Teleconsultation management of acute pharyngitis: Effect of physician training on appropriate antibiotic prescribing: A quasi-experimental study - Takeaways - MDSpire
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Impact of Physician Training on Antibiotic Prescribing Practices in Teleconsultation for Acute Pharyngitis: A Quasi-Experimental Analysis

  • By

  • Mohamed Nafzaoui

  • Maxime Cauterman

  • Faouzia Ouchanin

  • Thierry Manteau

  • Hanane Mehawej

  • Emma D’anglejan

  • Michelle Saliba

  • Salam Abbara

  • Aurélien Dinh

  • August 22, 2026

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  • 1

    In France, nearly half of diagnoses made during teleconsultations are infection-related, primarily involving respiratory and urinary tract infections.

  • 2

    The study evaluated whether guideline-based physician training affected clinical assessment, documentation, antibiotic prescribing, and referral during teleconsultations for sore throat or suspected acute pharyngitis.

  • 3

    This retrospective quasi-experimental study compared practices before and after training among the same 50 physicians on a French primary care telemedicine platform.

  • 4

    The 1-hour webinar addressed structured clinical assessment, severity signs, McIsaac scoring, rapid antigen testing, antibiotic stewardship, remote examination, and criteria for in-person referral.

  • 5

    Physician practices were compared between pretraining and post-training periods using appropriate categorical and continuous-variable tests, with *P* < .05 indicating statistical significance.

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