19 results on '"Tomacinschii, Angela"'
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2. Did aetiology matter in illness duration and complications in patients presenting in primary care with acute respiratory tract infections early in the COVID-19 pandemic: An observational study in nine countries.
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Venekamp, Roderick P., Eijkemans, Marinus J.C., Zuithoff, Nicolaas P.A., Böhmer, Femke, Chlabicz, Slawomir, Colliers, Annelies, García-Sangenís, Ana, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Verheij, Theo J., Goossens, Herman, Vellinga, Akke, Butler, Christopher C., and van der Velden, Alike W.
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- 2024
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3. Did aetiology matter in illness duration and complications in patients presenting in primary care with acute respiratory tract infections early in the COVID-19 pandemic: An observational study in nine countries
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HAG Onderzoek, Infection & Immunity, Child Health, Biostatistiek Onderzoek, CTM & Statistical consultation, Other research (not in main researchprogram), HAG Infectieziekten, Ecraid, JC onderzoeksprogramma Infectieziekten, Venekamp, Roderick P, Eijkemans, Marinus J C, Zuithoff, Nicolaas P A, Böhmer, Femke, Chlabicz, Slawomir, Colliers, Annelies, García-Sangenís, Ana, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Verheij, Theo J, Goossens, Herman, Vellinga, Akke, Butler, Christopher C, van der Velden, Alike W, HAG Onderzoek, Infection & Immunity, Child Health, Biostatistiek Onderzoek, CTM & Statistical consultation, Other research (not in main researchprogram), HAG Infectieziekten, Ecraid, JC onderzoeksprogramma Infectieziekten, Venekamp, Roderick P, Eijkemans, Marinus J C, Zuithoff, Nicolaas P A, Böhmer, Femke, Chlabicz, Slawomir, Colliers, Annelies, García-Sangenís, Ana, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Verheij, Theo J, Goossens, Herman, Vellinga, Akke, Butler, Christopher C, and van der Velden, Alike W
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- 2024
4. Clinical diagnosis of SARS-CoV-2 infection: An observational study of respiratory tract infection in primary care in the early phase of the pandemic
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van der Velden, Alike W., primary, Shanyinde, Milensu, additional, Bongard, Emily, additional, Böhmer, Femke, additional, Chlabicz, Slawomir, additional, Colliers, Annelies, additional, García-Sangenís, Ana, additional, Malania, Lile, additional, Pauer, Jozsef, additional, Tomacinschii, Angela, additional, Yu, Ly-Mee, additional, Loens, Katherine, additional, Ieven, Margareta, additional, Verheij, Theo J., additional, Goossens, Herman, additional, Vellinga, Akke, additional, and Butler, Christopher C., additional
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- 2023
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5. Disease-Specific Quality Indicators for Outpatient Antibiotic Prescribing for Respiratory Infections (ESAC Quality Indicators) Applied to Point Prevalence Audit Surveys in General Practices in 13 European Countries
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Vellinga, Akke, Luke-Currier, Addiena, Garzón-Orjuela, Nathaly, Aabenhus, Rune, Anastasaki, Marilena, Balan, Anca, Böhmer, Femke, Lang, Valerija Bralić, Chlabicz, Slawomir, Coenen, Samuel, García-Sangenís, Ana, Kowalczyk, Anna, Malania, Lile, Tomacinschii, Angela, van der Linde, Sanne R., Bongard, Emily, Butler, Christopher C., Goossens, Herman, van der Velden, Alike W., Vellinga, Akke, Luke-Currier, Addiena, Garzón-Orjuela, Nathaly, Aabenhus, Rune, Anastasaki, Marilena, Balan, Anca, Böhmer, Femke, Lang, Valerija Bralić, Chlabicz, Slawomir, Coenen, Samuel, García-Sangenís, Ana, Kowalczyk, Anna, Malania, Lile, Tomacinschii, Angela, van der Linde, Sanne R., Bongard, Emily, Butler, Christopher C., Goossens, Herman, and van der Velden, Alike W.
