Journal article 71 views
Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
Efi Mantzourani 
,
Haroon Ahmed ,
Jackie Bethel,
Samantha Turner ,
Ashley Akbari ,
Andrew Evans ,
Matthew Prettyjohns,
Gareth John,
Ronny Gunnarsson,
Rebecca Cannings-John
,
Haroon Ahmed ,
Jackie Bethel,
Samantha Turner ,
Ashley Akbari ,
Andrew Evans ,
Matthew Prettyjohns,
Gareth John,
Ronny Gunnarsson,
Rebecca Cannings-John
The Journal of Antimicrobial Chemotherapy, Start page: dkae400
Swansea University Authors:
Samantha Turner , Ashley Akbari
Full text not available from this repository: check for access using links below.
DOI (Published version): 10.1093/jac/dkae400
Abstract
To date, no research has compared longer-term outcomes (antibiotic provision; re-consultations; hospital admissions for quinsy; cost-effectiveness) following presentation with acute sore throat at general practice (GP) versus newer, pharmacy-led services. A retrospective, longitudinal cohort study o...
| Published in: | The Journal of Antimicrobial Chemotherapy |
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| ISSN: | 0305-7453 1460-2091 |
| Published: |
Oxford University Press (OUP)
2024
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa68346 |
| Abstract: |
To date, no research has compared longer-term outcomes (antibiotic provision; re-consultations; hospital admissions for quinsy; cost-effectiveness) following presentation with acute sore throat at general practice (GP) versus newer, pharmacy-led services. A retrospective, longitudinal cohort study of sore throat consultations between 1 November 2018 and 28 February 2020 either with the Wales pharmacy-led sore throat test and treat (STTT) service or with a healthcare professional at GP. Individual-level pharmacy consultation data from the national Choose Pharmacy IT application were securely uploaded to the Secure Anonymised Information Linkage Databank and linked to routinely collected, anonymized, population-scale, individual-level, anonymized health and administrative data. Of 72 736 index consultations, 6495 (8.9%) were with STTT and 66 241 (91.1%) with GP. Antibiotic provision at the index consultation was 1382 (21%) with STTT and 25 506 (39%) with GP [adjusted odds ratio (AOR), 0.30; 95% CI, 0.27 to 0.32]. Antibiotic provision within 28 days of index occurred in 1820 (28%) STTT and 26 369 (40%) GP consultations (AOR, 0.44; 95% CI, 0.41 to 0.47). GP re-consultation rate within 28 days of index date was 21% (n = 1389) with STTT compared with 7.4% (n = 4916) with GP (AOR, 3.8; 95% CI, 3.5 to 4.1). Coding limitations may lead to overestimates of GP re-consultations rates in the STTT group. Hospital admissions for quinsy were rare in both STTT (n = 20, 0.31%) and GP (n = 274, 0.41%) (AOR, 0.68; 95% CI, 0.43 to 1.1). STTT was less costly than consultation with GP. The pharmacy-led STTT service is safe, cost-effective, and contributes to antimicrobial stewardship. |
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| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This study was part funded by Digital Health and Care Wales (DHCW) and Welsh Value in Health centre. The rest was completed as part of routine work. |
| Start Page: |
dkae400 |