Drug prescription pattern for asthma among nigerian doctors in general practice: A cross-sectional survey

Background: Odontogenic infections are one of the main causes of patients visit to a dental office. Antibiotics are magical drugs that have revolutionized the 20th Century in their ability to treat infectious diseases, increasing the life expectancy of individuals. Antibiotics prescription is a common practice among dental professionals and according to an estimate by Centre for Disease Control (CDC) and American Dental Association (ADA), over prescription of antibiotics is seen in 30-50% of the cases. Aim: To assess and compare (no comparison) the antibiotic prescription pattern among general dentists and specialty dentists in Lahore, Pakistan. Methodology: A cross sectional survey was conducted amongst dentists working in the teaching institutions and in the private clinics of Lahore. A pre-piloted questionnaire survey adopted from Jagan et al with slight modifications was used. In this descriptive study 300 practicing dentists were selected using consecutive sampling with a 5% level of significance and margin of error Results: Total 300 filled questionnaires were collected. Almost 84% of the dentists were less than 30 years old while 13% were between 31-40 years old. Of the participants 65.3% were females and 34.7 percent were males. Dental infections associated with gross swelling or associated with closure of the eye were the most common reasons for prescription of antibiotics. Almost 62% of the dentists would give antibiotic if any delay in treatment is anticipated. Almost 50% of the dentists would prescribe antibiotics for periapical abscess and cellulitis. Conclusion: There is a trend towards over prescription of antibiotics by dentists without following the standard guidelines. Emphasis on the correct prescription strategies of antibiotics at the undergraduate level and more awareness should be created as continuing dental education programs for practicing dentists. Keywords: Antibiotics, Dentists, Prescription Pattern.

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Sleep in General Practice: A Cross-Sectional Survey of Primary Care Across India

10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6236 ◽

2019 ◽

Author(s):

A.G. Ghoshal ◽

R. Dhar ◽

I. Halder ◽

S. Ghosh ◽

A. Ghoshal

Keyword(s):

Primary Care ◽

General Practice ◽

Cross Sectional Survey ◽

Cross Sectional

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Off-label drug prescriptions in French general practice: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-026076 ◽

2019 ◽

Vol 9 (4) ◽

pp. e026076 ◽

Cited By ~ 1

Author(s):

François Drogou ◽

Allison Netboute ◽

Joris Giai ◽

Xavier Dode ◽

David Darmon ◽

...

Keyword(s):

General Practice ◽

Drug Prescription ◽

Low Frequency ◽

Cross Sectional Study ◽

Drug Prescriptions ◽

Off Label Use ◽

Sectional Study ◽

Cross Sectional ◽

Off Label ◽

Label Use

ObjectivesOff-label drug prescribing is a public health and economic issue. The aim of this study was to describe off-label prescription in general practice in France, in terms of frequency and nature, and to identify its main determining factors.DesignMulticentre cross-sectional studySettingTwenty-three training general practice officesParticipantsAll the voluntary patients coming for a medical consultation or visited at home over a cumulative period of 5 days per office between November 2015 and January 2016.MethodsEleven interns, acting as observers, collected data. Two reviewers analysed the drugs prescribed by the trainers, in order to identify those prescribed off-label in terms of their indication or the age of the patient. We used a univariate, then a multivariate model, based on hierarchical mixed-effects logistic regression.ResultsAmong the 4932 drug prescriptions registered, 911 (18.5%[95% CI17.4% to 19.6%]) were off-label, of which 865 (17.6%) due to the indication of the drug and 58 (1.2%) due to the age of the patient. The prescription never mentioned the off-label use, neither was the patient informed of it, as required by the French law. With the multivariate analysis, variables contributing to off-label prescription were the number of drugs (OR=1.05 for each additional drug), the initiation of new drug therapy (OR=1.26) and the non-specific goal of the prescription (OR=1.43); the age of the patient ≤14 years (OR=1.42); the rural location of the physician’s practice (OR=1.38) and the low frequency of the visits of national health insurance representatives (OR=0.93).ConclusionAlmost one out of five drugs prescribed in French general practice was off-label. It seems necessary to better train physicians in clinical pharmacology, to provide them with more effective drug prescription software, to reinforce postmarketing surveillance and to clearly define off-label use by consensus.

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Reported frequency of domestic violence: cross sectional survey of women attending general practice

BMJ ◽

10.1136/bmj.324.7332.271 ◽

2002 ◽

Vol 324 (7332) ◽

pp. 271-271 ◽

Cited By ~ 134

Author(s):

F. Bradley

Keyword(s):

Domestic Violence ◽

General Practice ◽

Cross Sectional Survey ◽

Cross Sectional

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Couple relationship problems—a task for the general practitioner? A cross-sectional survey from Norway

Family Practice ◽

10.1093/fampra/cmaa093 ◽

2020 ◽

Author(s):

Siri Dalsmo Berge ◽

Eivind Meland ◽

Mette Brekke ◽

Gunnar Tschudi Bondevik ◽

Frode Thuen ◽

...

