ArticleJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus2021
Ophthalmic antibiotic use for acute infectious conjunctivitis in children.
Article in Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 19 citations in OpenAlex.
- Ophthalmic dispensing patterns in New Zealand: a ten-year review.Eye (London, England) · 2026Article
- In Vitro Bactericidal Activity of Propamidine 0.1% and Other Ophthalmic Antiseptics on Conjunctivitis and Blepharitis Strains.Ophthalmology and therapy · 2026Article
- Article
- State-Level Policies and Antibiotic Use for Pediatric Conjunctivitis.JAMA pediatrics · 2025Article
- Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025Article
- Etiology and Outcomes of Acute Infectious Conjunctivitis in Children.The Journal of pediatrics · 2025Article
- An Analysis of the Use of Topical Ocular Anti-Infectives in Galicia (Spain) between 2020 and 2023.Diseases (Basel, Switzerland) · 2024Article
- Secondary household transmission of conjunctivitis in children.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2024Article
- Antibiotic Treatment and Health Care Use in Children and Adolescents With Conjunctivitis.JAMA ophthalmology · 2024Article
- Cost-Effectiveness of Pediatric Conjunctivitis Management and Return to Childcare and School Strategies: A Comparative Study.Journal of the Pediatric Infectious Diseases Society · 2024Article
- The impact of the COVID-19 pandemic on pediatric acute conjunctivitis disease trends.Scientific reports · 2023Article
- Reducing Ophthalmic Antibiotic Use for Non-severe Conjunctivitis in Children.Journal of the Pediatric Infectious Diseases Society · 2023Article
- Pediatric Conjunctivitis: A Review of Clinical Manifestations, Diagnosis, and Management.Children (Basel, Switzerland) · 2023Review
- Indication-prescription study for the management of conjunctivitis in a Colombian population.International ophthalmology · 2023Article
- A qualitative evaluation of pediatric conjunctivitis medical decision making and opportunities to improve care.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundInfectious conjunctivitis is among the most common pediatric infections worldwide; antibiotics are often not indicated. We aimed to determine factors associated with ophthalmic antibiotic prescribing and changes in prescribing prior to and during the COVID-19 pandemic at a single center.
methodsEncounters for children with infectious conjunctivitis from 2017 to 2020 at Denver Health and Hospital Authority clinics were analyzed retrospectively. Factors associated with prescribing were evaluated using multivariable logistic regression modeling. Encounter numbers and prescribing patterns for telephone versus in-person visits before and during the pandemic were compared and stratified.
resultsOf 5,283 patients encounters for conjunctivitis, 3,841 (72.7%) resulted in an ophthalmic antibiotic prescription. Concurrent diagnosis with acute otitis media (adjusted odds ratio [aOR] 0.20 (95% CI, 0.16-0.25) and later study year (2018-aOR = 0.76 [95% CI, 0.65-0.89]; 2019- aOR = 0.57 [95% CI, 0.48-0.67]) were associated with reduced odds of prescribing. Compared with those evaluated in pediatric clinics, patients evaluated in family medicine (aOR = 0.69 [95% CI, 0.58-0.83]) or optometry/ophthalmology clinics (aOR = 0.06 [95% CI, 0.02-0.14]) were less likely to have antibiotics prescribed, whereas, patients evaluated via telephone had a 5.43 (95% CI, 3.97-7.42) greater odds of being prescribed ophthalmic antibiotics. Antibiotic prescribing increased from 67.8% prior to the COVID-19 pandemic to 81.9% during the pandemic (P < 0.0001).
conclusionsDiscordant with national guideline recommendations, ophthalmic antibiotic use for conjunctivitis was high. Telephone visits were associated with higher rates of prescribing. Rates of prescribing increased significantly during the COVID-19 pandemic.
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