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dc.contributorInstitut d'Assistència Sanitària
dc.contributor.authorMadurell, Jordi
dc.contributor.authorBalagué, Montse
dc.contributor.authorGómez, Mónica
dc.contributor.authorCots, Josep M.
dc.contributor.authorLlor, Carl
dc.date.accessioned2021-12-09T13:01:17Z
dc.date.available2021-12-09T13:01:17Z
dc.date.issued2010-03-23
dc.identifier.citationMadurell J, Balagué M, Gómez M, Cots JM, Llor C. Impact of rapid antigen detection testing on antibiotic prescription in acute pharyngitis in adults: FARINGOCAT STUDY: a multicentric randomized controlled trial. BMC Fam Pract. 2010 Mar 23;11:25.
dc.identifier.issn1471-2296
dc.identifier.urihttp://hdl.handle.net/11351/6667
dc.descriptionSore throat; Acute otitis medium; Antibiotic prescription
dc.description.abstractBackground: Acute pharyngitis is one of the most frequent consultations to the general practitioner and in most of the cases an antibiotic is prescribed in primary care in Spain. Bacterial etiology, mainly by group A beta-hemolytic streptococcus (GABHS), accounts for 10-20% of all these infections in adults. The purpose of this study is to assess the impact of rapid antigen detection testing (RADT) to identify GABHS in acute pharyngitis on the utilization of antibiotics in primary care. Methods/design: Multicentric randomized controlled trial in which antibiotic prescription between two groups of patients with acute pharyngitis will be compared. The trial will include two arms, a control and an intervention group in which RADT will be performed. The primary outcome measure will be the proportion of inappropriate antibiotic prescription in each group. Two hundred seventy-six patients are required to detect a reduction in antibiotic prescription from 85% in the control group to 75% in the intervention group with a power of 90% and a level of significance of 5%. Secondary outcome measures will be specific antibiotic treatment, antibiotic resistance rates, secondary effects, days without working, medical visits during the first month and patient satisfaction. Discussion: The implementation of RADT would allow a more rational use of antibiotics and would prevent adverse effects of antibiotics, emergence of antibiotic resistance and the growth of inefficient health expenses.
dc.language.isoeng
dc.publisherBMC
dc.relation.ispartofseriesBMC Family Practice;11
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceScientia
dc.subjectFaringitis
dc.subjectEstreptococs
dc.subjectAntibiòtics
dc.subject.meshPharyngitis
dc.subject.meshAntibiotic Prophylaxis
dc.subject.meshStreptococcal Infections
dc.titleImpact of rapid antigen detection testing on antibiotic prescription in acute pharyngitis in adults: FARINGOCAT STUDY: a multicentric randomized controlled trial
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1186/1471-2296-11-25
dc.subject.decsfaringitis
dc.subject.decsprofilaxis antibiótica
dc.subject.decsinfecciones estreptocócicas
dc.relation.publishversionhttps://doi.org/10.1186/1471-2296-11-25
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.event.productorBiblioteca
dc.contributor.authoraffiliation[Madurell J] Centre d'Atenció Primària Hostalric, Institut d'Assistència Sanitària (IAS), Breda-Hostalric, Spain. [Balagué M] Centre d'Atenció Primària, Centre Penitenciari d'Homes, Institut Català de la Salut, Barcelona, Spain. [Gómez M] Atenció Primària de Salut Centre Doctor Josep Torner i Fors, Salut Maresme, Malgrat de Mar, Spain. [Cots J M] Centre d'Atenció Primària La Marina, Universitat de Barcelona, Barcelona, Spain. [Llor C] Centre d'Atenció Primària de Salut Jaume I, Universitat Rovira i Virgili, Tarragona, Spain
dc.identifier.pmid20331895
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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