This is a quickie.
My 2 yo recently developed a purulent toenail / cellulitis / paronychia. So we decided to start him on some oral ABs – it is always staph – so flucloxacillin seemed like a good option.
Now in this case series of n=1, where both parents are highly-trained medical professionals, have good insight into the pharmacodynamics and were highly motivated to comply with the prescribed treatment regime. Here is the outcomes:
Mum’s days = average 2.2 doses out of the recommended 4 completed
Dad’s days = average 1.7 doses out of 4 completed.
So what conclusions can I draw from this slightly underpowered, retrospective, case-series study. Well I think there are 2 possibilities:
- I am a bad parent
- Prescribing QID medicine (to kids in particular) is a futile exercise.
I have long held this suspicion (option 2, that is), but not until this week did I have the chance to do a real-world trial – and I have to say, I think that it is nigh on impossible to do QID in vivo.
Love to hear your thoughts. I think I will change to meds which are TDS at worst, BD even better.