OBJECTIVES: In an effort to limit inappropriate antibiotic use for @entity1 with @entity7551 , our pediatric emergency department (PED) has implemented a strep throat protocol using preprinted prescriptions given to families pending pharyngeal swab results. We sought to determine the rate of adherence of families managed with this protocol and to identify whether clinical features are associated with adherence. METHODS: We conducted a prospective cohort study of @entity1 aged 2 to 17 years presented to the PED with suspected group A streptococcal (GAS) @entity7551 . Prescription-filling activity was tracked using a novel @entity505 -copy prescription and compared with throat swab result. Health records were reviewed for demographic and clinical information. Adherence was defined as prescriptions being filled after notification of a positive swab result and prescriptions not being filled when throat swab result was negative. RESULTS: Three hundred nine @entity1 were screened for @entity883 . One hundred swabs (32.4%) were positive for @entity883 , of which 15 prescriptions were filled before swab results. No record of prescription filling was found for 37 of the @entity1 with positive swab results. Only 9 families (4.3%) filled the prescription when the swab result was negative. Overall, 247 families (80.2%) were adherent to the protocol. Families of @entity1 aged 2 to 5 years were more likely to be adherent than those aged 13 to 17 years (odds ratio, 3.5; 95% confidence interval, 1.15-10.66). CONCLUSIONS: Most families are adherent to our @entity883 protocol. Very few families filled prescriptions when the swab result was negative. Age was the only factor influencing adherence. Our current @entity883 protocol is an effective management strategy for @entity1 presenting with @entity7551 to the PED.

Adherence of families to a group a XXXX protocol used in a pediatric emergency department.

@entity1 :: ('9606', 'Species') :: ['children'] @entity7551 :: ('MESH:D010612', 'Disease') :: ['pharyngitis'] @entity505 :: ('MESH:D002244', 'Chemical') :: ['carbon'] @entity883 :: ('MESH:D013290', 'Disease') :: ['GAS pharyngitis']
@entity883 :: (MESH:D013290,Disease) :: ['streptococcal pharyngitis']
