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


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


  • eng

Conference Location

  • United States