Background
What can be done about it?
Research has shown that
patient (and parent) satisfaction is more related to having a careful
examination and having their concerns identified and addressed than to
receiving a prescription for antibiotics. This provides us with a great
opportunity, and many GPs are already very good at providing patients
with information and reassuring them.
We know how busy GPs and
nurses are, and how important it is to use precious consultation time
efficiently. In order to address the whole range of information needs
that parents of ill children might have, within a busy consultation,
clinicians need to have a range of ‘tools’ at their disposal.
The use of leaflets
There
is evidence that the use of a leaflet outlining the natural history of
cough in adults, resulted in a reduction in antibiotic use. Reductions
in antibiotic prescribing have been shown to result in reductions in
future demand for consultations. So it is worth investing a bit of time
in these consultations in order to reap future benefits. There is also
emerging data from Wales showing that reduced antibiotic use in a
community results in reductions in resistance levels within that
community.
Most GPs have access to many leaflets, both paper ones
and ones that can be printed off their computer system or the web.
Unfortunately many of these leaflets are not evidence based, and none of
the leaflets on respiratory tract infections, as far as we are aware,
have been developed with such extensive input from parents, GPs and
paediatricians.