Table 2.
Recommendation to supply antibiotics based on vignettes.
| Vignettes | No 1 N (%) |
Yes 2 N (%) |
Missing |
|---|---|---|---|
| URI | |||
| a. 6-year-old boy, weight 20 kg, presenting with a sore throat for 2 days accompanied by mild fever, productive cough with thick and coloured discharge. There are no other symptoms 3. | 108 (51.9) |
100 (48.1) |
- |
| b. 14-year-old girl presenting with sore throat for 2 days, accompanied by high grade fever, no cough, no runny nose or any other symptoms. She is not pregnant or breast-feeding 4. | 132 (63.5) |
74 (35.6) |
2 (1.0) |
| c. 43-year-old man with a severe sore throat for 2 days accompanied by high grade fever, tender lymph nodes, pus on tonsils but no cough. There are no other symptoms. | 2 (1.0) |
206 (99.0) |
- |
| Acute diarrhoea | |||
| d. 70 year-old-woman with watery stool 3 times within the last 12 h, no fever and no other symptoms. There are no signs of dehydration 3. | 203 (97.6) |
5 (2.4) |
- |
| e. 30 year-old-woman with diarrhoea with blood visible in stools since yesterday evening, accompanied with high grade fever, and abdominal cramps. She is not pregnant or breast-feeding and has are no other symptoms. | 19 (9.1) |
189 (90.9) |
- |
| f. 3 year-old-boy, weight 15 kg, with watery stool 4 times within the last 10 h accompanied by mild fever, nausea and mild abdominal pain. There is no sign of dehydration and there are no other symptoms 3. | 160 (76.9) |
48 (23.1) |
- |
| Simple wound | |||
| g. 35 year-old-man who had a motorcycle accident (about 15 min earlier) with many minor, superficial scratches on the left arm and left leg 3. | 179 (86.1) |
28 (13.5) |
1 (0.5) |
| h. 7-year-old-girl who has a fresh, thin, shallow cut wound on left index finger about 1 cm long, which happened about 30 min earlier 3. | 181 (87.0) |
26 (12.5) |
1 (0.5) |
| i. 50-year-old man who has a shallow wound on the right calf, about 1 cm in diameter. He had a cut wound by barbed wire about 4 days ago. The skin surrounding the wound has become red, swollen and sore, and with pus. The patient confirmed that he had a recent tetanus vaccination booster. | 5 (2.4) |
203 (97.6) |
- |
1 Pharmacist did not recommend antibiotics for case vignette. 2 Pharmacist recommended antibiotics for case vignette. 3 Antibiotics were not recommended according to the guidelines. 4 Antibiotics may be likely to be of benefit to the patient. Consider no antibiotic with advice or antibiotic treatment is based on pharmacist discretion.