Year 2019, Volume 5, Issue 3, Pages 540 - 544 2019-05-04

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

Baki Derhem [1] , Süleyman Özsarı [2] , Selman Erturhan [3]

90 226

Objectives: Acute pharyngo-tonsillitis is one of the diseases that pediatricians and general practitioners most frequently experienced and only a small percentage of patients (20%-30% of pediatric patients, even less in adults) are actually suffering from pharyngo-tonsillitis by group A beta-hemolytic Streptococcus (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 (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 x2 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 (min.=3, max.=65). There was a significant difference between two groups who had tested with RADT or not in terms of antibiotic prescription (p < 0.001). There was a significant difference between 3-14 years of age and 15-44 years of age (p = 0.001) as well as 3-14 years of age and 45-65 years of age (p = 0.009), however there was no significant difference between 15-44 and 45-65 years of age (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 (particularly in rural area).

Rapid antigen detection test, Streptococcus, sore throat, antibiotic prescription
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0002-6989-9873
Author: Baki Derhem (Primary Author)
Institution: Yıldızeli Family Health Center, Sivas, Turkey
Country: Turkey


Orcid: 0000-0002-7160-3381
Author: Süleyman Özsarı
Institution: Bolu Provincial Health Directorate, Bolu, Turkey
Country: Turkey


Orcid: 0000-0001-5040-2639
Author: Selman Erturhan
Institution: Yıldızeli Family Health Center, Sivas, Turkey
Country: Turkey


Bibtex @research article { eurj376503, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {The Association of Health Research and Strategy}, year = {2019}, volume = {5}, pages = {540 - 544}, doi = {10.18621/eurj.376503}, title = {Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci}, key = {cite}, author = {Derhem, Baki and Özsarı, Süleyman and Erturhan, Selman} }
APA Derhem, B , Özsarı, S , Erturhan, S . (2019). Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci. The European Research Journal, 5 (3), 540-544. DOI: 10.18621/eurj.376503
MLA Derhem, B , Özsarı, S , Erturhan, S . "Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci". The European Research Journal 5 (2019): 540-544 <http://dergipark.gov.tr/eurj/issue/42399/376503>
Chicago Derhem, B , Özsarı, S , Erturhan, S . "Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci". The European Research Journal 5 (2019): 540-544
RIS TY - JOUR T1 - Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci AU - Baki Derhem , Süleyman Özsarı , Selman Erturhan Y1 - 2019 PY - 2019 N1 - doi: 10.18621/eurj.376503 DO - 10.18621/eurj.376503 T2 - The European Research Journal JF - Journal JO - JOR SP - 540 EP - 544 VL - 5 IS - 3 SN - -2149-3189 M3 - doi: 10.18621/eurj.376503 UR - https://doi.org/10.18621/eurj.376503 Y2 - 2018 ER -
EndNote %0 The European Research Journal Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci %A Baki Derhem , Süleyman Özsarı , Selman Erturhan %T Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 3 %R doi: 10.18621/eurj.376503 %U 10.18621/eurj.376503
ISNAD Derhem, Baki , Özsarı, Süleyman , Erturhan, Selman . "Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci". The European Research Journal 5 / 3 (May 2019): 540-544. https://doi.org/10.18621/eurj.376503