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Effect of using an interactive booklet about childhood respiratory tract infections in primary care consultations on reconsulting and antibiotic prescribing: a cluster randomised controlled trial
British Medical Journal, 08/17/09
Francis NA et al. – Use of a booklet on respiratory tract infections in children within primary care consultations led to important reductions in antibiotic prescribing and reduced intention to consult without reducing satisfaction with care.
Methods- Pragmatic cluster randomised controlled trial.
- Participants: 558 children (6 months to 14 years) presenting to primary care with an acute respiratory tract infection (7 days or less).
- Clinicians in the intervention group were trained in the use of an interactive booklet on respiratory tract infections. Clinicians in the control group conducted their consultations as usual.
- Reconsultation occurred in 12.9% of children in the intervention group and 16.2% in the control group.
- Antibiotics were prescribed at the index consultation to 19.5% of children in the intervention group and 40.8% of children in the control group.
- There was also a significant difference in the proportion of parents who said they would consult in the future if their child developed a similar illness.
- Satisfaction, reassurance, and parental enablement scores were not significantly different between the two groups.
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