- Abstract
Up to 80% of antibiotics are prescribed in the community. An assessment of prescribing by indication will help to identify areas where improvement can be made. A point prevalence audit study (PPAS) of consecutive respiratory tract infection (RTI) consultations in general practices in 13 European countries was conducted in January–February 2020 (PPAS-1) and again in 2022 (PPAS-4). The European Surveillance of Antibiotic Consumption quality indicators (ESAC-QI) were calculated to identify where improvements can be made. A total of 3618 consultations were recorded for PPAS-1 and 2655 in PPAS-4. Bacterial aetiology was suspected in 26% (PPAS-1) and 12% (PPAS-4), and an antibiotic was prescribed in 30% (PPAS-1) and 16% (PPAS-4) of consultations. The percentage of adult patients with bronchitis who receive an antibiotic should, according to the ESAC-QI, not exceed 30%, which was not met by participating practices in any country except Denmark and Spain. For patients (≥1) with acute upper RTI, less than 20% should be prescribed an antibiotic, which was achieved by general practices in most countries, except Ireland (both PPAS), Croatia (PPAS-1), and Greece (PPAS-4) where prescribing for acute or chronic sinusitis (0–20%) was also exceeded. For pneumonia in adults, prescribing is acceptable for 90–100%, and this is lower in most countries. Prescribing for tonsillitis (≥1) exceeded the ESAC-QI (0–20%) in all countries and was 69% (PPAS-1) and 75% (PPAS-4). In conclusion, ESAC-QI applied to PPAS outcomes allows us to evaluate appropriate antibiotic prescribing by indication and benchmark general practices and countries., Up to 80% of antibiotics are prescribed in the community. An assessment of prescribing by indication will help to identify areas where improvement can be made. A point prevalence audit study (PPAS) of consecutive respiratory tract infection (RTI) consultations in general practices in 13 European countries was conducted in January–February 2020 (PPAS-1) and again in 2022 (PPAS-4). The European Surveillance of Antibiotic Consumption quality indicators (ESAC-QI) were calculated to identify where improvements can be made. A total of 3618 consultations were recorded for PPAS-1 and 2655 in PPAS-4. Bacterial aetiology was suspected in 26% (PPAS-1) and 12% (PPAS-4), and an antibiotic was prescribed in 30% (PPAS-1) and 16% (PPAS-4) of consultations. The percentage of adult patients with bronchitis who receive an antibiotic should, according to the ESAC-QI, not exceed 30%, which was not met by participating practices in any country except Denmark and Spain. For patients (≥1) with acute upper RTI, less than 20% should be prescribed an antibiotic, which was achieved by general practices in most countries, except Ireland (both PPAS), Croatia (PPAS-1), and Greece (PPAS-4) where prescribing for acute or chronic sinusitis (0–20%) was also exceeded. For pneumonia in adults, prescribing is acceptable for 90–100%, and this is lower in most countries. Prescribing for tonsillitis (≥1) exceeded the ESAC-QI (0–20%) in all countries and was 69% (PPAS-1) and 75% (PPAS-4). In conclusion, ESAC-QI applied to PPAS outcomes allows us to evaluate appropriate antibiotic prescribing by indication and benchmark general practices and countries.
