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Study design: Randomised clinical trial.
Allocation: Centrally allocated via an online platform. Stratified by pathology and in blocks.
Setting: 39 primary care centres in Spain.
Patients: 436 children aged 2–14 years who presented to primary care with respiratory tract infections (RTIs).
Intervention: Patients diagnosed with an acute RTI were given either immediate (IAP), none (NAP) or delayed (DAP) antibiotic prescriptions. Antibiotic type was decided on by the prescribing doctor. A structured approach was used to deliver parent/patient education on the natural history of the disease and those given delayed prescriptions were given clear instructions on when to consider using the antibiotics.
Primary outcome: Symptom duration …
Review of article Mas-Dalmau G, López CV, Gorrotxategi PG, et al. Delayed antibiotic prescription for children with respiratory infections: a randomized trial. Pediatrics 2021;147:e20201323.
Contributors EJS is the author of the abstract and commentary.
Provenance and peer review Not commissioned; internally peer reviewed.