Code list: res70: Sore throat

Research article:

Antibiotic prescribing for common infections in UK general practice: variability and drivers

Reference:

Victoria Palin, Anna Mölter, Miguel Belmonte, Darren Ashcroft, Andrew White, William Welfare, Tjeerd van Staa(2018) Antibiotic prescribing for common infections in UK general practice: variability and drivers. Journal of Antimicrobial Chemotherapy, doi:

Link to article
Abstract: Objectives: To examine variations across general practices and factors associated with antibiotic prescribing for common infections in UK primary care to identify potential targets for improvement and optimisation of prescribing. Methods: Oral antibiotics prescribing for common infections were analysed using anonymised UK primary care electronic health records between 2000 and 2015 using the Clinical Practice Research Datalink (CPRD). The rate of prescribing for each condition was observed over time and the correlation of prescribing between each condition estimated within a practice. Drivers of prescribing were estimated using logistic regression in a matched patient cohort (1:1 by age, sex and date). Results: Over 8 million patient records were examined in 587 general practices in the UK. Practices varied considerably in their propensity to prescribe antibiotics and this variance increased over time (except in cases of urinary tract infection (UTI)). Change points in prescribing did not reflect updates to national guidelines and prescribing for different infectious conditions varied within practices. A previous history of antibiotic use significantly increased the risk of receiving a subsequent antibiotic (by 22-48% for patients with ≥ 3 antibiotic prescriptions in the past 12 months), as did higher BMI, history of smoking and flu vaccinations. Other drivers for receiving an antibiotic varied considerably for each condition. Conclusions: Large variability in antibiotic prescribing between practices was observed. Prescribing guidelines alone do not positively influence a change in prescribing, suggesting more targeted interventions are required to optimise antibiotic prescribing in the UK.
Author for correspondence: Victoria Palin
Email for correspondence: victoria.palin@manchester.ac.uk

Code list: res70: Sore throat_bacterial

13 codes in list

Code	Coding system	Description	Entity type	List name
A34..00	Read	Streptococcal sore throat and scarlatina	diagnostic	res70: Sore throat_bacterial
A340.00	Read	Streptococcal sore throat	diagnostic	res70: Sore throat_bacterial
A340000	Read	Streptococcal angina	diagnostic	res70: Sore throat_bacterial
A340100	Read	Streptococcal laryngitis	diagnostic	res70: Sore throat_bacterial
A340200	Read	Streptococcal pharyngitis	diagnostic	res70: Sore throat_bacterial
A340300	Read	Streptococcal tonsillitis	diagnostic	res70: Sore throat_bacterial
A340z00	Read	Streptococcal sore throat NOS	diagnostic	res70: Sore throat_bacterial
A341.00	Read	Scarlet fever - scarlatina	diagnostic	res70: Sore throat_bacterial
A341.11	Read	Scarlet fever	diagnostic	res70: Sore throat_bacterial
A341.12	Read	Scarlatina	diagnostic	res70: Sore throat_bacterial
A34z.00	Read	Streptococcal sore throat with scarlatina NOS	diagnostic	res70: Sore throat_bacterial
J083.00	Read	Oral cellulitis and abscess	diagnostic	res70: Sore throat_bacterial
J083600	Read	Uvulitis	diagnostic	res70: Sore throat_bacterial

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