The article published by Linder et al1 brought again to our attention an interesting finding: a 66% rate of nonadherence to guidelines. This problem is beyond pharyngitis and strep throat. The literature is rich in examples of nonadherence to guidelines across different specialties (eg, antiemetic guidelines2 and percutaneous transluminal coronary angioplasty guidelines3).
Irani J. Nonadherence to Guidelines. Arch Intern Med. 2006;166(20):2291. doi:10.1001/archinte.166.20.2291-a