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Why do children hospitalised with pneumonia not receive antibiotics in primary care?
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  • Published on:
    Judgement should only be based on a small number of treatment failures

    Every GP acknowledges the difficulties of differentiating between severe and non-severe respiratory tract infections in children. Diagnostic value of signs and symptoms are known to be low and additional investigations in all symptomatic children is neither efficient nor feasible. Nevertheless GPs manage to diagnose and treat over 95% of children with a respiratory infections without referral to secondary care. Doing...

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    Conflict of Interest:
    None declared.
  • Published on:
    Improving diagnostics for rational antibiotic use in childhood pneumonia
    • Adam D. Irwin, Research Fellow
    • Other Contributors:
      • Mike Sharland, Enitan D. Carrol

    The study of Grant et al exploring primary care antibiotic prescribing in children subsequently admitted with pneumonia is well considered and their findings thoughtfully discussed. They find little evidence of improved outcome in children who had received antibiotics prior to admission. A greater likelihood of focal changes on chest X-ray, or of peripheral leucocytosis -a poor indicator of severity of infection - in tho...

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    Conflict of Interest:
    None declared.