Cochrane · systematic review · CD011360
Written information for patients (or parents of child patients) to reduce the use of antibiotics for acute upper respiratory tract infections in primary care
O'Sullivan, JW, Harvey, RT, Glasziou, PP, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Acute Respiratory InfectionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 40%Moderate 3 · 60%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Written information for patients (or parents of child patients) compared to usual care
Population: patients (or parents of child patients) with acute upper respiratory tract infections
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Antibiotics used by patients Written information for patients (or parents of child patients) vs usual care | RR 0.53 [0.35, 0.8] | 1 study · 2201 participants | Moderate Downgraded: risk of bias, indirectness |
Antibiotics prescribed by clinicians Written information for patients (or parents of child patients) vs usual care | RR 0.47 [0.28, 0.78] | 2 studies · 188131 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Reconsultation rates Written information for patients (or parents of child patients) vs usual care | RR 0.79 [0.47, 1.32] | 1 study · 3471 participants | Moderate Downgraded: risk of bias, indirectness |
Patient satisfaction with consultation Written information for patients (or parents of child patients) vs usual care | RR 0.95 [0.87, 1.03] | 1 study · 2201 participants | Moderate Downgraded: risk of bias, indirectness |
Written information for patients (or parents of child patients) plus prescribing feedback to clinicians compared to prescribing feedback alone
Population: patients (or parents of child patients) with acute upper respiratory tract infections
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Antibiotics prescribed by clinicians Written information for patients (or parents of child patients) plus prescribing feedback to clinicians vs prescribing feedback alone | RR 1.13 [1.09, 1.17] | 1 study · 15149 participants | Low Downgraded: indirectness |