- Antibiotic stewardship for children visiting emergency departments (EDs) is not optimal.
Why this matters
- ED prescribing patterns for children receiving antibiotics have been unclear.
- National stewardship efforts have not specifically targeted EDs.
- About 6.7 (95% CI, 6.1-7.5) million antibiotic visits took place annually.
- 14% (95% CI, 10%-20%) occurred in pediatric EDs.
- In nonpediatric vs pediatric EDs (95% CIs):
- Visits resulting in antibiotic prescriptions: 24% (23%-25%) vs 20% (17%-22%); P<.01.>
- Visits resulting in antibiotic prescriptions for illnesses not requiring antibiotics: 33% (31%-34%) vs 26% (21%-31%); P=.02; total, 2.1 million per year.
- Guideline-concordant prescriptions for children with acute otitis media, pharyngitis, or laryngitis: 77% (75%-79%) vs 87% (82%-90%); P<.001.>
- Retrospective cross-sectional study of children discharged from US EDs, 2009-2014, using National Hospital Ambulatory Medical Care Survey.
- Outcome: factors associated with guideline-concordant antibiotic prescription.
- Funding: CDC.
- Comorbidities, allergies not captured and could explain some “non-indicated” prescriptions.