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Upper Respiratory Tract Protocol

Upper Respiratory Tract Protocol This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor. —The presentation of an upper-respiratory tract complaint protocol by Greenfield et al (Arch Intern Med 133:294-299) and the result achieved with the use of this protocol were impressive from the standpoint of the organization of the data collection form and the decision-making algorithm; however, two additional interpretations of their results deserve mention. Although the statement is made that the protocol manifested equal or better judgement compared to the physicians, an examination of their results showed that, under the protocol's disposition, 22 patients would have received penicillin, seven of whom were shown to have positive throat cultures for group A β-hemolytic streptococci. This is a treatment accuracy of 32% as compared to the physicians' 25% accuracy, probably an insignificant difference. More important however, is the fact that the accuracy was only 32% and, taking into account that an additional four patients who did not receive penicillin under the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Upper Respiratory Tract Protocol

Archives of Internal Medicine , Volume 134 (1) – Jul 1, 1974

Upper Respiratory Tract Protocol

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor. —The presentation of an upper-respiratory tract complaint protocol by Greenfield et al (Arch Intern Med 133:294-299) and the result achieved with the use of this protocol were impressive from the standpoint of the organization of the data collection form and the decision-making algorithm; however, two additional interpretations of...
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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1974.00320190183035
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor. —The presentation of an upper-respiratory tract complaint protocol by Greenfield et al (Arch Intern Med 133:294-299) and the result achieved with the use of this protocol were impressive from the standpoint of the organization of the data collection form and the decision-making algorithm; however, two additional interpretations of their results deserve mention. Although the statement is made that the protocol manifested equal or better judgement compared to the physicians, an examination of their results showed that, under the protocol's disposition, 22 patients would have received penicillin, seven of whom were shown to have positive throat cultures for group A β-hemolytic streptococci. This is a treatment accuracy of 32% as compared to the physicians' 25% accuracy, probably an insignificant difference. More important however, is the fact that the accuracy was only 32% and, taking into account that an additional four patients who did not receive penicillin under the

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jul 1, 1974

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