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\begin{document}

\title{Evaluating the appropriateness of antibiotic treatment of tonsillitis
during COVID-19 in the North Wales primary healthcare setting}



\author[1]{CHUNHEI Li}%
\author[2]{Caitlin  Ong}%
\author[2]{Anna  Morris}%
\author[2]{Isobel  Woollons}%
\author[2]{Ahsan  Ashfaq}%
\author[2]{ Rikesh  Jagatia}%
\affil[1]{Affiliation not available}%
\affil[2]{Cardiff University School of Medicine}%


\vspace{-1em}



  
  \date{May 26, 2024}


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\begin{abstract}
Background The COVID-19 pandemic has changed the face of primary care
delivery in the NHS. Consultations have largely moved from face-to-face
to remote, forcing practitioners to modify the ways in which they
deliver care to patients. Aim In this study, we aim to investigate the
appropriateness of antibiotic prescribing in tonsillitis, which is
typically guided by clinical findings, during the COVID-19 pandemic
Design and Setting: An observational quantitative analysis in the North
Wales primary care setting Method: Retrospective review of computer
records across five GP centres from March 2020 until end of October
2020. Data was extracted and analysed using chi-square or fisher exact
rank and Man-Whitney test. Results Our results have shown no significant
difference in antibiotic prescribing behaviour comparing face-to-face
and remote consultations. Conclusion Remote consultation is as effective
as face-to-face consultation with regards to the assessment of
tonsillitis and the appropriateness of antibiotic prescription in
primary care.%
\end{abstract}%



\sloppy


\textbf{Title:~~}

\textbf{Evaluating the appropriateness of antibiotic treatment of
tonsillitis during COVID-19 in the North Wales primary healthcare
setting}

\textbf{Running title} : Antibiotic treatment of tonsillitis in primary
care

Mr Chunhei LI *\textsuperscript{1} BSc (Hons), Ms Caitlin
Ong*\textsuperscript{1}, Ms Anna Morris\textsuperscript{1}, Ms Isobel
Woollons\textsuperscript{1}, Mr Ahsan Ashfaq\textsuperscript{1}, Mr
Rikesh Jagatia\textsuperscript{1}

Affiliations -

\textsuperscript{1} School of Medicine, Cardiff University, University
Hospital of Wales, United Kingdom.

\textsuperscript{1} All authors are currently in final year of MBBCh

Corresponding Author - CHUNHEI LI

Telephone: +44 (0)29 2068 7076

Address: School of Medicine, Cardiff University, University Hospital of
Wales, United Kingdom, CF14 4XN

Email: lich1@cardiff.ac.uk

\textbf{Word count:~1350}

\textbf{Author contribution:}

CL and CO are joi\textbf{nt first author* a} nd contributed equally in
manuscript writing, data collection, analysis , graph-production and
conceptualization. AM and IW contributed a significant amount in
conceptualization, data collection and manuscript writing. AA and RJ
contributed equally to data collection and conceptualisation.

\textbf{Declaration of interests}

The authors declare no conflicts of interest.

\textbf{Acknowledgement:~}

Dr Richard Stuart, Sian Lewis (Practice Manager), Dr Zameel Haque,
Lorraine Abbott (Assistant Practice Manager)

\textbf{Hosted file}

\verb`Tonsilitis-QI_edited (1).docx`  available at \url{https://authorea.com/users/469332/articles/562274-evaluating-the-appropriateness-of-antibiotic-treatment-of-tonsillitis-during-covid-19-in-the-north-wales-primary-healthcare-setting}

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