• Bente Gahm-Hansen, Birger Aaen-Larsen, Lars Mosgaard, Jens Damsgaard, and Anders Munck.
• Department of Clinical Microbiology, Odense University Hospital, Denmark. b.gahrn-hansen@ouh.fyns-amt.dk
• Int J Circumpolar Health. 2004 Jan 1; 63 Suppl 2: 209-13.

ObjectivesTo elucidate and improve quality of diagnosis and treatment of respiratory tract infections in Greenland.Study DesignAll district medical officers and nursing staff in the Greenlandic coastal health services were invited to participate in the study. Twenty-five district medical officers and the nursing staff from nine districts completed the project and registered in a 3-week period 1,163 contacts involving respiratory tract infections.MethodsSelf-registration according to the Audit Project Odense (APO) method on a simple APO registration chart. All contacts involving respiratory tract infections were registered with regard to sex, type of contact, contact form, infection focus, diagnosis and treatment, origin of infection, antibiotic treatment, choice of antibiotics and possible sick-leave.ResultsOf the 1,163 registered contacts lung infections represented 26%, throat infections 22% and otitis media 16%. Paraclinical tests were performed in 32% of the cases, 47% of the cases were treated with antibiotics, in 2/3 of the cases with penicillin V. The use of paraclinical tests was somewhat lower and the use of antibiotics was higher than in Denmark.ConclusionThe study showed that it is possible to carry out an APO audit in Greenland, and that there was a moderate difference in the diagnosis and treatment between Greenland and Denmark. An increased use of paraclinical tests may result in quality improvement.

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