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评估在北威尔士初级医疗保健环境中 COVID-19 期间扁桃体炎抗生素治疗的适宜性。

Evaluating the Appropriateness of Antibiotic Treatment of Tonsillitis during COVID-19 in the North Wale Primary Healthcare Setting.

机构信息

School of Medicine, Cardiff University, Cardiff, UK.

出版信息

J Prim Care Community Health. 2021 Jan-Dec;12:21501327211003687. doi: 10.1177/21501327211003687.

Abstract

BACKGROUND

The COVID-19 pandemic has changed the delivery of primary care in the NHS. Consultations have largely moved from face-to-face to remote, forcing practitioners to modify the ways in which they deliver care to patients.

AIM

In this study, we aim to investigate the appropriateness of antibiotic prescribing in tonsillitis during the COVID-19 pandemic.

DESIGN AND SETTING

An observational quantitative analysis in the North Wales primary care setting.

METHOD

Retrospective review of computer records across 5 GP centers from March 2020 until the end of October 2020. Data was extracted and analyzed using chi-square or fisher exact rank and Mann-Whitney test.

RESULTS

Our results have shown no significant difference in antibiotic prescribing behavior comparing face-to-face and remote consultations.

CONCLUSION

Remote consultation is as effective as face-to-face consultation with regards to the assessment of tonsillitis and the appropriateness of antibiotic prescription in primary care.

摘要

背景

COVID-19 大流行改变了国民保健制度(NHS)中的初级保健服务提供方式。咨询大部分从面对面转移到了远程,迫使医生改变了为患者提供护理的方式。

目的

在这项研究中,我们旨在调查 COVID-19 大流行期间扁桃体炎抗生素处方的适当性。

设计和设置

在北威尔士初级保健环境中进行的观察性定量分析。

方法

对 2020 年 3 月至 2020 年 10 月底 5 个全科医生中心的计算机记录进行回顾性审查。使用卡方或 Fisher 精确秩和 Mann-Whitney 检验提取和分析数据。

结果

我们的结果表明,面对面和远程咨询在抗生素处方行为方面没有显著差异。

结论

远程咨询与面对面咨询一样,在初级保健中评估扁桃体炎和抗生素处方的适当性方面同样有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3478/7983464/aee37031f7fd/10.1177_21501327211003687-fig1.jpg

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