Table 1. Multivariable analysis of factors associated with antibiotic prescribing
CategoryAll (strep A and CRP)Lower RTI (CRP)Sore throat (strep A)
Adj OR95% CIAdj OR95% CIAdj OR95% CI
Use of POC test(s)1.30.9 to 1.80.70.4 to 1.1 2.4 1.3 to 4.3
Moderate illness severity 7.4 6.2 to 8.9 5.3 3.8 to 7.3 9.5 6.9 to 13.0
Severe illness 8.0 5.4 to 12.0 4.1 2.3 to 7.2 3.6 1.2 to 11.0
Age, year 1.02 1.01 to 1.02 1.02 1.02 to 1.03 1.01 1.00 to 1.02
Comorbidity 1.3 1.1 to 1.5 1.10.8 to 1.51.00.6 to 1.4
Fever 1.6 1.3 to 1.9 2.9 2.1 to 4.0 2.0 1.5 to 2.8
Duration (day) 1.03 1.02 to 1.04 1.03 1.00 to 1.05 1.05 1.00 to 1.10
CountryOR for 17 countries shown in Supplementary Table S3
  • Multivariable mixed-effects logistic regression for the dependent variable antibiotic prescribing controlling for country, use of group A streptococcal (strep A) and/or C-reactive protein (CRP) point-of-care (POC) testing for all patients, CRP testing for patients with lower respiratory tract infection, and strep A testing for patients with sore throat, illness severity, age, comorbidity, fever, and illness duration. Practice was included as random effect. Reference categories are Belgium (lowest antibiotic prescribing proportion) for country; ‘no’ for POC testing, comorbidity, and fever; ‘mild’ for severity; and for age and duration an increase of one unit is considered. Bold indicates significance. OR = odds ratio. RTI = respiratory tract infection.