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Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study

Efi Mantzourani Orcid Logo, Haroon Ahmed Orcid Logo, Jackie Bethel, Samantha Turner Orcid Logo, Ashley Akbari Orcid Logo, Andrew Evans Orcid Logo, Matthew Prettyjohns, Gareth John, Ronny Gunnarsson, Rebecca Cannings-John

The Journal of Antimicrobial Chemotherapy, Start page: dkae400

Swansea University Authors: Samantha Turner Orcid Logo, Ashley Akbari Orcid Logo

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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...

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Published in: The Journal of Antimicrobial Chemotherapy
ISSN: 0305-7453 1460-2091
Published: Oxford University Press (OUP) 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa68346
first_indexed 2024-11-26T19:47:27Z
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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&#x200A;736 index consultations, 6495 (8.9%) were with STTT and 66&#x200A;241 (91.1%) with GP. Antibiotic provision at the index consultation was 1382 (21%) with STTT and 25&#x200A;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&#x200A;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&#x200A;=&#x200A;1389) with STTT compared with 7.4% (n&#x200A;=&#x200A;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&#x200A;=&#x200A;20, 0.31%) and GP (n&#x200A;=&#x200A;274, 0.41%) (AOR, 0.68; 95% CI, 0.43 to 1.1). STTT was less costly than consultation with GP. 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spelling 2024-11-26T16:28:50.0902249 v2 68346 2024-11-26 Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study 51236cb22cd896545c87e4c15fda17af 0000-0001-5293-3871 Samantha Turner Samantha Turner true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 2024-11-26 MEDS 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. Journal Article The Journal of Antimicrobial Chemotherapy 0 dkae400 Oxford University Press (OUP) 0305-7453 1460-2091 11 11 2024 2024-11-11 10.1093/jac/dkae400 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee 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. 2024-11-26T16:28:50.0902249 2024-11-26T15:29:24.4990800 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Efi Mantzourani 0000-0002-6313-1409 1 Haroon Ahmed 0000-0002-0634-8548 2 Jackie Bethel 3 Samantha Turner 0000-0001-5293-3871 4 Ashley Akbari 0000-0003-0814-0801 5 Andrew Evans 0000-0001-9486-283X 6 Matthew Prettyjohns 7 Gareth John 8 Ronny Gunnarsson 9 Rebecca Cannings-John 10
title Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
spellingShingle Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
Samantha Turner
Ashley Akbari
title_short Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
title_full Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
title_fullStr Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
title_full_unstemmed Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
title_sort Clinical outcomes following acute sore throat assessment at community pharmacy versus general practice: a retrospective, longitudinal, data linkage study
author_id_str_mv 51236cb22cd896545c87e4c15fda17af
aa1b025ec0243f708bb5eb0a93d6fb52
author_id_fullname_str_mv 51236cb22cd896545c87e4c15fda17af_***_Samantha Turner
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
author Samantha Turner
Ashley Akbari
author2 Efi Mantzourani
Haroon Ahmed
Jackie Bethel
Samantha Turner
Ashley Akbari
Andrew Evans
Matthew Prettyjohns
Gareth John
Ronny Gunnarsson
Rebecca Cannings-John
format Journal article
container_title The Journal of Antimicrobial Chemotherapy
container_volume 0
container_start_page dkae400
publishDate 2024
institution Swansea University
issn 0305-7453
1460-2091
doi_str_mv 10.1093/jac/dkae400
publisher Oxford University Press (OUP)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 0
active_str 0
description 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.
published_date 2024-11-11T20:49:20Z
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