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Research

Incidence of remote consultation on general practitioners’ antibiotic prescriptions in 2021: a French observational study

Cécile Rullier, Vincent Tarazona and David De Bandt
BJGP Open 2024; 8 (2): BJGPO.2023.0196. DOI: https://doi.org/10.3399/BJGPO.2023.0196
Cécile Rullier
1 Family medicine department, University of Paris Saclay, Versailles-Saint-Quentin-en-Yvelines, Paris, France
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Vincent Tarazona
1 Family medicine department, University of Paris Saclay, Versailles-Saint-Quentin-en-Yvelines, Paris, France
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David De Bandt
1 Family medicine department, University of Paris Saclay, Versailles-Saint-Quentin-en-Yvelines, Paris, France
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  • For correspondence: david.debandt@gmail.com
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    Figure 1. Flow chart for GPs' consultations. ATB = antibiotic prescription. OC = office consultation. RC = remote consultation
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    Figure 2. Rate of antibiotic prescription in GP consultations. ATB = antibiotic prescription. OC = office consultation. RC = remote consultation

Tables

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    Table 1. GPs' characteristics
    GPSexAgeMode of PracticeActivity areaHave residentRégionCentre
    1M34Pluriprofessional officeUrbanYesIle de France1
    2F36Pluriprofessional officeUrbanNoIle de France1
    3M63Alone officeUrbanNoIle de France2
    4F32Pluriprofessional officeUrbanNoRhône3
    5M62Pluriprofessional officeUrbanYesRhône4
    6M44Pluriprofessional officeUrbanNoRhône5
    7M36Pluriprofessional officeUrbanYesRhône6
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    Table 2. Descriptive table of GP consultations with antibiotic prescription
    Variablen total (%)n RC (%)n OC (%)EstimateOR95% CIP
    Sex 2650 (100)704 (100)1946 (100)
    Female (ref)1839 (69.40)516 (73.30)1323 (67.99)
    Male811 (30.60)188 (26.70)623 (32.01)0.131.140.90 to 1.440.29
    Age, years 2650 (100)704 (100)1946 (100)
    0–20505 (19.06)72 (10.23)433 (22.25)–0.920.400.29 to 0.54<0.01
    20–40 (ref)836 (31.55)330 (46.88)506 (26.00)
    40–60704 (26.57)192 (27.27)512 (26.31)–0.560.570.45 to 0.73<0.01
    60–80436 (16.45)82 (11.65)354 (18.19)–1.040.350.25 to 0.49<0.01
    80–120169 (6.38)28 (3.98)141 (7.25)–1.310.270.16 to 0.44<0.01
    LTC 2650 (100)704 (100)1946 (100)
    Yes536 (20.23)116 (16.48)420 (21.58)–0.060.940.72 to 1.240.68
    No (ref)2114 (79.77)588 (83.52)1526 (78.42)
    Reason for ATB 2650 (100)704 (100)1946 (100)
    Angina188 (7.09)63 (8.95)125 (6.42)2.067.873.83 to 16.20<0.01
    Otitis media (ref)257 (9.70)10 (1.42)247 (12.69)
    Sinusitis274 (10.34)73 (10.37)201 (10.33)1.765.832.85 to 11.98<0.01
    Other ENT248 (9.36)83 (11.79)165 (8.48)2.178.774.35 to 17.70<0.01
    Conjunctivitis31 (1.17)8 (1.14)23 (1.18)2.178.743.09 to 24.71<0.01
    Other eye infections18 (0.68)3 (0.43)15 (0.77)1.424.141.00 to 17.130.05
    Dental diseases52 (1.96)12 (1.70)40 (2.06)1.675.342.07 to 13.72<0.01
    Pneumonias73 (2.75)4 (0.57)69 (3.55)0.311.360.41 to 4.550.62
    Chronic bronchitis41 (1.55)5 (0.71)36 (1.85)1.414.091.29 to 13.060.02
    Other respiratory infections209 (7.89)59 (8.38)150 (7.71)2.168.714.23 to 17.97<0.01
    Cystitis486 (18.34)211 (29.97)275 (14.13)2.8817.858.94 to 35.63<0.01
    Prostatitis66 (2.49)21 (2.98)45 (2.31)2.309.874.14 to 23.48<0.01
    Pyelonephritis86 (3.24)27 (3.84)59 (3.03)2.289.764.37 to 21.76<0.01
    Genital infections93 (3.51)35 (4.97)58 (2.98)2.037.643.42 to 17.03<0.01
    Gut diseases52 (1.96)10 (1.42)42 (2.16)1.524.601.72 to 12.24<0.01
    Erysipelas43 (1.62)5 (0.71)38 (1.95)1.092.990.94 to 9.470.06
    Other dermatological conditions278 (10.49)49 (6.96)229 (11.77)1.444.242.06 to 8.71<0.01
    Other155 (5.85)26 (3.69)129 (6.63)1.524.582.07 to 10.11<0.01
    • ENT = ear, nose and throat. OC = office consultation. RC = remote consultation

Supplementary Data

  • CR_10.3399BJGPO.2023.0196_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy. 

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Incidence of remote consultation on general practitioners’ antibiotic prescriptions in 2021: a French observational study
Cécile Rullier, Vincent Tarazona, David De Bandt
BJGP Open 2024; 8 (2): BJGPO.2023.0196. DOI: 10.3399/BJGPO.2023.0196

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Incidence of remote consultation on general practitioners’ antibiotic prescriptions in 2021: a French observational study
Cécile Rullier, Vincent Tarazona, David De Bandt
BJGP Open 2024; 8 (2): BJGPO.2023.0196. DOI: 10.3399/BJGPO.2023.0196
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Keywords

  • Family medicine
  • Prescribing
  • infectious illness
  • remote consultation
  • antibacterial agents
  • general practice

More in this TOC Section

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