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- 2023
6. Clinical diagnosis of SARS-CoV-2 infection: An observational study of respiratory tract infection in primary care in the early phase of the pandemic
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HAG Infectieziekten, JC onderzoeksprogramma Infectieziekten, Infection & Immunity, Ecraid, van der Velden, Alike W, Shanyinde, Milensu, Bongard, Emily, Böhmer, Femke, Chlabicz, Slawomir, Colliers, Annelies, García-Sangenís, Ana, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Yu, Ly-Mee, Loens, Katherine, Ieven, Margareta, Verheij, Theo J, Goossens, Herman, Vellinga, Akke, Butler, Christopher C, HAG Infectieziekten, JC onderzoeksprogramma Infectieziekten, Infection & Immunity, Ecraid, van der Velden, Alike W, Shanyinde, Milensu, Bongard, Emily, Böhmer, Femke, Chlabicz, Slawomir, Colliers, Annelies, García-Sangenís, Ana, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Yu, Ly-Mee, Loens, Katherine, Ieven, Margareta, Verheij, Theo J, Goossens, Herman, Vellinga, Akke, and Butler, Christopher C
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- 2023
7. Disease-Specific Quality Indicators for Outpatient Antibiotic Prescribing for Respiratory Infections (ESAC Quality Indicators) Applied to Point Prevalence Audit Surveys in General Practices in 13 European Countries
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HAG Infectieziekten, Infection & Immunity, JC onderzoeksprogramma Infectieziekten, Vellinga, Akke, Luke-Currier, Addiena, Garzón-Orjuela, Nathaly, Aabenhus, Rune, Anastasaki, Marilena, Balan, Anca, Böhmer, Femke, Lang, Valerija Bralić, Chlabicz, Slawomir, Coenen, Samuel, García-Sangenís, Ana, Kowalczyk, Anna, Malania, Lile, Tomacinschii, Angela, van der Linde, Sanne R, Bongard, Emily, Butler, Christopher C, Goossens, Herman, van der Velden, Alike W, HAG Infectieziekten, Infection & Immunity, JC onderzoeksprogramma Infectieziekten, Vellinga, Akke, Luke-Currier, Addiena, Garzón-Orjuela, Nathaly, Aabenhus, Rune, Anastasaki, Marilena, Balan, Anca, Böhmer, Femke, Lang, Valerija Bralić, Chlabicz, Slawomir, Coenen, Samuel, García-Sangenís, Ana, Kowalczyk, Anna, Malania, Lile, Tomacinschii, Angela, van der Linde, Sanne R, Bongard, Emily, Butler, Christopher C, Goossens, Herman, and van der Velden, Alike W
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- 2023
8. Point-of care testing, antibiotic prescribing, and prescribing confidence for respiratory tract infections in primary care:a prospective audit in 18 European countries
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van der Velden, Alike W., van de Pol, Alma C., Bongard, Emily, Cianci, Daniela, Aabenhus, Rune, Balan, Anca, Böhmer, Femke, Lang, Valerija Bralić, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, García-Sangenís, Ana, Ghazaryan, Hrachuhi, Godycki-Ćwirko, Maciej, Jensen, Siri, Lionis, Christos, van der Linde, Sanne R., Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Vellinga, Akke, Zastavnyy, Ihor, Emmerich, Susanne, Zerda, Adam, Verheij, Theo J., Goossens, Herman, Butler, Christopher C., van der Velden, Alike W., van de Pol, Alma C., Bongard, Emily, Cianci, Daniela, Aabenhus, Rune, Balan, Anca, Böhmer, Femke, Lang, Valerija Bralić, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, García-Sangenís, Ana, Ghazaryan, Hrachuhi, Godycki-Ćwirko, Maciej, Jensen, Siri, Lionis, Christos, van der Linde, Sanne R., Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Vellinga, Akke, Zastavnyy, Ihor, Emmerich, Susanne, Zerda, Adam, Verheij, Theo J., Goossens, Herman, and Butler, Christopher C.
- Abstract
Background: Between-country differences have been described in antibiotic prescribing for respiratory tract infection (RTI) in primary care, but not yet for diagnostic testing procedures and prescribing confidence. Aim: To describe between-country differences in RTI management, particularly diagnostic testing and antibiotic prescribing, and investigate which factors relate to antibiotic prescribing and GPs’ prescribing confidence. Design & setting: Prospective audit in 18 European countries. Method: An audit of GP-registered patient, clinical, and management characteristics for patients presenting with sore throat and/or lower RTI (n = 4982), and GPs' confidence in their antibiotic prescribing decision. Factors related to antibiotic prescribing and confidence were analysed using multi-level logistic regression. Results: Antibiotic prescribing proportions varied considerably: <20% in four countries, and >40% in six countries. There was also considerable variation in point-of care (POC) testing (0% in Croatia, Moldova, and Romania, and >65% in Denmark and Norway, mainly for C-reactive protein [CRP] and group A streptococcal [strep A] infection), and in