Lindbaek M, Hjortdahl P
Seksjon for allmennmedisin, Universitetet i Oslo, Blindern.
Tidsskr Nor Laegeforen. 1998 Mar 20;118(8):1176-9.
In just a few years C-reactive protein (CRP) has become an important test in the rapid elucidation of infections in Norwegian general practice. 33 general practitioners in the southern part of Vestfold county, continuously registered 546 consultations where a CRP analysis was performed. The protein was analyzed in 10% of all the consultations (range 3-31%). The general practitioners stated that the CRP analysis has great diagnostic impact in the elucidation of acute infections, but significantly less impact in routine examinations. The result contributed to a change in diagnosis in 30% of the patients where a diagnosis involving infection was considered. C-reactive protein contributed to a reduction in the prescribing of antibiotics in a quarter of the consultations. C-reactive protein is an important supplement to clinical investigation in the elucidation of infections in Norwegian general practice.
在短短几年内，C反应蛋白（CRP）已成为挪威全科医疗中快速明确感染情况的一项重要检测项目。韦斯特福尔郡南部的33名全科医生持续记录了546次进行CRP分析的会诊。在所有会诊中，有10%（范围为3%-31%）进行了该蛋白分析。全科医生表示，CRP分析在明确急性感染方面具有很大的诊断价值，但在常规检查中的作用明显较小。该结果使30%被认为涉及感染诊断的患者的诊断发生了改变。在四分之一的会诊中，CRP促使抗生素处方量减少。在挪威全科医疗中，C反应蛋白是临床检查在明确感染情况时的一项重要补充。
