Table 2.
Pharmacists' Inquiries and Recommendations in Response to the Simulated Clinical Scenarios
| Simulated clinical scenario | Recommended medical evaluation (%) (95% CI) |
Asked about associated symptoms (%) (95% CI) |
Asked about presence of fever (%) (95% CI) |
Asked about pregnancy status (%) (95% CI) |
Dispensed antibiotic |
|---|---|---|---|---|---|
|
Sore throat (n = 58) |
5% (1.1%-14.4%) |
40% (27.0% -53.4%) |
9% (2.9%-19.0%) |
NA | Amoxicillin/Clavulanate (60%) Azithromycin (20%) Amoxicillin (17%) Others (3%) |
|
Acute bronchitis (n = 44) |
14% (5.2%-27.4%) |
43% (28.3%-59.0%) |
25% (13.2%-40.3%) |
NA | Amoxicillin/Clavulanate (42%) Amoxicillin (27%) Azithromycin (15%) Others (16%) |
|
UTI (n = 58) |
10% (3.9%-21.2%) |
22% (12.5%-35.3%) |
14% (6.1%-25.4%) |
23% (12.5%-35.3%) |
Ciprofloxacin (86%) Amoxicillin (7%) Cefixime (2%) Clarithromycin (2%) Others (3%) |
|
Diarrhea (n = 59) |
3% (0.4%-11.7%) |
62% (49.1%-75.0%) |
14% (6.0%-23.0%) |
NA | Metronidazole (89%) Ciprofloxacin (5%) Cotrimoxazole (2%) Ofloxacin (2%) Others (2%) |
|
Acute sinusitis (n = 55) |
2% (0.0-9.7%) |
73% (59.0%-83.9) |
9% (3.0%-20.0%) |
NA | Amoxicillin/Clavulanate (58%) Azithromycin (26%) Amoxicillin (8%) Cefaclor (3%) Ofloxacillin (3%) Others (2%) |
|
Otitis media (n = 53) |
47% (33.3% -61.4%) |
19% (8.3%-29.4%) |
2% (0.0-10.1) |
NA | Amoxicillin/Clavulanate (44%) Amoxicillin (29%) Cephalexin (15%) Azithromycin (4%) Cefaclor (4%) Cefixime (4%) |
NA: Not applicable CI: Confidence interval