laboratory or hospital-based testing (<3% in Hungary, the Netherlands, and Spain, and >30% in Croatia, Georgia, Greece, and Moldova, mainly chest X-ray and white blood cell counting). Antibiotic prescribing was related to illness severity, comorbidity, age, fever, and country, but not to having performed a POC test. In nearly 90% of consultations, GPs were confident in their antibiotic prescribing decision. Conclusion: Despite high confidence in decisions about antibiotic prescribing, there is considerable variation in the primary care of RTI in European countries, with GPs prescribing antibiotics overall more often than is considered appropriate. POC testing may enhance the quality of antibiotic prescribing decisions if it can safely reverse decisions confidently made on clinical grounds alone to
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- 2022
9. Point of care testing, antibiotic prescribing and prescribing confidence for respiratory tract infections in primary care: a prospective audit in 18 European countries
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HAG Infectieziekten, Infection & Immunity, JC onderzoeksprogramma Infectieziekten, Huisartsopleiding, Biostatistiek Onderzoek, van der Velden, Alike, van de Pol, Alma C, Bongard, Emily, Cianci, Daniela, Aabenhus, Rune, Balan, Anca, Böhmer, Femke, Bralic Lang, Valerija, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, Garcia-Sangenis, Anna, Ghazaryan, Hrachuhi, Godycki-Cwirko, Maciek, Jensen, Siri, Lionis, Christos, van der Linde, Sanne R, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Vellinga, Akke, Zastavnyy, Ihor, Emmerich, Susanne, Zerda, Adam, Verheij, Theo J, Goossens, Herman, Butler, Christopher C, HAG Infectieziekten, Infection & Immunity, JC onderzoeksprogramma Infectieziekten, Huisartsopleiding, Biostatistiek Onderzoek, van der Velden, Alike, van de Pol, Alma C, Bongard, Emily, Cianci, Daniela, Aabenhus, Rune, Balan, Anca, Böhmer, Femke, Bralic Lang, Valerija, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, Garcia-Sangenis, Anna, Ghazaryan, Hrachuhi, Godycki-Cwirko, Maciek, Jensen, Siri, Lionis, Christos, van der Linde, Sanne R, Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Vellinga, Akke, Zastavnyy, Ihor, Emmerich, Susanne, Zerda, Adam, Verheij, Theo J, Goossens, Herman, and Butler, Christopher C
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- 2022
10. Point-of-care testing, antibiotic prescribing, and prescribing confidence for respiratory tract infections in primary care: a prospective audit in 18 European countries
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van der Velden, Alike W, primary, van de Pol, Alma C, additional, Bongard, Emily, additional, Cianci, Daniela, additional, Aabenhus, Rune, additional, Balan, Anca, additional, Böhmer, Femke, additional, Bralić Lang, Valerija, additional, Bruno, Pascale, additional, Chlabicz, Slawomir, additional, Coenen, Samuel, additional, Colliers, Annelies, additional, García-Sangenís, Ana, additional, Ghazaryan, Hrachuhi, additional, Godycki-Ćwirko, Maciej, additional, Jensen, Siri, additional, Lionis, Christos, additional, van der Linde, Sanne R, additional, Malania, Lile, additional, Pauer, Jozsef, additional, Tomacinschii, Angela, additional, Vellinga, Akke, additional, Zastavnyy, Ihor, additional, Emmerich, Susanne, additional, Zerda, Adam, additional, Verheij, Theo J, additional, Goossens, Herman, additional, and Butler, Christopher C, additional
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- 2021
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11. Primary care for patients with respiratory tract infection before and early on in the COVID-19 pandemic: an observational study in 16 European countries
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van der Velden, Alike W, primary, Bax, Eva A, additional, Bongard, Emily, additional, Munck Aabenhus, Rune, additional, Anastasaki, Marilena, additional, Anthierens, Sibyl, additional, Balan, Anca, additional, Böhmer, Femke, additional, Bruno, Pascale, additional, Chlabicz, Slawomir, additional, Coenen, Samuel, additional, Colliers, Annelies, additional, Emmerich, Susanne, additional, Garcia-Sangenis, Ana, additional, Ghazaryan, Hrachuhi, additional, van der Linde, Sanne R, additional, Malania, Lile, additional, Pauer, József, additional, Tomacinschii, Angela, additional, Tonkin-Crine, Sarah, additional, Vellinga, Akke, additional, Zastavnyy, Ihor, additional, Verheij, Theo, additional, Goossens, Herman, additional, and Butler, Christopher C, additional
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- 2021
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12. Patient consultations during SARS-CoV-2 pandemic a mixed-method cross-sectional study in 16 European countries.
