当前位置： SCI文献检索 > BMJ Open期刊下所有文献 > Medical management of acute upper respiratory infections in an urban primary care out-of-hours facility: cross-sectional study of patient presentations and expectations.

Medical management of acute upper respiratory infections in an urban primary care out-of-hours facility: cross-sectional study of patient presentations and expectations.

Abstract：

OBJECTIVES:The purpose of this study was to examine the expectations of patients attending an urban primary care out-of-hours (OOH) facility with acute upper respiratory tract infection (acute URTI) regarding clinical examination, symptom management, information on their condition, reassurance, antibiotic treatment and other possible options including referral. DESIGN:Cross-sectional design. SETTING:One urban primary care OOH facility located in the midwest of Ireland. PARTICIPANTS:457 patients filled out a questionnaire while waiting in the OOH facility; 22 surveys were excluded as the patients did not present with symptoms of acute URTI resulting in 435 patients' data being included in this study. There were 59.5% female participants and 40.5% male participants. RESULTS:435 patients with acute URTI symptoms participated in the survey, representing 25.4% of those attending the single branch where the survey was conducted (n=1715). Of the study participants, 43% were aged under 6 years and 60% were women. The most common presenting symptoms were cough (72%), throat ache (46%) and common cold (26%). The most common expectations were for further examination (53%), reassurance (51%), information (49%) and medication for cough (47%), with 34% expecting an antibiotic. CONCLUSIONS:Only one in three patients attending this primary care OOH facility with acute URTI symptoms had an expectation of antibiotics, with most seeking further assessment, information and reassurance. Recognition of such expectations may be important considerations for clinicians when deciding on management options for patients with acute URTI.

journal_name

BMJ Open

journal_title

BMJ open

authors

O'Connor R,O'Doherty J,O'Regan A,O'Neill A,McMahon C,Dunne CP

doi

10.1136/bmjopen-2018-025396

subject

Has Abstract

pub_date

2019-02-15 00:00:00

pages

e025396

issue

2

issn

2044-6055

pii

bmjopen-2018-025396

journal_volume

9

pub_type

杂志文章

相关文献

BMJ Open文献大全