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Biomedical subjects

C E Mabeck

Publications and source records attributed to C E Mabeck.

At least 37 records · Page 2Linked to original sources
PubMed1988

Referral from general practice to dermatologists.

There are many unexplained differences in the rates at which general practitioners make referrals to other medical specialists. We investigated 5,082 referrals from 141 general practitioners to dermatologists in Ringkøbing county in Denmark. As an expression of the referral rate to dermatologists an index of referral to dermatologists was estimated for every general practitioner. The index of referral to dermatologists was the number of referrals to the dermatologists per 1,000 patients per year, including children, standardized for age and sex to the average population in Ringkøbing County. The following six variables were evaluated in relation to the referral index: 1) Distance to the dermatologists, 2) number of doctors per practice, 3) number of consultations per general practitioner per year, 4) number of patients registered, 5) number of consultations per 1,000 patients per year standardized for age and sex, and 6) number of supplementary procedures per consultation. Stepwise multiple linear regression analysis was used. The study showed that the referral index to dermatologists fell both with distance to the dermatologist and with the number of supplementary procedures per consultation. No correlation was found between the referral index and the four other variables studied.

Denmark↗
PubMed1988

Variation in use of penicillin for treatment of sinusitis in general practice.

The present study describes the use of phenoxymethylpenicillin and broad-spectrum penicillin for the treatment of sinusitis in general practice, in relation to some variables related to the prescribing doctors: region (county), practice form (single-handed or partnership), and the doctors' seniority (year of graduation). Log-linear analysis was used to make it possible to evaluate the influence of single factors. There was considerable variation between the counties included in the study. Practitioners in partnership practices used phenoxymethylpenicillin more frequently and broad-spectrum penicillin less frequently in the treatment of patients with sinusitis, compared with their colleagues in single-handed practices. Younger practitioners chose broad-spectrum penicillin more frequently and phenoxymethylpenicillin less frequently than their older colleagues. The individual practitioner was rather stable in his choice of drug for the treatment of consecutive patients with the same diagnosis.

Age Factors↗
PubMed1988

Changes in penicillin prescribing in general practice.

In the present study, we have analysed changes from 1979 to 1983 in the use of phenoxymethyl penicillin and broad spectrum penicillin in the treatment of sinusitis in general practice. The changes are related to the doctors' seniority and to their practice conditions. All GPs in five counties were invited to register all prescriptions of antimicrobials during two periods, from 19 to 23 March 1979 and from 21 to 25 March 1983. In 1979 and 1983, 574 and 625 GPs participated, constituting 67% and 66%, respectively, of all the GPs in the five counties. A total of 15,863 prescriptions of antimicrobials was registered. In all, 1,567 patients with sinusitis were included in the study. Log-linear analyses were performed in order to take into consideration covariation in the explanatory variables and changes in the composition of the material between 1979 and 1983. The probability that a patient with sinusitis was treated with phenoxymethyl penicillin was reduced between 1979 and 1983 (odds ratio = 0.84), while the probability for treatment with broad spectrum penicillin was increased (odds ratio = 1.18). The log-linear analyses revealed no relationship between the doctors' seniority, the practice form or localisation, and changes in use of phenoxymethyl penicillin or broad spectrum penicillin.

Drug Utilization↗
PubMed1986

Use of antibiotics in general practice in Denmark. Prescribed daily dose, duration of treatment and number of treatments in general practice.

Prescribed daily dose (PDD) and duration of treatment is estimated for the most commonly used antibiotics in a multipractice study. In 1979 574 general practitioners and in 1983 625 general practitioners recorded 7 681 respectively 8 182 prescriptions of antibiotics over a five-day period. PDD and the number of treatments were compared with Defined Daily Dose (DDD) and DDD/1 000 inhabitants/day from the official statistics of drug consumption. It was found that these commonly used units were rather misleading with regard to the daily dose actually prescribed and the number of treatments given in a certain period.

Adolescent↗
PubMed1986

Prescribed daily dose of phenoxymethylpenicillin in general practice.

Prescribed daily dose (PDD) of phenoxymethylpenicillin was estimated in a multipractice study in 1979 and in 1983. PDD increased from 2.08 mio IU in 1979 to 2.32 mio IU in 1983. PDD was independent of number of daily doses, and factors related to practice. Only slight variations with diagnosis and doctor's age was found.

Adolescent↗
PubMed1985

Confidentiality in general practice.

Attitudes among general practitioners to confidentiality were studied in Denmark in 1980 and in 1984 and in France in 1980 using mailed questionnaires. A number of typical situations in general practice were described. The doctors were asked whether they would disclose information about the patient in the situations described. In a parallel study the same situations were described and lay people were asked whether in their opinion the doctor should disclose information or preserve confidentiality. The results showed some similarities but some marked differences between Danish and French practitioners; the Danish doctors attached more importance to the opinion of their patients. During the period from 1980 to 1984 a pronounced change in attitudes occurred among the Danish practitioners towards restraining information about the patients. In many questions the doctors' answers were in accordance with the expectations of lay people, especially regarding the preservation of confidentiality. But, contrary to the doctor's opinion, lay people expect that the doctor would provide information if the patient had given consent.

Attitude of Health Personnel↗
PubMed1983

Prescription of antibacterial drugs for treatment of bronchitis and pneumonia in general practice in Denmark.

Phenoxymethyl penicillin is the drug of choice in the treatment of acute respiratory tract infection. The widespread use of a broadspectrum antibiotic indicates that practitioners use such a preparation in the absence of a proper microbiological diagnosis. A relatively high proportion of patients were treated with erythromycin. This may reflect the widespread misconception of allergy to penicillin among patients and doctors. Too many prescriptions for antibacterial drugs seem to be based on telephone contact.

Adolescent↗
PubMed1982

Bacteriuria caused by Acinetobacter calcoaceticus biovars in a normal population and in general practice.

A total of 14 strains of Acinetobacter calcoaceticus biovar anitratus and 93 strains of A. calcoaceticus biovar lwoffi from a total of 97 patients participating in studies of significant bacteriuria were cultured. These studies involved an interview survey of asymptomatic significant bacteriuria and a multiple-center investigation of urinary tract infection diagnosed in general practice. Antibiotic susceptibilities of the strains as determined by a disk diffusion technique were generally in agreement with the results in the available literature, although we found high activity exhibited by ampicillin, cephalosporin, chloramphenicol, erythromycin, and streptomycin. The following resistance patterns were seen. (i) The strains from the interview survey were more often resistant to ampicillin, oxacillin, and tetracycline than were strains from the general practice study. (ii) More biovar anitratus strains than biovar lwoffi strains were resistant to chloramphenicol, erythromycin, and mecillinam. (iii) More biovar anitratus strains than biovar lwoffi strains were resistant to carbenicillin in the interview survey. The literature relevant to the incidence and significance of A. calcoaceticus biovars in urinary cultures, as well as predisposing factors, was reviewed. The incidence of these organisms in significant bacteriuria seems to be increasing. We concluded that A. calcoaceticus biovars can cause urinary tract infection in abnormal hosts as well as in basically healthy individuals.

Acinetobacter↗