,5 | 28 | 1 | 4,0 |
COPD | 11 | 2 | 14,5 | 17 | 2 | 11,1 | 28 | 2 | 7,8 | |
Acute bronchitis | 22 | 13 | 59,7 | 22 | 10 | 45,4 | 18 | 5 | 26,2 | |
Pneumonia | 10 | 7 | 66,2 | 11 | 7 | 61,9 | 11 | 7 | 62,5 | |
Influenza | 2 | 0,1 | 6,3 | 1 | 0,1 | 7,4 | 4 | 0,1 | 3,3 | |
Totalc
| 258 | 101 | 259 | 83 | 232 | 55 |
Variability in prescribing between PHCCs
2008 | 2010 | 2013 | |
---|---|---|---|
Prescription rate % (SDa) | Prescription rate % (SDa) | Prescription rate % (SDa) | |
AOMb
| 84.5 (7.9) | 79.3 (8.1) | 74.4 (8.5) |
Sinusitis | 80.4 (8.7) | 70.6 (12.1) | 62.5 (12.7) |
Tonsillitis | 88.4 (8.0) | 83.6 (9.3) | 80.0 (10.1) |
Acute bronchitis | 60.1 (15.5) | 45.6 (17.3) | 28.2 (17.4) |
Pneumonia | 66.1 (12.1) | 61.1 (12.0) | 63.0 (9.7) |
Use of CRP
Consultation and prescribing for RTIs in different age groups
2008 | 2010 | 2013 | ||||
---|---|---|---|---|---|---|
Age-Group (years) | Consultations per 1000 PY | Antibiotic prescription per 1000 PY | Consultations per 1000 PY | Antibiotic prescription per 1000 PY | Consultations per 1000 PY | Antibiotic prescription per 1000 PY |
0–6 | 712 | 297 | 703 | 254 | 467 | 136 |
7–18 | 247 | 109 | 251 | 91 | 171 | 62 |
19–64 | 204 | 84 | 200 | 67 | 181 | 47 |
65- | 206 | 68 | 228 | 57 | 280 | 48 |
Total | 251 | 102 | 254 | 84 | 229 | 56 |