Better communication reduces prescriptions for antibiotics

Better communication reduces prescriptions for antibiotics
Neither C-reactive protein testing nor enhanced physician communication training resulted in reduced office visits, but enhanced communication training resulted in less prescribing for antibiotics for respiratory tract infections, according to research published in March/April issue in Annals of Family Medicine.

(HealthDay)—Neither C-reactive protein testing nor enhanced physician communication training resulted in reduced office visits, but enhanced communication training resulted in less prescribing for antibiotics for respiratory tract infections, according to research published in March/April issue in Annals of Family Medicine.

Jochen W.L. Cals, M.D., Ph.D., of Maastricht University Medical Centre in the Netherlands, and colleagues conducted a clustered, randomized controlled study with a 3.5 year follow-up to assess the long-term effect of family physicians' use of C-reactive protein (CRP) point-of-care testing and/or enhanced physician communication skills on office visit rates and for respiratory tract infections.

According to the researchers, there were no differences in the mean number of physician per patient per year (PPPY) visits for respiratory tract infections between CRP and no CRP testing. The mean number of respiratory tract infections was 0.36 and 0.57 PPPY in the enhanced physician communication training group and no training group, respectively, (P=0.09). Antibiotic prescriptions were similar between CRP and no CRP test groups. Significantly fewer episodes of respiratory tract infection were treated by antibiotics in trained in communication skills than those without training, 26.3 percent versus 39.1 percent (P=0.02).

"Training physicians in the use of enhanced communication skills may have a wider long-term effect on the treatment of beyond acute cough to include reduced antibiotic prescribing," the authors write.

One author disclosed receiving travel or speaking fees from two manufacturers of point-of-care C-reactive protein devices.

More information: Abstract
Full Text

add to favorites email to friend print save as pdf

Related Stories

Antibiotic use in infants linked to asthma

Jun 11, 2007

New research indicates that children who receive antibiotics before their first birthday are significantly more likely to develop asthma by age 7. The study, published in the June issue of CHEST, the peer-reviewed journal ...

Black children less likely to be prescribed antibiotics

Mar 18, 2013

(HealthDay)—Black children are less likely to be prescribed antibiotics and to be diagnosed with conditions that require antibiotics, even when treated by the same doctor, according to research published ...

Recommended for you

NY and NJ say they will require Ebola quarantines

37 minutes ago

The governors of New Jersey and New York on Friday ordered a mandatory, 21-day quarantine for all doctors and other arriving travelers who have had contact with Ebola victims in West Africa.

WHO: Mali case may have infected many people

4 hours ago

The World Health Organization says a toddler who brought Ebola to Mali was bleeding from her nose during her journey on public transport and may have infected many people.

Two US nurses are declared cured of Ebola

5 hours ago

Two American nurses were declared cured of Ebola on Friday, and one was healthy enough to leave the hospital and meet President Barack Obama for a hug.

User comments