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Petrazzuoli, Ferdinando, Gokdemir, Ozden, Antonopoulou, Maria, Blahova, Beata, Mrduljaš-Đujić, Natasa, Dumitra, Gindrovel, Falanga, Rosario, Ferreira, Mercedes, Gintere, Sandra, Hatipoglu, Sehnaz, Jacquet, Jean-Pierre, Javorská, Kateřina, Kareli, Ana, Mohos, András, Naimer, Sody, Tkachenko, Victoria, Tomacinschii, Angela, Randall-Smith, Jane, and Kurpas, Donata
- Abstract
Introduction: Remote consultations help reduce contact between people and prevent cross-contamination. Little is known about the changes in consultation in European rural primary care during the SARS-CoV-2 (COVID-19) pandemic. The purpose of this mixed-methods cross-sectional study was to find out more about the effects of the pandemic on changes in patient consultations in European rural primary care. Methods: A key informant survey from 16 member countries of the European Rural and Isolated Practitioners Association (EURIPA) was undertaken using a self-developed questionnaire. The steering committee of this project, called EURIPA Covid-19 study, developed a semi-structured questionnaire with 68 questions, 21 of which included free-text comments. Proportions were calculated for dichotomized or categorized data, and means were calculated for continuous data. Multivariate analysis by logistic regression model was used to assess the association of multiple variables. Results: A total of 406 questionnaires from primary care providers (PCPs) in 16 European countries were collected; 245 respondents (60.5%) were females, 152 PCPs were rural (37.5%), 124 semi-rural (30.5%). Mean age of the respondents was 45.9 years (standard deviation (SD) 11.30) while mean seniority (length of experience) was 18.2 years (SD 11.6). A total of 381 (93.8%) respondents were medical doctors. Significant differences were found between countries in adopting alternative arrangements to face-to-face consultation: remote teleconsultation is well appreciated by both healthcare professionals and patients, but the most common way of remote consultation remains telephone consultation. A factor significantly inversely associated with the adoption of video consultation was the seniority of the PCP (odds ratio 1.19, 95% confidence interval 1.02-1.40, p=0.03). Conclusion: Telephone consultation is the most common form of remote consultation. The adoption of video-consultation is inversely related to the seniority of the informants. [ABSTRACT FROM AUTHOR]
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- 2022
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13. Prevalence of overweight in adults in the Republic of Moldova
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Tomacinschii, Angela and Lozan, Oleg
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lcsh:R ,lcsh:Medicine ,overweight ,demographic factors ,Moldova - Abstract
Background: Preventing and decreasing overweight becomes a priority for public health both, worldwide and the Republic of Moldova is not an exeption.The phenomenon of overweight is not deeply studied in the country so far. The latest data available are reflected in the national research on the prevalenceof risk factors for non-communicable diseases in the Republic of Moldova, where it is stated that about 50% of the adult persons (18 years and over)suffer from excess weight. In this context, it was proposed to determine the prevalence of excess weight among adults over 18 years in the Republic ofMoldova and to estimate the risk of overweight depending on demographic factors. Material and methods: Descriptive, transvers study (cross-sectional study) based on primary data collection was carried out. 1200 adults over 18 yearsparticipated at this study. Statistical analysis of the data involved: frequency analysis, group comparisons, estimation of risk associated with excess weightOR (odds ratio) according to the geographical area, residence area, age group and gender. Data interpretation was performed on the basis of statisticalsignificance (p Results: The results of the research reveal significant differences of excess weight depending on the age, sex and geographical areas. The highest prevalenceof excess weight was observed among persons over 40 years (74.7%), women (57.9%), residents of the Center area (62.2%) and of the rural area 62.4%. Conclusions: The prevalence of excess weight in the Republic of Moldova constitutes 57.6% among the adult population, with the predominance amongpersons over 40 years of age, women and inhabitants of the Center area and the rural area.
