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Table 1 Clinical vignettes

From: Why do paediatricians prescribe antibiotics? Results of an Italian regional project

 

Vignette description

Vignette objective

Correct answer

1

â–ª Evening visit at home

â–ª 2 years of age

▪ 39°C for 24 hours, cough, seromucous nasal discharge

â–ª negative rapid test

To measure the frequency of reported avoidance of antibiotic prescribing for viral URTI

No antibiotic prescription at first visit

2

â–ª ambulatory visit

â–ª 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

â–ª ambulatory visit

â–ª 6 years of age

▪ 37.8°C, bilateral otalgia

â–ª 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