Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours

Aslaner, Hümeyra; Onuk, Alpay; Benli, Ali Ramazan; Aslaner, Hacı Ahmet; ERTURK ARIK, BADE; Mistik, Selcuk

doi:10.33880/ejfm.2020090405

Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours

Hümeyra ASLANER, (Kayseri Şehir Hastanesi, Aile Tıp Bölümü, Kayseri, Türkiye)

Hacı Ahmet ASLANER, (Öncesu İlçe Devlet Hastanesi, İç Hastalıkları Bölümü, Kayseri, Türkiye)

Bade ERTÜRK ARIK, (Tomarza Yaşar Karayel İlçe Devlet Hastanesi, Kayseri, Türkiye)

Alpay ONUK, (Felahiye İlçe Devlet Hastanesi, Kayseri, Türkiye)

Ali Ramazan BENLİ, (Kayseri Sağlık Müdürlüğü, Kayseri, Türkiye)

Selçuk MISTIK (Erciyes Üniversitesi, Tıp Fakültesi, Aile Hekimliği Bölümü, Kayseri, Türkiye)

Eurasian Journal of Family Medicine

4 0

Yıl: 2020 Cilt: 9 Sayı: 4 Sayfa Aralığı: 225 - 232 Metin Dili: İngilizce DOI: 10.33880/ejfm.2020090405 İndeks Tarihi: 12-11-2021

Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours

Öz:

Aim: The aim of this study is to determine the rates of rapid antigen detection test use, test results and its relationship with Modified Centor Score and investigate the effect of rapid antigen detection test use on prescribing behaviour.Methods: This research was conducted by scanning the family physicians¶ information system retrospectively. From the Family Medicine Information System, where polyclinics and prescription records of the family health centers where 12 family physicians work in Kayseri are located, the number and results of rapid antigen detection tests performed between February 2017 and April 2019, the Modified Centor Score automatically calculated by the system, the number of prescribed antibiotics and symptomatic treatment information was recorded.Results: The positivity of rapid antigen detection test was considered, cut-off value of Modified Centor Score was >2 (ROC EAA:63.9, Cl:0.95,0.61-0.66). Sensitivity rate of the test for diagnostic score was 86% and selectivity rate was 48.8%.Conclusion: Family physicians should be encouraged to use rapid antigen detection test. The fact that antibiotics are prescribed in rapid antigen detection test negative patients may indicate that confidence level of the test is less than physical examination and clinical findings.

Anahtar Kelime:

Aile Hekimlerinin Hızlı Antijen Testi Kullanım Oranları, Test Sonuçları ve Reçetelendirmeye Etkisi

Öz:

Amaç: Bu çalışmanın amacı, hızlı antijen testi kullanım oranlarını, test sonuçlarını, Modifiye Centor Skoru ile ilişkisini belirlemek ve hızlı antijen testi kullanımının reçete yazma davranışı üzerindeki etkisini araştırmaktır. Yöntem: Bu araştırma Aile Hekimliği Bilgi Sistemi retrospektif taranarak yapılmıştır. Kayseri'de 12 aile hekiminin çalıştığı aile sağlığı merkezinin poliklinik ve reçete kayıtlarının yer aldığı Aile Hekimliği Bilgi Sistemi'nden, 2017 Şubat ile 2019 Nisan ayları arasında yapılan hızlı antijen testi testi sayısı ve sonuçları, sistem tarafından otomatik hesaplanan Modifiye Centor Skorları, reçetelenen antibiyotik sayıları ve semptomatik tedavi bilgileri kaydedildi. Bulgular: Hızlı antijen testi pozitifliği dikkate alınarak bakıldığında Modifiye Centor Skoru cut- off değeri >2 idi (ROC EAA:63,9, Cl:0,95,0,61-0,66). Tanı puanı için testin duyarlılığı %86, seçiciliği %48,8'dir. Sonuç: Aile hekimleri tarafından hızlı antijen testi kullanımı teşvik edilmelidir. Hızlı antijen testi negatif hastalarda da antibiyotik reçete ediliyor olması teste olan güvenin fizik muayeneye ve klinik bulgulara olan güvenden daha az olduğunun bir göstergesi olabilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık

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APA	Aslaner H, Aslaner H, ERTURK ARIK B, Onuk A, Benli A, Mistik S (2020). Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. , 225 - 232. 10.33880/ejfm.2020090405
Chicago	Aslaner Hümeyra,Aslaner Hacı Ahmet,ERTURK ARIK BADE,Onuk Alpay,Benli Ali Ramazan,Mistik Selcuk Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. (2020): 225 - 232. 10.33880/ejfm.2020090405
MLA	Aslaner Hümeyra,Aslaner Hacı Ahmet,ERTURK ARIK BADE,Onuk Alpay,Benli Ali Ramazan,Mistik Selcuk Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. , 2020, ss.225 - 232. 10.33880/ejfm.2020090405
AMA	Aslaner H,Aslaner H,ERTURK ARIK B,Onuk A,Benli A,Mistik S Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. . 2020; 225 - 232. 10.33880/ejfm.2020090405
Vancouver	Aslaner H,Aslaner H,ERTURK ARIK B,Onuk A,Benli A,Mistik S Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. . 2020; 225 - 232. 10.33880/ejfm.2020090405
IEEE	Aslaner H,Aslaner H,ERTURK ARIK B,Onuk A,Benli A,Mistik S "Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours." , ss.225 - 232, 2020. 10.33880/ejfm.2020090405
ISNAD	Aslaner, Hümeyra vd. "Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours". (2020), 225-232. https://doi.org/10.33880/ejfm.2020090405

APA	Aslaner H, Aslaner H, ERTURK ARIK B, Onuk A, Benli A, Mistik S (2020). Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. Eurasian Journal of Family Medicine, 9(4), 225 - 232. 10.33880/ejfm.2020090405
Chicago	Aslaner Hümeyra,Aslaner Hacı Ahmet,ERTURK ARIK BADE,Onuk Alpay,Benli Ali Ramazan,Mistik Selcuk Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. Eurasian Journal of Family Medicine 9, no.4 (2020): 225 - 232. 10.33880/ejfm.2020090405
MLA	Aslaner Hümeyra,Aslaner Hacı Ahmet,ERTURK ARIK BADE,Onuk Alpay,Benli Ali Ramazan,Mistik Selcuk Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. Eurasian Journal of Family Medicine, vol.9, no.4, 2020, ss.225 - 232. 10.33880/ejfm.2020090405
AMA	Aslaner H,Aslaner H,ERTURK ARIK B,Onuk A,Benli A,Mistik S Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. Eurasian Journal of Family Medicine. 2020; 9(4): 225 - 232. 10.33880/ejfm.2020090405
Vancouver	Aslaner H,Aslaner H,ERTURK ARIK B,Onuk A,Benli A,Mistik S Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours. Eurasian Journal of Family Medicine. 2020; 9(4): 225 - 232. 10.33880/ejfm.2020090405
IEEE	Aslaner H,Aslaner H,ERTURK ARIK B,Onuk A,Benli A,Mistik S "Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours." Eurasian Journal of Family Medicine, 9, ss.225 - 232, 2020. 10.33880/ejfm.2020090405
ISNAD	Aslaner, Hümeyra vd. "Rapid Antigen Detection Test Using Rates of Family Physicians, TestResults and Its Impact on Their Prescription Behaviours". Eurasian Journal of Family Medicine 9/4 (2020), 225-232. https://doi.org/10.33880/ejfm.2020090405