New test for patients with sore throats cuts antibiotic use by 29%
Washington: A new 'clinical score' test for patients suffering from sore throats may help reduce the amount of antibiotics prescribed and result in patients feeling better more quickly.
Researchers at the University of Southampton, funded by the National Institute for Health Research (NIHR) Heath Technology Assessment (HTA) Programme, used the five-item FeverPAIN score to decide whether to prescribe patients with an antibiotic immediately or to give them a delayed prescription and compared it with simply offering a delayed prescription.
The FeverPAIN score includes; fever in the past 24 hours, a pus infection, rapid attendance (within three days), inflamed tonsils and no cough or cold symptoms.
Results showed that using the test reduced antibiotic use by almost 30 per cent and despite using fewer antibiotics, patients in the FeverPAIN score group experienced a greater improvement in symptoms.
Paul Little, Professor of Primary Care Research who led the research, said that the findings show that using this clinical score test can target antibiotics more effectively and help persuade patients antibiotics are not needed.
He said that the FeverPAIN score should enable better targeting of antibiotics than the current scoring system to identify the likelihood of a bacterial infection in patients complaining of a sore throat, as it allows GPs to rule out likely streptococcal infection in more patients.
The study recruited 631 patients with an acute sore throat and compared use of the FeverPAIN clinical score, with or without rapid antigen testing, with a delayed prescription, in which patients were told to pick up a prescription three to five days later if their symptoms did not settle or got worse.
Patients who had four or five of the clinical features of the FeverPAIN test were prescribed antibiotics immediately; a delayed antibiotic prescription was offered to patients with two or three features and no antibiotics to those with only one or no features.
The test led to a 29 per cent reduction in antibiotic use compared with the delayed prescription approach.
The study has been published in the British Medical Journal.
More from India
More from World
More from Sports
More from Entertaiment
- Salman Khan attends sister Arpita's wedding reception in Mandi
- 2G scam: Ex-TRAI chief alleges Manmohan Singh had warned him to cooperate
- Pranab Mukherjee defends Bofors scam, says it was just a media trial
- Zee Media's mega survey on Modi govt
- I eat beef, can somebody stop me?: Kiren Rijiju hits back at Naqvi
- Zee Media Exclusive: Vidya Balan chats about 'Hamari Adhuri Kahani'
- Delhi: Visually impaired boy scores 91.4% in CBSE 12th Board exams
- MP: 14-year-old boy works as bonded labour since 2009
- Smriti Irani visits Amethi, promises to pay insurance money to 25,000 women
- UP: Man chops off wife's nose, hair for dowry
- Zee Media Exclusive: The plight of yoga expert Tejaswi Sharma
- Woman denied flat in Mumbai for being a Muslim
- BBV: What challenges lie ahead of Modi govt?
- 4 Indians in Forbes' 100 most powerful women list
- DNA analysis of rising water crisis in India!
- Arpita-Aayush wedding reception: Salman Khan spreads love in Mandi, says `hum aapke hain`
- CBSE Class 10 Board Result 2015 (cbse.nic.in, cbseresults.nic.in) postponed?
- CBSE Class 10 Board Result 2015 to be announced today
- Check mahresult.nic.in for MSBSHSE Maharashtra Class 12 HSC Result 2015
- MSBSHSE Class 12th HSC results 2015 to be declared at 1pm tomorrow
- Maharashtra MSBSHSE HSC Result 2015 on mahresult.nic.in
- Rahul Gandhi takes a dig at one year of Modi govt, wishes 'happy birthday' to 'suit-boot ki sarkar'
- I was misquoted, says Kiren Rijiju on 'beef' remark
- First look: Salman Khan steals thunder in `Bajrangi Bhaijaan`
- mahresult.nic.in updated with MSBSHSE Maharashtra HSC Class XII Result 2015
- CBSE 10th result to be declared tomorrow
- Check mahresult.nic.in for Maharashtra HSC Result 2015 to be announced at 1 pm on May 27
- Manmohan Singh defends himself on 2G charge, slams Modi govt for 'carbon copy' schemes
- Sonia Gandhi 'unconstitutional authority' during UPA: PM Narendra Modi
- Reservation stir: Five percent job quota to Gujjars unlikely, hints Rajasthan govt