Table 1.
Comparison of antibiotic supply rates for STTT consultations eligible for POCT (FeverPAIN scores ≥ 2 and Centor scores ≥ 3) in pre-pandemic and COVID delivery models (excludes FeverPAIN score of 1 and 0, and Centor score of 1 and 2)
| Clinical scores | Pre-COVIDa with routine POCT | COVIDb without routine POCT | COVID period minus pre-COVID period | |||||
|---|---|---|---|---|---|---|---|---|
| STTT consultations | antibiotics suppliedc | % (95% CI) | STTT consultations | antibiotics suppliedc | % (95% CI) | Difference, % (95% CI) | Chi-squared; P value | |
| FeverPAIN | ||||||||
| 2 | 1136 | 147 | 13 (11–15) | 34 | 2 | 5.9 (1.6–19) | −7.1 (−12 to 6.3) | 1.48; 0.22 |
| 3 | 1079 | 267 | 25 (22–27) | 27 | 13 | 48 (31–66) | 23 (5.8–41) | 7.63; 0.0057 |
| 4 | 673 | 280 | 42 (38–45) | 47 | 42 | 89 (77–95) | 48 (35–55) | 42.5; 1.9 × 10−10 |
| 5 | 259 | 164 | 63 (57–69) | 16 | 15 | 94 (72–99) | 30 (7.6–38) | 6.14; 0.013 |
| Centor | ||||||||
| 3 | 166 | 40 | 24 (18–31) | 21 | 19 | 91 (71–97) | 66 (46–75) | 37.0; 7.0 × 10−10 |
| 4 | 56 | 24 | 43 (31–56) | 2 | 2 | 100 (34–100) | 57 (−44 to 70) | 0.08; 0.78 |
| Total | 3369 | 922 | 27 (26–29) | 147 | 93 | 63 (55–71) | 36 (28–43) | 88.4; 5.4 × 10−21 |
| FeverPAIN = 4/5 or Centor = 3/4 | 1154 | 508 | 44 (41–47) | 86 | 78 | 91 (83–95) | 47 (38–52) | 70.0; 6.0 × 10−17 |
a
November 2018 to September 2019.
b
November 2020 to May 2021.
c
Number of consultations that resulted in supply of antibiotics.