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- 2020
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14. Primary care for patients with respiratory tract infection before and early on in the COVID-19 pandemic:an observational study in 16 European countries
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van der Velden, Alike W., Bax, Eva A., Bongard, Emily, Aabenhus, Rune Munck, Anastasaki, Marilena, Anthierens, Sibyl, Balan, Anca, Bohmer, Femke, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, Emmerich, Susanne, Garcia-Sangenis, Ana, Ghazaryan, Hrachuhi, van der Linde, Sanne R., Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Tonkin-Crine, Sarah, Vellinga, Akke, Zastavnyy, Ihor, Verheij, Theo, Goossens, Herman, Butler, Christopher C., van der Velden, Alike W., Bax, Eva A., Bongard, Emily, Aabenhus, Rune Munck, Anastasaki, Marilena, Anthierens, Sibyl, Balan, Anca, Bohmer, Femke, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, Emmerich, Susanne, Garcia-Sangenis, Ana, Ghazaryan, Hrachuhi, van der Linde, Sanne R., Malania, Lile, Pauer, Jozsef, Tomacinschii, Angela, Tonkin-Crine, Sarah, Vellinga, Akke, Zastavnyy, Ihor, Verheij, Theo, Goossens, Herman, and Butler, Christopher C.
- Abstract
Objective To describe primary health care (consultation characteristics and management) for patients contacting their general practitioner (GP) with a respiratory tract infection (RTI) early on in the COVID-19 pandemic in contrasting European countries, with comparison to prepandemic findings. Setting Primary care in 16 countries (79 practices), when no routine SARS-CoV-2 testing was generally available. Design and participants Before (n=4376) and early in the pandemic (n=3301), patients with RTI symptoms were registered in this prospective audit study. Outcome measures Consultation characteristics (type of contact and use of PPE) and management characteristics (clinical assessments, diagnostic testing, prescribing, advice and referral) were registered. Differences in these characteristics between countries and between pandemic and prepandemic care are described. Results Care for patients with RTIs rapidly switched to telephone/video consultations (10% in Armenia, 91% in Denmark), and when consultations were face-to-face, GPs used PPE during 97% (95% CI 96% to 98%) of contacts. Laboratory testing for SARS-CoV-2 in primary care patients with RTIs was rapidly implemented in Denmark (59%) and Germany (31%), while overall testing for C reactive protein decreased. The proportion of patients prescribed antibiotics varied considerably between countries (3% in Belgium, 48% in UK) and was lower during the pandemic compared with the months before, except for Greece, Poland and UK. GPs provided frequent and varied COVID-related advice and more frequently scheduled a follow-up contact (50%, 95% CI 48% to 52%). GPs reported a slightly higher degree of confidence in the likely effectiveness of their management in face-to-face (73% (very) confident, 95% CI 71% to 76%) than in virtual consultations (69%, 95% CI 67% to 71%). Conclusions Despite between-country variation in consultation characteristics, access to SARS-CoV-2 laboratory testing and medication prescribing, GPs report
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- 2021
15. Primary care for patients with respiratory tract infection before and early on in the COVID-19 pandemic: an observational study in 16 European countries
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HAG Infectieziekten, Infection & Immunity, JC onderzoeksprogramma Infectieziekten, van der Velden, Alike W, Bax, Eva A, Bongard, Emily, Munck Aabenhus, Rune, Anastasaki, Marilena, Anthierens, Sibyl, Balan, Anca, Böhmer, Femke, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, Emmerich, Susanne, Garcia-Sangenis, Ana, Ghazaryan, Hrachuhi, van der Linde, Sanne R, Malania, Lile, Pauer, József, Tomacinschii, Angela, Tonkin-Crine, Sarah, Vellinga, Akke, Zastavnyy, Ihor, Verheij, Theo, Goossens, Herman, Butler, Christopher C, HAG Infectieziekten, Infection & Immunity, JC onderzoeksprogramma Infectieziekten, van der Velden, Alike W, Bax, Eva A, Bongard, Emily, Munck Aabenhus, Rune, Anastasaki, Marilena, Anthierens, Sibyl, Balan, Anca, Böhmer, Femke, Bruno, Pascale, Chlabicz, Slawomir, Coenen, Samuel, Colliers, Annelies, Emmerich, Susanne, Garcia-Sangenis, Ana, Ghazaryan, Hrachuhi, van der Linde, Sanne R, Malania, Lile, Pauer, József, Tomacinschii, Angela, Tonkin-Crine, Sarah, Vellinga, Akke, Zastavnyy, Ihor, Verheij, Theo, Goossens, Herman, and Butler, Christopher C
