Diagnostic Testing and Antibiotic Use in Young Children With Community-Acquired Pneumonia in the United States, 2008

Diagnostic Testing and Antibiotic Use in Young Children With Community-Acquired Pneumonia in the United States, 2008–2015

Published:2019-05-20 Issue:2 Volume:9 Page:248-252
ISSN:2048-7207
Container-title:Journal of the Pediatric Infectious Diseases Society
language:en
Short-container-title:

Author:

Florin Todd A¹²^ORCID,Byczkowski Terri³⁴,Gerber Jeffrey S⁵⁶,Ruddy Richard³⁴,Kuppermann Nathan⁷

Affiliation:

1. Division of Pediatric Emergency Medicine, Ann and Robert H. Lurie Children’s Hospital of Chicago, Illinois

2. Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois

3. Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, Ohio

4. Department of Pediatrics, University of Cincinnati College of Medicine, Ohio

5. Division of Infectious Diseases, Children’s Hospital of Philadelphia, Pennsylvania

6. Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia

7. Departments of Emergency Medicine and Pediatrics, University of California School of Medicine and University of California Davis Health

Abstract

Abstract Diagnostic testing and antibiotics are not routinely recommended for young children with community-acquired pneumonia. In a national sample of >6 million outpatient 1- to 6-year-olds with community-acquired pneumonia between 2008 and 2015, a complete blood count was obtained for 8.6% (95% confidence interval [CI], 6.1%–11.1%), radiography was performed for 43% (95% CI, 36%–50%), and antibiotics were given for 73.9% (95% CI, 67.1%–80.7%). There were no changes in testing or antibiotic use over time.

Funder

National Institute for Allergy and Infectious Diseases

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,General Medicine,Pediatrics, Perinatology and Child Health

Link

http://academic.oup.com/jpids/article-pdf/9/2/248/33149343/piz026.pdf

Reference18 articles.

1. Prioritization of comparative effectiveness research topics in hospital pediatrics;Keren;Arch Pediatr Adolesc Med,2012

2. Identifying targets for antimicrobial stewardship in children’s hospitals;Gerber;Infect Control Hosp Epidemiol,2013