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Rekommendationer följs inte vid okomplicerad konjunktivit
Engelsk titel: Right treatment of red eyes – prescription of topical antibiotics for infectious conjunctivitis is still common in Sweden Läs online Författare: Bro, Tomas Språk: Swe Antal referenser: 20 Dokumenttyp: Artikel UI-nummer: 19020157

Tidskrift

Läkartidningen 2018;115(51-52)2116-9 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Conjunctivitis is one of the most common ophthalmologic conditions in general medical practice. In most cases, it is self-limiting and do not require topical antibiotic therapy. In a retrospective, observational cohort study during 2013–2017 in a region in Sweden conjunctivitis was diagnosed in 32 000 cases in primary care. Antibiotics were prescribed in 66% of undefined and in 83% of purulent conjunctivitis. Fusidic acid was the most common medication with 81% followed by chloramphenicol with 17%. Although unnecessary, the treatment is probably harmless. Toxicity is uncommon and the cost is low. Increased consciousness of this issue may however decrease resistance to antibiotics and support evidence-based medical practice.