{"id":481,"date":"2020-11-12T20:10:31","date_gmt":"2020-11-12T20:10:31","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=481"},"modified":"2020-11-12T20:10:31","modified_gmt":"2020-11-12T20:10:31","slug":"impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/","title":{"rendered":"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review"},"content":{"rendered":"

here has been growing international interest in performing remote consultations in primary care, particularly amidst the current COVID-19 pandemic. Despite this, the evidence surrounding the safety of remote consultations is inconclusive. The appropriateness of antibiotic prescribing in remote consultations is an important aspect of patient safety that needs to be addressed. We aimed to summarize evidence on the impact of remote consultation in primary care with regard to antibiotic prescribing. The research was published in the\u00a0Journal of Medical Internet Research<\/a>.<\/p>\n

In total, 12 studies were identified. Of these, 4 studies reported higher antibiotic-prescribing rates, 5 studies reported lower antibiotic-prescribing rates, and 3 studies reported similar antibiotic-prescribing rates in remote consultations compared with face-to-face consultations. Guideline-concordant prescribing was not significantly different between remote and face-to-face consultations for patients with sinusitis, but conflicting results were found for patients with acute respiratory infections. Mixed evidence was found for follow-up visit rates after remote and face-to-face consultations.<\/p>\n

We concluded that there is insufficient evidence to confidently conclude that remote consulting has a significant impact on antibiotic prescribing in primary care. However, studies indicating higher prescribing rates in remote consultations than in face-to-face consultations are a concern. Further well-conducted studies are needed to inform safe and appropriate implementation of remote consulting to ensure that there is no unintended impact on antimicrobial resistance.<\/p>\n

DOI:\u00a0https:\/\/doi.org\/10.2196\/23482<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

here has been growing international interest in performing remote consultations in primary care, particularly amidst the current COVID-19 pandemic. Despite this, the evidence surrounding the safety of remote consultations is inconclusive. The appropriateness of antibiotic prescribing in remote consultations is an important aspect of patient safety that needs to be addressed. We aimed to summarize […]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[20750],"class_list":["post-481","post","type-post","status-publish","format-standard","hentry","category-health","tag-primary-care"],"yoast_head":"\nImpact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"here has been growing international interest in performing remote consultations in primary care, particularly amidst the current COVID-19 pandemic. Despite this, the evidence surrounding the safety of remote consultations is inconclusive. The appropriateness of antibiotic prescribing in remote consultations is an important aspect of patient safety that needs to be addressed. We aimed to summarize […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Centre\" \/>\n<meta property=\"article:published_time\" content=\"2020-11-12T20:10:31+00:00\" \/>\n<meta name=\"author\" content=\"Azeem Majeed\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Azeem Majeed\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/\"},\"author\":{\"name\":\"Azeem Majeed\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\"},\"headline\":\"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review\",\"datePublished\":\"2020-11-12T20:10:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/\"},\"wordCount\":231,\"commentCount\":0,\"keywords\":[\"Primary Care\"],\"articleSection\":[\"Health\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/\",\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/\",\"name\":\"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review - Medical Centre\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#website\"},\"datePublished\":\"2020-11-12T20:10:31+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2020\\\/11\\\/12\\\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#website\",\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/\",\"name\":\"Medical Centre\",\"description\":\"Updates from Imperial College London's Professor of Primary Care\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\",\"name\":\"Azeem Majeed\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"caption\":\"Azeem Majeed\"},\"description\":\"I am Professor of Primary Care and Public Health, and Head of the Department of Primary Care & Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.\",\"sameAs\":[\"http:\\\/\\\/www.imperial.ac.uk\\\/people\\\/a.majeed\"],\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/author\\\/amajeed\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review - Medical Centre","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/","og_locale":"en_GB","og_type":"article","og_title":"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review - Medical Centre","og_description":"here has been growing international interest in performing remote consultations in primary care, particularly amidst the current COVID-19 pandemic. Despite this, the evidence surrounding the safety of remote consultations is inconclusive. The appropriateness of antibiotic prescribing in remote consultations is an important aspect of patient safety that needs to be addressed. We aimed to summarize […]","og_url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/","og_site_name":"Medical Centre","article_published_time":"2020-11-12T20:10:31+00:00","author":"Azeem Majeed","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Azeem Majeed","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/#article","isPartOf":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/"},"author":{"name":"Azeem Majeed","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25"},"headline":"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review","datePublished":"2020-11-12T20:10:31+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/"},"wordCount":231,"commentCount":0,"keywords":["Primary Care"],"articleSection":["Health"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/","url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/","name":"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review - Medical Centre","isPartOf":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website"},"datePublished":"2020-11-12T20:10:31+00:00","author":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25"},"breadcrumb":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2020\/11\/12\/impact-of-remote-consultations-on-antibiotic-prescribing-in-primary-health-care-systematic-review\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/"},{"@type":"ListItem","position":2,"name":"Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review"}]},{"@type":"WebSite","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website","url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/","name":"Medical Centre","description":"Updates from Imperial College London's Professor of Primary Care","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Person","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25","name":"Azeem Majeed","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","caption":"Azeem Majeed"},"description":"I am Professor of Primary Care and Public Health, and Head of the Department of Primary Care & Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.","sameAs":["http:\/\/www.imperial.ac.uk\/people\/a.majeed"],"url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/author\/amajeed\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/users\/1115"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/comments?post=481"}],"version-history":[{"count":1,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/481\/revisions"}],"predecessor-version":[{"id":482,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/481\/revisions\/482"}],"wp:attachment":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/media?parent=481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/categories?post=481"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/tags?post=481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}