Hoffmann S
Scand J Prim Health Care. 1986 Sep;4(3):143-50. doi: 10.3109/02813438609014821.
A total of 1051 patients with sore throat were registered by 358 general practitioners (GPs) each participating for one week some time during a one-year study period. Contacts related to emergency medical service work, and contacts by telephone only were also included. The annual incidence of sore throat was estimated to be 100 per 1 000 person years. A bacterial or presumedly bacterial etiology was clinically diagnosed in 64% of the patients, and a viral or presumedly viral etiology in 30% of cases, while for six per cent of the patients, the GP was in doubt as to the etiology. The strategy of management was as follows: nine per cent had a throat swab taken and antibiotics prescribed; 15% were swabbed, and did not receive an immediate prescription; 54% were prescribed antibiotics without being swabbed; and 23% were neither swabbed nor treated with antibiotics. With increasing age of the doctor, increasing frequencies were found regarding the clinical assumption of a bacterial etiology and prescribing of antibiotics, whereas the frequency of obtaining throat swabs decreased. Similar findings were made when the type of contact was home visit as opposed to contact at the surgery.
在为期一年的研究期间，358名全科医生（GP）参与其中，每人参与一周，共登记了1051例咽痛患者。与急诊医疗服务工作相关的接触以及仅通过电话的接触也包括在内。咽痛的年发病率估计为每1000人年100例。临床上诊断为细菌或疑似细菌病因的患者占64%，病毒或疑似病毒病因的患者占30%，而6%的患者，全科医生对病因存疑。治疗策略如下：9%的患者进行了咽拭子检查并开具了抗生素；15%的患者进行了咽拭子检查，但未立即开具处方；54%的患者未进行咽拭子检查就开具了抗生素；23%的患者既未进行咽拭子检查也未接受抗生素治疗。随着医生年龄的增加，临床诊断为细菌病因并开具抗生素的频率增加，而进行咽拭子检查的频率降低。当接触类型为家访而非在诊所接触时，也有类似的发现。
