Treating patients not diagnoses: Challenging assumptions underlying the investigation and management of LRTI in general practice

Journal of Antimicrobial Chemotherapy

Volumn 56, Issue 5, 2005, Pages 941-943

  Hopstaken, Rogier M ^a   Coenen, Samuel ^b,c   Butler, Christopher C ^d  

^a MAASTRICHT UNIVERSITY   (Netherlands)

^b FUND FOR SCIENTIFIC RESEARCH   (Belgium)

^c UNIVERSITY OF ANTWERP   (Belgium)

^d CARDIFF UNIVERSITY   (United Kingdom)

Author keywords

Antibiotics; Pneumonia; Prognosis; Respiratory tract infections

Indexed keywords

AMOXICILLIN; ROXITHROMYCIN;

ADULT; AGED; ANTIBIOTIC SENSITIVITY; ANTIBIOTIC THERAPY; ARTICLE; BACTERIAL INFECTION; BACTERIAL STRAIN; BACTERIUM CULTURE; BLOOD ANALYSIS; BLOOD SAMPLING; CLINICAL TRIAL; COHORT ANALYSIS; CONSERVATIVE TREATMENT; DRUG EFFICACY; FEMALE; FOLLOW UP; GENERAL PRACTICE; GENERAL PRACTITIONER; HAEMOPHILUS INFLUENZAE TYPE A; HAEMOPHILUS PARAINFLUENZAE; HUMAN; INFECTION CONTROL; LOWER RESPIRATORY TRACT INFECTION; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MORAXELLA CATARRHALIS; NETHERLANDS; PHYSICAL EXAMINATION; PNEUMONIA; PRESCRIPTION; PRIMARY MEDICAL CARE; PROGNOSIS; SPUTUM CULTURE; STREPTOCOCCUS PNEUMONIA; THORAX RADIOGRAPHY; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; BACTERIA; DISEASE MANAGEMENT; FAMILY PRACTICE; FEMALE; HUMANS; MALE; MICROBIAL SENSITIVITY TESTS; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; PNEUMONIA; PRESCRIPTIONS, DRUG; RESPIRATORY TRACT INFECTIONS;

EID: 27744522217     PISSN: 03057453     EISSN: 14602091     Source Type: Journal    
DOI: 10.1093/jac/dki330     Document Type: Article

References (7)

1. Hopstaken RM, Stobberingh EE, Knottnerus JA et al. Clinical items not helpful in differentiating viral from bacterial lower respiratory tract infections in general practice. J Clin Epidemiol 2005; 58: 175-83.
2. Hopstaken RM, Muris JWM, Knottnerus JA et al. Contributions of symptoms, signs, erythrocyte sedimentation rate and C-reactive protein to a diagnosis of pneumonia in acute lower respiratory tract infection. Br J Gen Pract 2003; 53: 358-64.
3. Flanders SA, Stein J, Shochat G et al. Performance of a bedside C-reactive protein test in the diagnosis of community-acquired pneumonia in adults with acute cough. Am J Med 2004; 116: 529-35.
4. Coenen S, Van Royen P, Vermeire E et al. Antibiotics for coughing in general practice: A qualitative decision analysis. Fam Pract 2000; 17: 380-5.
5. Macfarlane J, Holmes W, Gard P et al. Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community. Thorax 2001; 56: 109-14.
6. Hopstaken RM, Nelemans P, Stobberingh EE et al. Is roxithromycin better than amoxicillin in the treatment of acute lower respiratory tract infections in primary care? A double-blind randomized controlled trial. J Fam Pract 2002; 51: 329-36.
7. Hopstaken RM, Witbraad T, van Engelshoven JMA et al. Interob-server variation in the interpretation of chest radiographs for pneumonia in community-acquired lower respiratory tract infections. Clin Radiol 2004; 59: 743-52.