Tonsillitis acuta bij kinderen in de huisartsenpraktijk: Verandering van incidentie en beleid?

Translated title of the contribution: Acute tonsillitis in children in the GP's practice: Changes in incidence and policy?

H. I J Diepenhorst, H. B M Otters, L. W A Van Suijlekom-Smit, F. G. Schellevis, J. C. Van Der Wouden*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objective: To assess whether changes have occurred in incidence rates and management of acute tonsillitis among children between the ages of 0 and 17 years in Dutch general practice. Design: A comparison was made between two Dutch general practice National Surveys (1987 and 2001) of children 0-17 years of age. Incidence rates were compared by age, sex, degree of urbanisation and socioeconomic status. To assess the management of the general practitioner, we distinguished between three strategies: wait and see, drug prescription and hospital referral. Results: The incidence rate per 1000 person-years was 44.9 in 1987 against 19.1 in 2001. In 2001 a wait-and-see policy was found more often compared to 1987 (34% versus 20% respectively) and fewer broad-spectrum antibiotics were prescribed. Conclusions: We found a decreasing incidence of acute tonsillitis among children in Dutch general practice. General practitioners' management of this disease has changed and is now more in accordance with the Dutch guideline for general practice.

Translated title of the contributionAcute tonsillitis in children in the GP's practice: Changes in incidence and policy?
Original languageDutch
Pages (from-to)399-404
Number of pages6
JournalHuisarts en Wetenschap
Issue number9
Publication statusPublished - 1 Aug 2004

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