From: Why do paediatricians prescribe antibiotics? Results of an Italian regional project
 | Vignette description | Vignette objective | Correct answer |
---|---|---|---|
1 | ▪ Evening visit at home ▪ 2 years of age ▪ 39°C for 24 hours, cough, seromucous nasal discharge ▪ negative rapid test | To measure the frequency of reported avoidance of antibiotic prescribing for viral URTI | No antibiotic prescription at first visit |
2 | ▪ ambulatory visit ▪ 12 years of age ▪ pharyngitis, 38.7°C for 24 hours, no respiratory symptoms, large, red tonsils with purulent secretions | To measure the frequency of reported use of microbiological testing for Streptococcus pyogenes diagnosis | Given the high clinical score (according to McIsaac), Microbiological test before antibiotic prescription |
3 | ▪ ambulatory visit ▪ 6 years of age ▪ 37.8°C, bilateral otalgia ▪ At examination bilateral otitis, erythema and bulging tympanic membrane | To measure the frequency of reported adoption of "wait and see strategy" (deferring antibacterial treatment for 48 to 72 hours) | It is reasonable to prescribe antibiotics, but it is better to defer antibacterial treatment for 48-72 hours |