| Criteria of the management | Case 1 (mild LRTI) | Case 2 (severe LRTI) | |
| Most probable Micro-organisms causing LRTI | 161 agents mentioned from 52 Clinicians. Streptococcus pneumoniae 47 times (87.0%), Haemophilus influenza 20 (37.0%), Staphylococcus spp 16 times (29.63%), Mycobacterium tuberculosis 14 (25.9%). Mycoplasma 2 times (3.7%), Legionella pneumophila 2 times (3.7%) and Chlamydia spp 1 (1.8%). None of the interviewed named Coxiellaburnettii. Others Para-influenza virus, RSV, Pneumocystis jiroveci, Campylobacter spp, unspecified nosocomial infections. | 149 agents from 52 Clinicians, Streptococcus pneumoniae 44 times (84.6%), Staphylococcus aureus 30 times (57.7%), M. tuberculosis 16 times (30.8%) and Haemophilus influenza 10 times (19.2%). Legionella 8 times (5.4%), Chlamydia 6 times (4.0%) and Mycoplasma 6 (4.0%). Coxiellaburnetii was again not mentioned. Other micro-organisms mentioned included: PCP, Ricketsia spp, HIV, Ducli-Haemophilus, Para-influenza, unspecified anaerobic bacteria and fungal infections. | |
| Diagnostic tests preferred | Chest X ray 90.6%, Full Blood Picture 58.5%, AFB test 49.1%, ESR 43.4%, Sputum Culture 20.8%, Blood culture 5.6%, Lung function test 5.6%, Bronchosopy 0.0%, BAL 0.0%. | Chest X ray 78.4%, Full Blood Picture 60.8%, AFB test 58.8%, ESR 41.1%, Sputum Culture 25.5%, Blood culture 17.7%, Lung function test 5.8%, Bronchosopy 5.8%, BAL 0.0%. | |
| Place of treatment | OPD medication at home 14.8%, Start medication at OPD then home 13.0%, Admit and treat in the ward 68.5%, ICU 0.0%, Refer immediately 1.9%, Missing 1.9%. | OPD medication at home 13.0%, Start medication at OPD then home 11.1%, Admit and treat in the ward 64.8%, ICU 5.6%, Refer immediately 3.7%, Missing 1.9%. | |
| First choice treatment | Benzylpenicillin iv or im16 (29.6%), Ampicillin and gentamycin 11 (20.4%), Amoxicilline oral 10(18.5%), Ampicillin iv 3 (5.6%), Benzylpenicilline and chloramphenicol 2 (3.7%). Benzylpenicilln and gentamycin2 (3.7%), Ampiclox (cloxacillin and ampicillin) 2 (3.7%), Chloramphenicol single therapy2 (3.7%), Amoxicillin-clavulanic acid and azithromycin 1 (1.9%). | Amoxicillin 24 (44.4%), Benzylpenicillin 814.81%), Benzylpenicillin and then amoxicillin 4 (7.4%), Cloxacillin 3 (5.6%), Anti-TB treatment 2 (3.7%), Ceftriaxone 2 (3.7%), Cotrimoxazole2 (3.7%), Gentamycin 2 (3.7%). |