Quotation | Code | Category |
---|---|---|
Quotation A | No RADT when typical picture | Clinicalpicture makes RADT unnecessary in typical cases but used when in doubt |
If they then have what’s typical for me, that they have a swollen throat with a really, you know, nasty throat, and lymph glands on the throat and just throat symptoms and fever, then I tend to think like this, yes, this is classic tonsillitis, then I don’t take any tests. (Interview 2, p. 2) | ||
Quotation B | No RADT when decision to treat | |
Then I don’t send them to get Strep-A either, if I am going to treat them, unless it is of some significance. Interview 11, p. 7 | ||
Quotation C | RADT only when in doubt | |
But sometimes I’m uncertain, and then I take and I see that tonsillitis is… the patient has enlarged tonsils and redness, but if there’s no furring or anything, then I can take Strep-A. (Interview 22, p. 5) | ||
Quotation D | Antibiotics when typical picture even if RADT is negative | Clinical picture dominates over negative RADT |
A: Yes, yes, but even if Strep-A is negative, you sometimes give antibiotics, then? | ||
B: Yes. | ||
A: And what makes you give antibiotics all the same? | ||
B: If there is clear furring … and a high temperature and clear swelling and redness even though the Strep-A is negative, then I usually check monospot too if it has been longer than five to seven days. (Interview 14, p. 9) | ||
Quotation E | RADT does not show other bacteria | |
B: Yes, obviously, if the patient is affected, it can be some other streptococcus than group A, and is affected and the like, then I can prescribe treatment. Interview 19, pp. 2–3 | ||
Quotation F | ||
There are other types of streptococcus and other types of … kinds of bacteria. Interview 11, p. 12 | ||
Quotation G | CRP indicates bacterial infection | CRP dominates over negative RADT |
Then I take CRP too, to know whether it’s over fifty or sixty, then you think it’s something more bacterial than virus. (Interview 22, pp. 7–8) | ||
B: I usually go by zero to eight, normal, eight to seventy-five indicates that you have a virus infection and seventy-five to two hundred means bacterial. (Interview 19, pp. 6–7) | ||
Quotation H | Greater trust in CRP | |
A: But if I understand you right, if Strep-A is negative you take CRP too? | ||
B: Exactly, yes, yes. | ||
A: And if the CRP is high, you treat? | ||
B: Yes. (Interview 5, pp. 6–7) |