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ABSTRACT: Objectives
The purpose of this study was to examine the expectations of patients attending an urban primary care out-of-hours (OOH) facility with acute upper respiratory tract infection (acute URTI) regarding clinical examination, symptom management, information on their condition, reassurance, antibiotic treatment and other possible options including referral.Design
Cross-sectional design.Setting
One urban primary care OOH facility located in the midwest of Ireland.Participants
457 patients filled out a questionnaire while waiting in the OOH facility; 22 surveys were excluded as the patients did not present with symptoms of acute URTI resulting in 435 patients' data being included in this study. There were 59.5% female participants and 40.5% male participants.Results
435 patients with acute URTI symptoms participated in the survey, representing 25.4% of those attending the single branch where the survey was conducted (n=1715). Of the study participants, 43% were aged under 6?years and 60% were women. The most common presenting symptoms were cough (72%), throat ache (46%) and common cold (26%). The most common expectations were for further examination (53%), reassurance (51%), information (49%) and medication for cough (47%), with 34% expecting an antibiotic.Conclusions
Only one in three patients attending this primary care OOH facility with acute URTI symptoms had an expectation of antibiotics, with most seeking further assessment, information and reassurance. Recognition of such expectations may be important considerations for clinicians when deciding on management options for patients with acute URTI.
SUBMITTER: O'Connor R
PROVIDER: S-EPMC6398638 | biostudies-literature | 2019 Feb
REPOSITORIES: biostudies-literature
O'Connor Raymond R O'Doherty Jane J O'Regan Andrew A O'Neill Aoife A McMahon Claire C Dunne Colum P CP
BMJ open 20190215 2
<h4>Objectives</h4>The purpose of this study was to examine the expectations of patients attending an urban primary care out-of-hours (OOH) facility with acute upper respiratory tract infection (acute URTI) regarding clinical examination, symptom management, information on their condition, reassurance, antibiotic treatment and other possible options including referral.<h4>Design</h4>Cross-sectional design.<h4>Setting</h4>One urban primary care OOH facility located in the midwest of Ireland.<h4>P ...[more]