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- 2021
16. Patients’ consultations during SARS-CoV-2 pandemic: a mixed method cross sectional study in 16 European countries (Preprint)
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Petrazzuoli, Ferdinando, primary, Gökdemir, Özden, additional, Antonopoulou, Maria, additional, Blahová, Beata, additional, Mrduljaš - Đujić, Natasa, additional, Dumitra, Gindrovel, additional, Falanga, Rosario, additional, Ferreira, Mercedes, additional, Gintere, Sandra, additional, Hatipoglu, Sehnaz, additional, Jacquet, Jean-Pierre, additional, Javorská, Kateřina, additional, Kareli, Ana, additional, Mohos, András, additional, Naimer, Sody, additional, Tkachenko, Victoria, additional, Tomacinschii, Angela, additional, Randall-Smith, Jane, additional, and Kurpas, Donata, additional
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- 2021
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17. Resilience of primary healthcare facilities: Experiences from 16 European countries during the COVID-19 pandemic. A mixed-methods study conducted by EURIPA.
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Petrazzuoli F, Gokdemir O, Antonopoulou M, Blahová B, Mrduljaš-Đujić N, Dumitra GG, Falanga R, Ferreira M, Gintere S, Hatipoglu S, Jacquet JP, Javorská K, Kareli A, Mohos A, Naimer S, Tkachenko V, Tomacinschii A, Randall-Smith J, Kujawa K, and Kurpas D
- Abstract
Background: The role of primary healthcare (PHC) during a pandemic varies across European countries. The coronavirus disease 2019 (COVID-19) pandemic has altered the working practices of family medicine doctors and impacted the resilience of healthcare systems., Objectives: This study aimed to examine European healthcare system responses to the pandemic, focusing on rural and urban differences., Material and Methods: This cross-sectional, mixed-methods study used a semi-structured online questionnaire with 68 questions, including 21 free-text comments. Data were collected from May 2020 to January 2021. Key informants from 16 European Rural and Isolated Practitioners Association (EURIPA) member countries distributed questionnaires to 406 PHC doctors. Data were analyzed using descriptive statistics and nonparametric tests (χ2, Kruskal-Wallis, Mann-Whitney U) with a significance threshold of 0.05., Results: A statistically significant difference was found between rural (36.4%, 55/151), semirural (19.4%, 24/124) and urban populations (29.8%, 39/131) regarding medicine shortages (χ2 = 9.91, degrees of freedom (df) = 4, p = 0.042). The semirural setting showed a statistically significant difference from the other settings (p = 0.004 in post hoc χ2 test). Significant differences were found between countries in resilience features including, effectiveness of triage, adapting to the rapidly changing requirements, government help, existence of a community resilience group, improved interprofessional collaboration, medicine shortage, and general practitioners (GPs) involvement in palliative care., Conclusions: Medicine shortage was more prevalent in rural and urban areas compared to semirural areas. Differences were observed between countries in their responses to the pandemic, particularly in adapting to the rapidly changing requirements, effectiveness of triage, government help, and the existence of a community resilience group. These differences were confirmed with qualitative analysis. The results emphasize the need for tailored approaches considering diverse contexts in shaping effective healthcare system resilience.
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- 2024
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18. Disease-Specific Quality Indicators for Outpatient Antibiotic Prescribing for Respiratory Infections (ESAC Quality Indicators) Applied to Point Prevalence Audit Surveys in General Practices in 13 European Countries.