Keyword(s):

General Practice ◽

General Practitioner ◽

Regression Models ◽

Good Health ◽

Couple Relationship ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Relationship Problems ◽

Logistic Regression Models ◽

General Practices

Abstract Background A healthy couple relationship is a predictor of good health. There is a lack of knowledge about what role family and couples counselling should have in general practice. Objectives To identify the prevalence of patients who have talked, or want to talk, with their general practitioner (GP) about their couple relationship, to investigate what characterizes these patients and to explore whether they believe that couple relationship problems should be dealt with in general practice. Methods We conducted a cross-sectional survey in 70 general practices in Norway during spring 2019. A questionnaire was answered by 2178 consecutive patients (response rate 75%) in GP waiting rooms. Data were examined using frequencies and linear and logistic regression models. Results We included 2097 responses. Mean age was 49.0 years and 61.3% were women. One in four (25.0%) had already talked with their GP about couple relationship problems, while one in three (33.5%) wanted to talk with their GP about their couple relationship problems. These patients more frequently had experience of divorce, poor self-rated health, an opinion that their couple relationship had a significant impact on their health and lower couple relationship quality when adjusted for age, sex, present marital status and children living at home. We found that 46.4% of patients believed that GPs should be interested in their couple relationship problems. Conclusion Relationship problems are frequently addressed in general practice. GPs should be prepared to discuss this issue to facilitate help for couples earlier than they might otherwise expect.

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Association between depression and abuse by partners of women attending general practice: descriptive, cross sectional survey

BMJ ◽

10.1136/bmj.328.7440.621 ◽

2004 ◽

Vol 328 (7440) ◽

pp. 621-624 ◽

Cited By ~ 134

Author(s):

Kelsey Hegarty ◽

Jane Gunn ◽

Patty Chondros ◽

Rhonda Small

Keyword(s):

General Practice ◽

Sexual Abuse ◽

Low Income ◽

Depression Scale ◽

Intimate Relationship ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sf 36 ◽

Pregnancy Status ◽

Type Of Abuse

AbstractObjective To explore the association between depression and physical, emotional, and sexual abuse by partners or ex-partners of women attending general practice.Design Descriptive, cross sectional survey.Setting 30 general practitioners in Victoria, Australia.Participants 1257 consecutive female patients.Main outcome measures Some type of abuse in an adult intimate relationship (composite abuse scale), depression (Beck depression inventory or Edinburgh postnatal depression scale), and physical health (SF-36).Results 18.0% (218/1213) of women scored as currently probably depressed and 24.1% (277/1147) had experienced some type of abuse in an adult intimate relationship. Depressed women were significantly more likely to have experienced severe combined abuse than women who were not depressed after adjusting for other significant sociodemographic variables (odds ratio 5.8, 95% confidence interval 2.8 to 12.0). These variables included not being married, having a poor education, being on a low income, being unemployed or receiving a pension, pregnancy status, or being abused as a child.Conclusion Physical, emotional, and sexual abuse are strongly associated with depression in women attending general practice. Doctors should sensitively ask depressed women about their experiences of violence and abuse in intimate relationships. Research into depression should include measures of partner abuse in longitudinal and intervention studies.

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Headache in General Practice: Frequency, Management, and Results of Encounter

International Scholarly Research Notices ◽

10.1155/2014/169428 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Thomas Frese ◽

Henriette Druckrey ◽

Hagen Sandholzer

Keyword(s):

General Practice ◽

General Practitioner ◽

Drug Prescription ◽

Spinal Column ◽

Primary Headache ◽

Secondary Headache ◽

Upper Respiratory Tract ◽

Cross Sectional ◽

Frequency Management ◽

Tract Infections

Objective. Headache is a common reason for consulting the general practitioner. The goal of the investigation was to characterize the headache consultation rates, the associated symptoms, the frequency of diagnostic and therapeutic procedures, and the results of the encounter of patients with headache. Methods. Cross-sectional data were collected from randomly selected patients during the German SESAM 2 study and compared with unpublished but publicly available data from the Dutch Transition Project. Results. Headache accounts for up to five percent of all general practice consultations. Women consult the general practitioner for headache twice as often as men. Physical examination and drug prescription are the most frequent procedures. Most of the patients suffer from primary headache; secondary headache is due to upper respiratory tract infections or problems of the spinal column. Dangerous courses occur in very rare cases. Conclusion. This work confirms the findings of earlier studies regarding the management of patients that consult the general practitioner for headache. It broadens the preexisting database since cross-sectional data regarding headache in general practice was rarely published.

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