Antibiotic treatment of community-acquired pneumonia: a questionnaire survey in Danish general practice

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BACKGROUND: Discrepancies exist in Danish guidelines for the treatment of bacterial community-acquired pneumonia (CAP). This study aimed to investigate how GPs treat adults with CAP and explore associations between GP characteristics and treatment duration.

METHODS: In autumn 2020, GPs in the North Denmark Region were asked to complete an electronic questionnaire on antibiotic prescribing for CAP. Information about GP gender, age, experience and type of practice was obtained. Multivariable logistic regression was used to analyse the association between GP characteristics and treatment duration.

RESULTS: A total of 298 GPs were invited to participate of whom 108 completed the survey. Penicillin V was used as first line treatment for CAP by all participants. Treatment duration varied from five (54.6%) to ten days (8.3%). A 5-day course of penicillin was less likely to be prescribed by male GPs (odds ratio (OR) 0.35, 95% confidence interval (CI) 0.13 to 0.94) and more likely to be prescribed by GPs with 5-9 years of experience in general practice (OR 5.03, 95%CI 1.09 to 23.21) compared to those with 10-19 years of experience.

CONCLUSION: Variation in antibiotic treatment of CAP emphasises the importance of generating solid evidence about the optimal duration regarding both effectiveness and safety.

Original languageEnglish
JournalBasic & Clinical Pharmacology & Toxicology
Volume130
Issue number1
Pages (from-to)151-157
Number of pages7
ISSN1742-7843
DOIs
Publication statusPublished - 2022

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