ArticleThe Journal of pediatrics2014
Variation in resource utilization for the management of uncomplicated community-acquired pneumonia across community and children's hospitals.
Article in The Journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- A three-step diagnosis of pediatric pneumonia at the emergency department using clinical predictors, C-reactive protein, and pneumococcal PCR.European journal of pediatrics · 2017Trial
- Factors associated with antibiotic prescription among patients with respiratory illness in Thailand: The potential impact of rapid influenza diagnostic testing in antimicrobial stewardship.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026Article
- Predictors of prolonged hospitalization among children aged 2-59 months with severe community-acquired pneumonia in public hospitals of Benishangul-Gumuz Region, Ethiopia: a multicenter retrospective follow-up study.Frontiers in pediatrics · 2023Article
- Identifying Potentially Unnecessary Hospitalizations in Children With Pneumonia.Hospital pediatrics · 2022Article
- Readmissions Following Hospitalization for Infection in Children With or Without Medical Complexity.Journal of hospital medicine · 2021Article
- Article
- Quality and Safety of Pediatric Inpatient Care in Community Hospitals: A Scoping Review.Journal of hospital medicine · 2019Article
- Facilitators of interdepartmental quality improvement: a mixed-methods analysis of a collaborative to improve pediatric community-acquired pneumonia management.BMJ quality & safety · 2019Article
- Comparison of Antibiotic Prescribing for Pediatric Community-Acquired Pneumonia in Children's and Non-Children's Hospitals.JAMA pediatrics · 2019Article
- Risk factors for hospitalizations due to bacterial respiratory tract infections after tracheotomy.Pediatric pulmonology · 2018Article
- Length of Stay and Hospital Revisit After Bacterial Tracheostomy-Associated Respiratory Tract Infection Hospitalizations.Hospital pediatrics · 2018Article
- Antibiotic treatment in childhood community-acquired pneumonia - clinical practice versus guidelines: results from two university hospitals.Clujul medical (1957) · 2018Article
- Effects of clinical pathway implementation on antibiotic prescriptions for pediatric community-acquired pneumonia.PloS one · 2018Article
- Inter-hospital variation in the utilization of diagnostics and their proportionality in the management of adult community-acquired pneumonia.Pneumonia (Nathan Qld.) · 2018Article
- Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections.Hospital pediatrics · 2017Article
- Recent Developments in Pediatric Community-Acquired Pneumonia.Current infectious disease reports · 2016Article
- Evaluating the use of blood cultures in the management of children hospitalized for community-acquired pneumonia.PloS one · 2015Article
- Helicobacter pylori Antibody Titer and Gastric Cancer Screening.Disease markers · 2015Review
- Implementation and Impact of an Antimicrobial Stewardship Program at a Non-freestanding Children's Hospital.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAGArticle
- Decreasing Blood Culture Collection in Hospitalized Patients with CAP, SSTI, and UTI.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo describe patterns of diagnostic testing and antibiotic management of uncomplicated pneumonia in general community hospitals and children's hospitals within hospitals and to determine the association between diagnostic testing and length of hospital stay. STUDY
designWe conducted a retrospective cohort study of children 1-17 years of age hospitalized with the diagnosis of pneumonia from 2007 to 2010 to hospitals contributing data to Perspective Database Warehouse, assessing patterns of diagnostic testing and antibiotic management. We constructed logistic regression models of log-transformed length of stay (LOS) and grouped treatment models to ascertain whether performance of blood cultures and viral respiratory testing were associated with LOS.
resultsA total of 17 299 pneumonia cases occurred at 125 hospitals, with considerable variability in pneumonia management. Only 40 (0.2%) received ampicillin/penicillin G alone or in combination with other antibiotics, and 1318 (7.4%) received macrolide monotherapy as initial antibiotic management. Performance of blood culture and testing for respiratory viruses was associated with a statistically significant longer LOS, but these differences did not persist in grouped treatment models.
conclusionsWe observed greater rates of diagnostic testing in this cohort of structurally diverse hospitals than previously reported at freestanding children's hospitals, with extremely low rates of narrow-spectrum antibiotic use. Tailored antibiotic stewardship initiatives at these hospitals are needed to achieve adherence to national guideline recommendations.
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