Evaluating Guideline-Recommended Antibiotic Practices for Childhood Respiratory Infections: Is It Time to Consider Case-Based Formats?

Heather Wright, Asheley Cockrell Skinner, Ravi Jhaveri*

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective. We sought to better understand barriers to adherence to published guidelines for respiratory infections among community providers. Methods. A case-based survey was developed and emailed to all members of the state pediatric society. Providers chose their preferred management for acute otitis media, acute bacterial sinusitis, and community-acquired pneumonia. An "answer key" and a follow-up questionnaire were distributed to assess reevaluation of current practices. Results. We received 173 completed surveys (15% response rate). While most responders followed guideline recommendations (6 of the 10 questions with ≥65% choosing recommended antibiotic), discrepancies existed in several cases. After receiving the answer key, respondents said they reviewed the guidelines (69%), adjusted their practice (26%), used cases for teaching (9%), and discussed guidelines with colleagues (21%). Conclusions. The majority of respondents followed published guidelines, but there was a tendency to overuse azithromycin in certain cases. Future guidelines including case-based discussions may enhance adherence.

Original languageEnglish (US)
Pages (from-to)118-121
Number of pages4
JournalClinical Pediatrics
Volume55
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • adherence
  • antibiotics
  • guidelines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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