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Vellinga A, Luke-Currier A, Garzón-Orjuela N, Aabenhus R, Anastasaki M, Balan A, Böhmer F, Lang VB, Chlabicz S, Coenen S, García-Sangenís A, Kowalczyk A, Malania L, Tomacinschii A, van der Linde SR, Bongard E, Butler CC, Goossens H, and van der Velden AW
- Abstract
Up to 80% of antibiotics are prescribed in the community. An assessment of prescribing by indication will help to identify areas where improvement can be made. A point prevalence audit study (PPAS) of consecutive respiratory tract infection (RTI) consultations in general practices in 13 European countries was conducted in January-February 2020 (PPAS-1) and again in 2022 (PPAS-4). The European Surveillance of Antibiotic Consumption quality indicators (ESAC-QI) were calculated to identify where improvements can be made. A total of 3618 consultations were recorded for PPAS-1 and 2655 in PPAS-4. Bacterial aetiology was suspected in 26% (PPAS-1) and 12% (PPAS-4), and an antibiotic was prescribed in 30% (PPAS-1) and 16% (PPAS-4) of consultations. The percentage of adult patients with bronchitis who receive an antibiotic should, according to the ESAC-QI, not exceed 30%, which was not met by participating practices in any country except Denmark and Spain. For patients (≥1) with acute upper RTI, less than 20% should be prescribed an antibiotic, which was achieved by general practices in most countries, except Ireland (both PPAS), Croatia (PPAS-1), and Greece (PPAS-4) where prescribing for acute or chronic sinusitis (0-20%) was also exceeded. For pneumonia in adults, prescribing is acceptable for 90-100%, and this is lower in most countries. Prescribing for tonsillitis (≥1) exceeded the ESAC-QI (0-20%) in all countries and was 69% (PPAS-1) and 75% (PPAS-4). In conclusion, ESAC-QI applied to PPAS outcomes allows us to evaluate appropriate antibiotic prescribing by indication and benchmark general practices and countries.
- Published
- 2023
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19. Point-of-care testing, antibiotic prescribing, and prescribing confidence for respiratory tract infections in primary care: a prospective audit in 18 European countries.
- Author
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van der Velden AW, van de Pol AC, Bongard E, Cianci D, Aabenhus R, Balan A, Böhmer F, Bralić Lang V, Bruno P, Chlabicz S, Coenen S, Colliers A, García-Sangenís A, Ghazaryan H, Godycki-Ćwirko M, Jensen S, Lionis C, van der Linde SR, Malania L, Pauer J, Tomacinschii A, Vellinga A, Zastavnyy I, Emmerich S, Zerda A, Verheij TJ, Goossens H, and Butler CC
- Abstract
Background: Between-country differences have been described in antibiotic prescribing for respiratory tract infection (RTI) in primary care, but not yet for diagnostic testing procedures and prescribing confidence., Aim: To describe between-country differences in RTI management, particularly diagnostic testing and antibiotic prescribing, and investigate which factors relate to antibiotic prescribing and GPs' prescribing confidence., Design & Setting: Prospective audit in 18 European countries., Method: An audit of GP-registered patient, clinical, and management characteristics for patients presenting with sore throat and/or lower RTI ( n = 4982), and GPs' confidence in their antibiotic prescribing decision. Factors related to antibiotic prescribing and confidence were analysed using multi-level logistic regression., Results: Antibiotic prescribing proportions varied considerably: <20% in four countries, and >40% in six countries. There was also considerable variation in point-of-care (POC) testing (0% in Croatia, Moldova, and Romania, and >65% in Denmark and Norway, mainly for C-reactive protein [CRP] and group A streptococcal [strep A] infection), and in laboratory or hospital-based testing (<3% in Hungary, the Netherlands, and Spain, and >30% in Croatia, Georgia, Greece, and Moldova, mainly chest X-ray and white blood cell counting). Antibiotic prescribing was related to illness severity, comorbidity, age, fever, and country, but not to having performed a POC test. In nearly 90% of consultations, GPs were confident in their antibiotic prescribing decision., Conclusion: Despite high confidence in decisions about antibiotic prescribing, there is considerable variation in the primary care of RTI in European countries, with GPs prescribing antibiotics overall more often than is considered appropriate. POC testing may enhance the quality of antibiotic prescribing decisions if it can safely reverse decisions confidently made on clinical grounds alone to prescribe antibiotics., (Copyright © 2022, The Authors.)
- Published
- 2022
- Full Text
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