Allmänläkare förskrev mindre antibiotika men utnyttjade CRP-test mer. Diagnos-förskrivningsstudier för åren 2000-2005
Sammanfattning
The aim of this study is to present diagnostic patterns, diagnostics used and antibiotic treatment in relation to guidelines in three repeated diagnosis-prescription studies conducted simultaneously in general practice in 5 Swedish counties, during one week in November 2000, 2002 and 2005. During the studied periods a total of 15,371 consultations were registered. Consultations with GPs diagnosed as respiratory tract infection (RTI) decreased considerably between year 2000 and 2005. The percentage of patients allocated an RTI diagnosis that were prescribed an antibiotic declined significantly from 54 % to 49 %. Penicillin V remained the dominant antibiotic prescribed throughout the study periods. For lower urinary tract infections there was a significant change in choice of prescribed antibiotics. Though the results indicated changes of routines and management in general practice in Sweden in adherence to guidelines, since 2004 prescribed antibiotics have increased in primary care. Therefore there is a need for continuos examination of prescribing habits as well as updating of guidelines.