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. 2021 Nov 2;71(713):e895–e903. doi: 10.3399/BJGP.2021.0026

Table 3.

Associations with acute respiratory tract infectionsa

Variable Outcome class Univariate Adjusted

OR (95% CI) P-value OR (95% CI) P-value
Patient age group, years
  0–<5 No antibiotic 1.19 (0.93 to 1.53) 0.1731 1.98 (1.39 to 2.83) <0.001
Immediate prescribing 0.78 (0.59 to 1.04) 0.0869 0.75 (0.51 to 1.10) 0.14
  5–14 No antibiotic 0.87 (0.67 to 1.14) 0.3124 1.16 (0.82 to 1.66) 0.40
Immediate prescribing 0.81 (0.60 to 1.08) 0.1549 0.84 (0.57 to 1.22) 0.36
  15–24 No antibiotic 1.25 (0.93 to 1.68) 0.1422 1.35 (0.93 to 1.97) 0.12
Immediate prescribing 1.17 (0.85 to 1.62) 0.3356 1.25 (0.84 to 1.86) 0.27
  45–64 No antibiotic 0.78 (0.61 to 1.01) 0.0575 0.69 (0.50 to 0.95) 0.023
Immediate prescribing 0.85 (0.64 to 1.12) 0.2515 0.81 (0.57 to 1.15) 0.23
  ≥65 No antibiotic 0.90 (0.63 to 1.28) 0.5656 0.75 (0.49 to 1.17) 0.21
Immediate prescribing 1.62 (1.12 to 2.34) 0.0110 1.37 (0.86 to 2.17) 0.19

Aboriginal and/or Torres Strait Islander No antibiotic 2.81 (1.01 to 7.80) 0.0472 1.73 (0.58 to 5.14) 0.32
Immediate prescribing 3.11 (1.09 to 8.88) 0.0345 2.58 (0.86 to 7.69) 0.090

Practice routinely bulk bills No antibiotic 1.54 (1.25 to 1.89) <0.0001 1.34 (1.03 to 1.74) 0.030
Immediate prescribing 1.17 (0.94 to 1.46) 0.1534 1.25 (0.95 to 1.64) 0.12

Sought help any source No antibiotic 0.20 (0.16 to 0.26) <0.0001 0.41 (0.29 to 0.59) <0.001
Immediate prescribing 2.13 (1.68 to 2.69) <0.0001 2.05 (1.48 to 2.84) <0.001

Pathology ordered No antibiotic 0.71 (0.51 to 1.00) 0.0488 0.71 (0.46 to 1.09) 0.12
Immediate prescribing 1.46 (1.03 to 2.08) 0.0341 1.02 (0.65 to 1.59) 0.93

Imaging ordered No antibiotic 2.04 (0.63 to 6.63) 0.2380 6.26 (1.42 to 27.7) 0.016
Immediate prescribing 7.63 (2.37 to 24.6) 0.0007 3.90 (0.90 to 16.9) 0.068

Follow-up ordered No antibiotic 0.71 (0.59 to 0.86) 0.0003 0.88 (0.68 to 1.13) 0.32
Immediate prescribing 1.76 (1.44 to 2.15) <0.0001 1.31 (1.01 to 1.70) 0.044

Learning goals generated No antibiotic 0.52 (0.35 to 0.77) 0.0010 1.35 (0.79 to 2.29) 0.27
Immediate prescribing 2.39 (1.64 to 3.50) <0.0001 1.36 (0.83 to 2.23) 0.23

Respiratory disease
  Acute otitis media No antibiotic 0.06 (0.04 to 0.08) <0.0001 0.05 (0.04 to 0.07) <0.001
Immediate prescribing 3.29 (2.45 to 4.42) <0.0001 3.04 (2.09 to 4.43) <0.001
  Strep/tonsillitis/pharyngitis No antibiotic 0.16 (0.13 to 0.21) <0.0001 0.18 (0.13 to 0.24) <0.001
Immediate prescribing 4.85 (3.65 to 6.44) <0.0001 4.31 (3.04 to 6.11) <0.001
  Acute sinusitis No antibiotic 0.12 (0.09 to 0.16) <0.0001 0.17 (0.12 to 0.25) <0.001
Immediate prescribing 4.05 (2.94 to 5.59) <0.0001 3.68 (2.48 to 5.48) <0.001
  Acute bronchitis No antibiotic 0.15 (0.11 to 0.20) <0.0001 0.16 (0.11 to 0.24) <0.001
Immediate prescribing 6.97 (5.06 to 9.59) <0.0001 5.93 (4.00 to 8.80) <0.001

Registrar age, years No antibiotic 1.02 (1.00 to 1.05) 0.0442 1.05 (1.02 to 1.08) 0.002
Immediate prescribing 1.04 (1.01 to 1.06) 0.0012 1.03 (1.00 to 1.06) 0.026

Consultation duration, minutes No antibiotic 0.99 (0.98 to 1.00) 0.0905 0.98 (0.96 to 1.00) 0.019
Immediate prescribing 1.02 (1.00 to 1.03) 0.0294 0.99 (0.97 to 1.01) 0.19

Number of problems/diagnoses No antibiotic 1.45 (1.28 to 1.65) <0.0001 1.87 (1.55 to 2.25) <0.001
Immediate prescribing 1.21 (1.05 to 1.39) 0.0088 1.32 (1.08 to 1.60) 0.006
a

The variables patient sex, non-English-speaking background, qualified as doctor in Australia, and rurality were not statistically significantly associated with the outcome and their removal did not alter other coefficients in the model; as such, these covariates were excluded from the multivariable model.