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Table 4 Variables related to the main reasons behind the suboptimal adherence and awareness of guidelines of pediatric ED physicians

From: Improving pediatric emergency department physicians’ adherence to clinical practice guidelines on the diagnosis and management of group A beta-hemolytic streptococcal pharyngitis—a cross-sectional study

Factors of non-adherence Physician’s title p Value
Consultant (n = 33) Non-consultant (n = 143)
Possibility for the treating physician to make the clinical diagnosis of bacterial pharyngitis with certainty without any diagnostic tests Yes 23 131 0.489
69.7% 91.6%
No 10 12
30.3% 8.4%
Difficulty with collecting samples from children Yes 12 68 0.241
36.36% 47.55%
No 21 75
63.63% 52.44%
Parental rejection of throat swap Yes 6 44 0.134
18.18% 30.8%
No 27 99
81.81% 69.2%
Parents eventually insist on antibiotics use despite the lab results Yes 13 77 0.133
39.4% 53.84%
No 20 66
60.6% 46.15%
Culture is not available at our hospital/medical center Yes 0 20 0.27
0% 13.98%
No 32 116
96.97% 81.11%
Do not know 1 7
3.03% 4.89%
Rapid antigen detection test is not available at our hospital/medical center Yes 18 61 0.45
54.54% 42.65%
No 11 61
33.33% 42.65%
Do not know 4 21
12.12% 14.16%
Difficulty in ensuring a proper follow-up Yes 23 81 0.46
69.69% 56.64
No 10 62
30.30% 43.35%
The fear of acquiring an infection Yes 6 39 0.29
18.18% 27.27%
No 27 104
81.81% 72.72%
Personal beliefs that it is not an Emergency Department procedure Yes 12 45 0.55
36.36% 31.46%
No 21 98
63.63% 68.53%
Awareness about the clinical scoring systems that can predict group A streptococcal pharyngitis (e.g., Centor score (Modified/McIsaac)) Yes 22 89 0.633
66.7% 62.2%
No 11 54
33.3% 37.8%
Absence of local guidelines for the management of acute upper respiratory tract infections in the department Yes 24 58 0.0004
72.72% 40.55%
No 8 49
24.24% 34.26%
Do not know 1 36
3.03% 25.17%