ArticlePediatrics2013
Quality improvement methods increase appropriate antibiotic prescribing for childhood pneumonia.
Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve adherence to cardiovascular disease guidelines: a systematic review.BMC family practice · 2015Pooled it
- Quality improvement initiative improves the empiric antibiotic prescribing practices in a tertiary care children's hospital in India.BMJ open quality · 2023Trial
- Understanding antibiotic prescribing in the inpatient setting: a synthesis of evidence on determinants and interventions.Antimicrobial resistance and infection control · 2026Article
- Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes.BMJ quality & safety · 2025Article
- Management of Pediatric Pneumonia: A Decade After the Pediatric Infectious Diseases Society and Infectious Diseases Society of America Guideline.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Article
- Rational use of antibiotics for major elective gynaecological and obstetrical surgical procedures: quality improvement journey from a tertiary care public facility.BMJ open quality · 2022Article
- Paediatric Antimicrobial Stewardship for Respiratory Infections in the Emergency Setting: A Systematic Review.Antibiotics (Basel, Switzerland) · 2021Review
- Variation in Pediatric Asthmonia Diagnosis and Outcomes among Hospitalized Children.Annals of the American Thoracic Society · 2021Article
- Multistep antimicrobial stewardship intervention on antibiotic prescriptions and treatment duration in children with pneumonia.PloS one · 2021Article
- Shortness of breath in children at the emergency department: Variability in management in Europe.PloS one · 2021Observational
- Decreased Overall and Inappropriate Antibiotic Prescribing in a Veterans Affairs Hospital Emergency Department following a Peer Comparison-Based Stewardship Intervention.Antimicrobial agents and chemotherapy · 2020Observational
- Diagnostic Testing and Antibiotic Use in Young Children With Community-Acquired Pneumonia in the United States, 2008-2015.Journal of the Pediatric Infectious Diseases Society · 2020Article
- Implementation and impact of pediatric antimicrobial stewardship programs: a systematic scoping review.Antimicrobial resistance and infection control · 2020Article
- Improving antibiotic prescribing in the emergency department for uncomplicated community-acquired pneumonia.World journal of emergency medicine · 2020Article
- Vaccination Status and Resource Use During Hospital Visits for Respiratory Illnesses.Pediatrics · 2019Article
- Management of sore throat in Danish general practices.BMC family practice · 2019Article
- Facilitators of interdepartmental quality improvement: a mixed-methods analysis of a collaborative to improve pediatric community-acquired pneumonia management.BMJ quality & safety · 2019Article
- Antimicrobial Stewardship in the Emergency Department.Emergency medicine clinics of North America · 2018Review
- Pediatric Community-Acquired Pneumonia in the United States: Changing Epidemiology, Diagnostic and Therapeutic Challenges, and Areas for Future Research.Infectious disease clinics of North America · 2018Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveIn August 2011, the Pediatric Infectious Disease Society and Infectious Disease Society of America published an evidence-based guideline for the management of community-acquired pneumonia (CAP) in children ≥3 months. Our objective was to evaluate if quality improvement (QI) methods could improve appropriate antibiotic prescribing in a setting without a formal antimicrobial stewardship program.
methodsAt a tertiary children's hospital, QI methods were used to rapidly implement the Pediatric Infectious Disease Society/Infectious Disease Society of America guideline recommendations for appropriate first-line antibiotic therapy in children with CAP. QI interventions focused on 4 key drivers and were tested separately in the emergency department and on the hospital medicine resident teams, using multiple plan-do-study-act cycles. Medical records of eligible patients were reviewed weekly to determine the success of prescribing recommended antibiotic therapy. The impact of these interventions on our outcome was tracked over time on run charts.
resultsAppropriate first-line antibiotic prescribing for children admitted with the diagnosis of CAP increased in the emergency department from a median baseline of 0% to 100% and on the hospital medicine resident teams from 30% to 100% within 6 months of introducing the guidelines locally at Cincinnati Children's Hospital Medical Center and has been sustained for 3 months.
conclusionsOur study demonstrates that QI methods can rapidly improve adherence to national guidelines even in settings without a formal antimicrobial stewardship program to encourage judicious antibiotic prescribing for CAP.
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