Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: The objective of this study was to evaluate the diagnosis and treatment of acute sinusitis at three health care centers in northern and eastern Iceland. MATERIAL AND METHODS: Inf...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2010
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/113533 2023-05-15T13:08:21+02:00 Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum An evaluation of diagnosis and treatment of acute sinusitis at three health care centers Jón Pálmi Óskarsson Sigurður Halldórsson palmio@internet.is 2010-10-20 http://hdl.handle.net/2336/113533 ice is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 2010, 96(9):531-5 0023-7213 20820069 http://hdl.handle.net/2336/113533 Læknablaðið Sýklalyf Skútabólga Acute Disease Anti-Bacterial Agents Community Health Centers Diagnostic Tests Routine Drug Utilization Guideline Adherence Humans Iceland Incidence Outcome and Process Assessment (Health Care) Physician's Practice Patterns Practice Guidelines as Topic Retrospective Studies Sinusitis Treatment Outcome Article 2010 ftlandspitaliuni 2022-05-29T08:21:38Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: The objective of this study was to evaluate the diagnosis and treatment of acute sinusitis at three health care centers in northern and eastern Iceland. MATERIAL AND METHODS: Information on all those diagnosed with acute sinusitis (ICD 10 J01.0, J01.9) in the year 2004 at the communal health care centers in Akureyri, Husavik and Egilsstadir was obtained retrospectively from computerized clinical records. Key factors used for diagnosis and treatment were recorded. In order to obtain an equal distribution in population size only about one-third of the diagnoses made in Akureyri were included in the search (the first ten days of every month). RESULTS: The search yielded a total of 468 individuals. The average incidence of acute sinusitis was found to be 3.4 per 100 inhabitants per year. Adherence to clinical guidelines (albeit from other countries) regarding diagnosis of bacterial sinusitis was nearly nonexistent. There were considerable differences found between health care centers as to whether x-rays were used for diagnostic purposes. Blood tests were hardly used at all. The disease was diagnosed over the telephone in 28% of the cases (Husavik 38%, Akureyri 32%, Egilsstadir 10%). Over 90% of all individuals diagnosed with acute sinusitis received antibiotics, regardless of symptom duration. The antibiotics most often prescribed were Doxycyclin and Amoxicillin. CONCLUSIONS: The incidence of acute sinusitis in these three communities seems to be similar to other western countries. Acute bacterial sinusitis seems to be overdiagnosed and the use of antibiotics is in no context with clinical guidelines. Our results support the hypothesis that physicians tend to regard acute sinusitis as a bacterial disease, and treat it accordingly. Tilgangur: Tilgangur rannsóknarinnar var að meta greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum á Norður- og Austurlandi, með áherslu á ... Article in Journal/Newspaper Akureyri Akureyri Akureyri Iceland Hirsla - Landspítali University Hospital research archive Akureyri Husavik ENVELOPE(-17.345,-17.345,66.046,66.046) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Sýklalyf Skútabólga Acute Disease Anti-Bacterial Agents Community Health Centers Diagnostic Tests Routine Drug Utilization Guideline Adherence Humans Iceland Incidence Outcome and Process Assessment (Health Care) Physician's Practice Patterns Practice Guidelines as Topic Retrospective Studies Sinusitis Treatment Outcome |
spellingShingle |
Sýklalyf Skútabólga Acute Disease Anti-Bacterial Agents Community Health Centers Diagnostic Tests Routine Drug Utilization Guideline Adherence Humans Iceland Incidence Outcome and Process Assessment (Health Care) Physician's Practice Patterns Practice Guidelines as Topic Retrospective Studies Sinusitis Treatment Outcome Jón Pálmi Óskarsson Sigurður Halldórsson Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
topic_facet |
Sýklalyf Skútabólga Acute Disease Anti-Bacterial Agents Community Health Centers Diagnostic Tests Routine Drug Utilization Guideline Adherence Humans Iceland Incidence Outcome and Process Assessment (Health Care) Physician's Practice Patterns Practice Guidelines as Topic Retrospective Studies Sinusitis Treatment Outcome |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: The objective of this study was to evaluate the diagnosis and treatment of acute sinusitis at three health care centers in northern and eastern Iceland. MATERIAL AND METHODS: Information on all those diagnosed with acute sinusitis (ICD 10 J01.0, J01.9) in the year 2004 at the communal health care centers in Akureyri, Husavik and Egilsstadir was obtained retrospectively from computerized clinical records. Key factors used for diagnosis and treatment were recorded. In order to obtain an equal distribution in population size only about one-third of the diagnoses made in Akureyri were included in the search (the first ten days of every month). RESULTS: The search yielded a total of 468 individuals. The average incidence of acute sinusitis was found to be 3.4 per 100 inhabitants per year. Adherence to clinical guidelines (albeit from other countries) regarding diagnosis of bacterial sinusitis was nearly nonexistent. There were considerable differences found between health care centers as to whether x-rays were used for diagnostic purposes. Blood tests were hardly used at all. The disease was diagnosed over the telephone in 28% of the cases (Husavik 38%, Akureyri 32%, Egilsstadir 10%). Over 90% of all individuals diagnosed with acute sinusitis received antibiotics, regardless of symptom duration. The antibiotics most often prescribed were Doxycyclin and Amoxicillin. CONCLUSIONS: The incidence of acute sinusitis in these three communities seems to be similar to other western countries. Acute bacterial sinusitis seems to be overdiagnosed and the use of antibiotics is in no context with clinical guidelines. Our results support the hypothesis that physicians tend to regard acute sinusitis as a bacterial disease, and treat it accordingly. Tilgangur: Tilgangur rannsóknarinnar var að meta greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum á Norður- og Austurlandi, með áherslu á ... |
author2 |
palmio@internet.is |
format |
Article in Journal/Newspaper |
author |
Jón Pálmi Óskarsson Sigurður Halldórsson |
author_facet |
Jón Pálmi Óskarsson Sigurður Halldórsson |
author_sort |
Jón Pálmi Óskarsson |
title |
Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
title_short |
Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
title_full |
Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
title_fullStr |
Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
title_full_unstemmed |
Mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
title_sort |
mat á greiningu og meðferð bráðrar skútabólgu á þremur heilsugæslustöðvum |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2010 |
url |
http://hdl.handle.net/2336/113533 |
long_lat |
ENVELOPE(-17.345,-17.345,66.046,66.046) |
geographic |
Akureyri Husavik |
geographic_facet |
Akureyri Husavik |
genre |
Akureyri Akureyri Akureyri Iceland |
genre_facet |
Akureyri Akureyri Akureyri Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 2010, 96(9):531-5 0023-7213 20820069 http://hdl.handle.net/2336/113533 Læknablaðið |
_version_ |
1766084582167281664 |