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Management of sore throat in primary care
Jennifer Tran1, Margie Danchin2, Andrew C Steer3
1MBBS, LLB, BCom, Honorary Research Officer, Group A Streptococcal Research Group, Murdoch Children@s Research Institute; Resident Medical Officer, Royal Children@s Hospital Melbourne, Vic.
Background And Objectives:
The aim of this study was to examine the knowledge, attitudes and practices of general practitioners (GPs) in Victoria, Australia in the management of sore throat.
Method:
We conducted a cross-sectional survey of 100 GPs using a questionnaire with the same four case vignettes used in a 1994 Victorian study.
Results:
Eighty-nine per cent of respondents indicated they would prescribe antibiotics to a child with a short history of sore throat and fever, with examination findings of fever, tonsillar pus and tender cervical lymph nodes. Only 18% of respondents indicated they would order a throat swab with culture to investigate the aetiology. Very few respondents indicated they would prescribe antibiotics to patients presenting with sore throat with clinical features consistent with a viral infection.
Discussion:
This study suggests that there is a role for better communication of the gradual but practical changes of Australian sore throat management guidelines to GPs, which may reduce antibiotic prescribing.
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