Back to Search
Start Over
Guideline Adherence and Antibiotic Utilization by Community Pediatricians, Private Urgent Care Centers, and a Pediatric Emergency Department.
- Source :
-
Clinical pediatrics [Clin Pediatr (Phila)] 2020 Jan; Vol. 59 (1), pp. 21-30. Date of Electronic Publication: 2019 Oct 14. - Publication Year :
- 2020
-
Abstract
- Pediatric antibiotic prescriptions originate from an increasingly broad range of ambulatory settings. In this retrospective study, pharyngitis, otitis media, sinusitis, pneumonia, and upper respiratory infection cases, at 11 primary care offices, 2 independent urgent care centers (UCCs), and a pediatric emergency department in Western New York, were analyzed relative to medical society practice guidelines and antibiotic utilization. Of 2358 eligible visits across all sites, 25% were for study diagnoses, with 38% at UCC ( P < .01). Across all sites, 26% of pharyngitis cases given antibiotics did not have diagnostic evidence of bacterial infection. At primary care offices and UCCs, guideline recommended first-line agents for pharyngitis and otitis media were used in only 58% and 63% of treated cases, respectively. Overall, an estimated 9855 to 12 045 avoidable antibiotic and 8030 non-guideline antibiotic courses annually are represented by the 14 sites studied. These and other study findings highlight numerous opportunities for outpatient pediatric antibiotic stewardship.
- Subjects :
- Ambulatory Care Facilities
Child
Emergency Service, Hospital
Humans
New York
Retrospective Studies
Anti-Bacterial Agents therapeutic use
Antimicrobial Stewardship
Guideline Adherence
Inappropriate Prescribing statistics & numerical data
Pediatricians statistics & numerical data
Practice Patterns, Physicians' statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1938-2707
- Volume :
- 59
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinical pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 31609128
- Full Text :
- https://doi.org/10.1177/0009922819879462