Evaluating the Appropriateness of Antibiotic Treatment of Tonsillitis during COVID-19 in the North Wale Primary Healthcare Setting

J Prim Care Community Health. 2021 Jan-Dec:12:21501327211003687. doi: 10.1177/21501327211003687.

Abstract

Background: The COVID-19 pandemic has changed the delivery of primary care in the NHS. Consultations have largely moved from face-to-face to remote, forcing practitioners to modify the ways in which they deliver care to patients.

Aim: In this study, we aim to investigate the appropriateness of antibiotic prescribing in tonsillitis during the COVID-19 pandemic.

Design and setting: An observational quantitative analysis in the North Wales primary care setting.

Method: Retrospective review of computer records across 5 GP centers from March 2020 until the end of October 2020. Data was extracted and analyzed using chi-square or fisher exact rank and Mann-Whitney test.

Results: Our results have shown no significant difference in antibiotic prescribing behavior comparing face-to-face and remote consultations.

Conclusion: Remote consultation is as effective as face-to-face consultation with regards to the assessment of tonsillitis and the appropriateness of antibiotic prescription in primary care.

Keywords: COVID-19; antibiotic; primary healthcare; service evaluation; tonsillitis.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use*
  • COVID-19*
  • Child
  • Child, Preschool
  • Delivery of Health Care
  • Female
  • Humans
  • Inappropriate Prescribing / statistics & numerical data*
  • Infant
  • Male
  • Middle Aged
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Primary Health Care
  • Retrospective Studies
  • SARS-CoV-2
  • Telemedicine*
  • Tonsillitis / drug therapy*
  • Wales
  • Young Adult

Substances

  • Anti-Bacterial Agents