By: Clare Dyer
A 5 year old girl in England was left bleeding, traumatised, and screaming with pain after a physician associate (PA; now known as a physician assistant) wrongly prescribed a pessary to treat itching and vaginal discharge, an investigation by the parliamentary and health service ombudsman has found.1Vaginal pessaries should not be used in prepubescent children, but a GP authorised the prescription on the basis of the PA's recommendation, and a pharmacy dispensed the pessary without questioning it.In March 2023 the girl's mother, named as Mrs N, took her daughter, H, to their general practice in the East Midlands. She saw a PA her mother thought was a GP, who suspected that H had thrush. The PA opted for a clotrimazole pessary (an antifungal) and cream.In fact, said the ombudsman's report, H's symptoms were consistent with paediatric vulvovaginitis, not …










