Evaluating Guideline-Recommended Antibiotic Practices for Childhood Respiratory Infections: Is It Time to Consider Case-Based Formats?
Published
Journal Article
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.
Full Text
Duke Authors
Cited Authors
- Wright, H; Skinner, AC; Jhaveri, R
Published Date
- February 2016
Published In
Volume / Issue
- 55 / 2
Start / End Page
- 118 - 121
PubMed ID
- 25986442
Pubmed Central ID
- 25986442
Electronic International Standard Serial Number (EISSN)
- 1938-2707
Digital Object Identifier (DOI)
- 10.1177/0009922815587091
Language
- eng
Conference Location
- United States