Clinical course of acute infection of the upper respiratory tract in children: cohort study

doi:10.1136/bmj.327.7423.1088

BMJ 2003;327:1088-1089 (8 November), doi:10.1136/bmj.327.7423.1088

Primary care

Clinical course of acute infection of the upper respiratory tract in children: cohort study

Christopher C Butler, professor of primary care medicine¹, Paul Kinnersley, reader¹, Kerenza Hood, senior lecturer in statistics¹, Mike Robling, research fellow¹, Hayley Prout, research nurse¹, Stephen Rollnick, professor¹, Helen Houston, professor of general practice¹

¹ Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff CF23 9PN

Correspondence to: C C Butler butlercc@cf.ac.uk

The first 150 words of the full text of this article appear below.

Introduction

Promoting self care for children with acute viral illness isan opportunity for relieving pressure on primary care. Carersmay return for a second consultation and expect antibiotic treatmentif they are not given a clear idea of what to expect or if theirchild fails to recover as predicted.¹ We therefore set out todescribe the clinical course of suspected acute viral infectionof the upper respiratory tract in children who consult theirgeneral practitioner. We wanted to help clinicians to betterpredict the course of the condition.

Participants, methods, and results

We did a secondary analysis of a cohort from a randomised controlledtrial.² All carers gave written consent, and older childrensigned a consent form when recruiting clinicians felt this wasappropriate. Fifty five general practitioners in south Walesopportunistically recruited children aged between 6 months and12 years during routine consultations into a trial of treatmentfor suspected acute viral . . . [Full text of this article]

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