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Child health
Direct-to-consumer telemedicine visits demonstrate decreased antibiotic prescribing quality in paediatric clients with acute respiratory infections
  1. Nicole Zhang,
  2. Lorena Marra
  1. Nursing, Hartwick College, Oneonta, New York, USA
  1. Correspondence to Dr. Nicole Zhang, Nursing, Hartwick College, Oneonta, NY 13820, USA; zhangn{at}

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Commentary on: Ray, KN, Shi, Z, Gidengil, CA, et al. Antibiotic prescribing during pediatric direct-to-consumer telemedicine visits. Pediatrics 2019;144(2);doi:10.1542/peds.2019-1786B.

Implications for practice and research

  • Direct-to-consumer (DTC) telemedicine consultations among paediatric clients correlate with lower guideline-concordant antibiotic prescribing and increased antibiotics used compared with other settings for acute respiratory infection (ARI).

  • Nurses should be aware of the implications of telemedicine consultations in antibiotic prescribing quality for paediatric clients to advocate for judicious and guideline-concordant antibiotic usage.

  • Future research should examine interventions that improve antibiotic prescribing quality among paediatric clients with ARI using DTC telemedicine consultations.


DTC telemedicine consultations are becoming increasingly common. The literature identifies that for non-paediatric patients antibiotic prescribing quality is similar compared with face-to-face medical visits. …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.