Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci

Authors : Baki Derhem, Süleyman Özsarı, Selman Erturhan

Pages : 540-544

Doi:10.18621/eurj.376503

View : 27 | Download : 10

Publication Date : 2019-05-04

Article Type : Research Paper

Abstract :Objectives: Acute pharyngo-tonsillitis is one of the diseases that pediatricians and general practitioners most frequently experienced and only a small percentage of patients insert ignore into journalissuearticles values(20%-30% of pediatric patients, even less in adults); are actually suffering from pharyngo-tonsillitis by group A beta-hemolytic Streptococcus insert ignore into journalissuearticles values(GABHS);. Also three quarters of pharyngitis patients have been treated with inappropriate antibiotics even these patients have viral infections. The aim of this study was to assess the effectiveness of the rapid antigen detection test insert ignore into journalissuearticles values(RADT); on the percentage of antibiotic prescriptions amongst patients with sore throat at a primary health care center in rural area. Methods: Retrospective Cohort Study was designed to compare antibiotic prescription in patients with sore throats in two groups, one with the use of RADT and other with the clinical desicions of physicians. The x 2 test was used between two nominal variables to assess the impact of RADT on antibiotic prescription. For comparison of more than two independent variables, the ANOVA test was used and to identify the differences between groups, the Post-Hoc test was processed. Results: Of the 580 patients, the avarage age of the study population was 25.8 years old while the median age was 21 years insert ignore into journalissuearticles values(min.=3, max.=65);. There was a significant difference between two groups who had tested with RADT or not in terms of antibiotic prescription insert ignore into journalissuearticles values( p < 0.001);. There was a significant difference between 3-14 years of age and 15-44 years of age insert ignore into journalissuearticles values( p = 0.001); as well as 3-14 years of age and 45-65 years of age insert ignore into journalissuearticles values( p = 0.009);, however there was no significant difference between 15-44 and 45-65 years of age insert ignore into journalissuearticles values( p = 1.00);. Conclusions: Using the RADT is truly effective in reducing the percentage of antibiotic prescriptions in our setting. We believe that, the tools like RADTs which are quickly results and easy to use are really useful in practising insert ignore into journalissuearticles values(particularly in rural area);.
Keywords : Rapid antigen detection test, Streptococcus, sore throat, antibiotic prescription