dc.contributor.author | Rebnord, Ingrid Keilegavlen | en_US |
dc.contributor.author | Sandvik, Hogne | en_US |
dc.contributor.author | Mjelle, Anders Batman | en_US |
dc.contributor.author | Hunskaar, Steinar | en_US |
dc.date.accessioned | 2017-08-03T11:49:12Z | |
dc.date.available | 2017-08-03T11:49:12Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 2044-6055 | |
dc.identifier.uri | https://hdl.handle.net/1956/16195 | |
dc.description.abstract | Objective: To evaluate the effect of preconsultation C reactive protein (CRP) screening on antibiotic prescribing and referral to hospital in Norwegian primary care settings with low prevalence of serious infections. Design: Randomised controlled observational study at out-of-hours services in Norway. Setting: Primary care. Participants: 401 children (0–6 years) with fever and/or respiratory symptoms were recruited from 5 different out-of-hours services (including 1 paediatric emergency clinic) in 2013–2015. Intervention: Data were collected from questionnaires and clinical examination results. Every third child was randomised to a CRP test before the consultation; for the rest, the doctor ordered a CRP test if considered necessary. Outcome: measures Main outcome variables were prescription of antibiotics and referral to hospital. Results: In the group pretested with CRP, the antibiotic prescription rate was 26%, compared with 22% in the control group. In the group pretested with CRP, 5% were admitted to hospital, compared with 9% in the control group. These differences were not statistically significant. The main predictors for ordering a CRP test were parents' assessment of seriousness of the illness and the child's temperature. Paediatricians ordered CRP tests less frequently than did other doctors (9% vs 56%, p<0.001). Conclusions: Preconsultation screening with CRP of children presenting to out-of-hours services with fever and/or respiratory symptoms does not significantly affect the prescription of antibiotics or referral to hospital. | en_US |
dc.language.iso | eng | eng |
dc.publisher | BMJ Publishing Group | eng |
dc.relation.ispartof | <a href="http://hdl.handle.net/1956/16198" target="blank"> Laboratory tests in out-of-hours services in Norway. Studies with special emphasis on use and consequences of C-reactive protein test in children</a> | |
dc.rights | Attribution CC BY-NC | eng |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | eng |
dc.title | Out-of-hours antibiotic prescription after screening with C reactive protein: A randomised controlled study | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2017-08-03T11:38:13Z | |
dc.description.version | publishedVersion | en_US |
dc.source.articlenumber | e011231 | |
dc.identifier.doi | https://doi.org/10.1136/bmjopen-2016-011231 | |
dc.identifier.cristin | 1368746 | |
dc.source.journal | BMJ Open | |
dc.source.40 | 6 | |
dc.source.14 | 5 | |