liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Near-patient tests and the clinical gaze in decision-making of Swedish GPs not following current guidelines for sore throat - a qualitative interview study
Uppsala University, Sweden.
Lund University, Sweden; Regional Kronoberg, Sweden.
Lund University, Sweden; Blekinge County Council, Sweden.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Uppsala University, Sweden.
Show others and affiliations
2015 (English)In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 16, no 81Article in journal (Refereed) Published
Abstract [en]

Background: Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT was recommended with 2-4 Centor criteria present and antibiotics were recommended if the test was positive. C-reactive protein (CRP) was not recommended for sore throats. Inappropriate use of RADT and CRP has been reported in several studies. Methods: From a larger project 16 general practitioners (GPs) who stated management of sore throats not according to the guidelines were identified. Half-hour long semi-structured interviews were conducted. The topics were the management of sore throats and the use of near-patient tests. Qualitative content analysis was used. Results: The use of the near-patient test interplayed with the clinical assessment and the perception that all infections caused by bacteria should be treated with antibiotics. The GPs expressed a belief that the clinical picture was sufficient for diagnosis in typical cases. RADT was not believed to be relevant since it detects only one bacterium, while CRP was considered as a reliable numerical measure of bacterial infection. Conclusions: Inappropriate use of near-patient test can partly be understood as remnants of outdated knowledge. When new guidelines are introduced the differences between them and the former need to be discussed more explicitly.

Place, publisher, year, edition, pages
BioMed Central , 2015. Vol. 16, no 81
Keyword [en]
Near-patient tests; Sore throat; Guidelines; Decision-making; Qualitative interview study
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-120273DOI: 10.1186/s12875-015-0285-yISI: 000357305200001PubMedID: 26141740OAI: diva2:843034
Available from: 2015-07-24 Created: 2015-07-24 Last updated: 2016-03-23

Open Access in DiVA

fulltext(591 kB)54 downloads
File information
File name FULLTEXT01.pdfFile size 591 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
André, Malin
By organisation
Faculty of Medicine and Health SciencesDivision of Community Medicine
In the same journal
BMC Family Practice
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 54 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 68 hits
ReferencesLink to record
Permanent link

Direct link