Sore throat management practices of Canadian family physicians |
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Authors: | McIsaac WJ; Goel V |
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Institution: | Mount Sinai Family Medical Centre, Department of Family and Community Medicine, University of Toronto, Canada. |
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Abstract: | OBJECTIVES AND METHODS: A survey was conducted of Canadian family
physicians about their usual sore throat management practices. Physician
knowledge, attitudes, beliefs and the effect of selected patient factors on
variation in practices was assessed. RESULTS: The majority of physicians
did not follow North American expert recommendations to usually take a
throat culture and wait for culture results before prescribing an
antibiotic. Similarly to the practices of family physicians in many
countries, they favoured a clinical policy of selective use of throat
cultures and decisions about the need for antibiotics based on clinical
judgement. CONCLUSIONS: Physician practice site, demographics, knowledge,
attitudes, beliefs and patient factors did not explain differences in
approach. The implications for antibiotic utilization in the management of
upper respiratory tract infections are discussed.
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