Pediatric Antibiotic Prescribing Patterns From Emergency Department Visits.

Q2 Medicine

Journal of Pediatric Pharmacology and Therapeutics Pub Date : 2026-04-01 Epub Date: 2026-04-13 DOI:10.5863/JPPT-25-00007

Scott Gutovitz, Sarah Astrab, Hannah Chotiner, Justin Blaskowsky, Sarah Meier, Hannah Minton, Lauren Jacobs, Alexis Chlada, Sarah Kleist

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引用次数: 0

Abstract

Objectives: Antibiotics are frequently prescribed for pediatric emergency department (ED) patients having respiratory or genitourinary infections. Professional guidelines and antibiograms exist to help guide appropriate antibiotics for these infections, but it is unknown how well ED providers adhere to these recommendations.

Methods: From January 1, 2017 to December 31, 2022 using a national electronic medical record database, we retrospectively reviewed de-identified pediatric ED patients who were discharged home with an antibiotic. Antibiotics and infections were grouped for analysis, and results were compared yearly.

Results: We identified 85,026 pediatric ED patients with infectious diseases discharged home with 24,363 antibiotic prescriptions. Over the 6-year study period, penicillin-based antibiotics were prescribed more than macrolides or cephalosporins for respiratory tract infections, rising from 76.5% in 2017 to 81.3% in 2022 (p < 0.001). For genitourinary tract infections, cephalosporins were prescribed more than 5 other types of antibiotics, rising from 62.7% in 2017 to 73.9% in 2022 (p < 0.001).

Conclusions: Over this 6-year period, ED providers in our region were fairly adherent to and improved for guideline recommended respiratory tract infections and antibiogram guided treatment for genitourinary tract infection in pediatric patients.

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急诊科儿童抗生素处方模式

目的：儿科急诊科（ED）患有呼吸道或泌尿生殖系统感染的患者经常使用抗生素。现有的专业指南和抗生素图有助于指导这些感染的适当抗生素，但尚不清楚急诊科医生是否遵守这些建议。方法：从2017年1月1日至2022年12月31日，使用国家电子病历数据库，我们回顾性分析了出院时使用抗生素的去识别儿科急诊科患者。抗生素和感染分组分析，每年比较结果。结果：我们发现85,026名感染性儿科急诊科患者出院时使用了24,363张抗生素处方。在6年的研究期间，用于呼吸道感染的青霉素类抗生素处方高于大环内酯类或头孢菌素类，从2017年的76.5%上升到2022年的81.3% （p < 0.001）。对于泌尿生殖道感染，使用头孢菌素类药物的比例高于其他5种抗生素，从2017年的62.7%上升到2022年的73.9% （p < 0.001）。结论：在这6年的时间里，我们地区的急诊科医生相当坚持并改进了指南推荐的呼吸道感染和抗生素指导下儿科患者泌尿生殖道感染的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Pharmacology and Therapeutics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： The Journal of Pediatric Pharmacology and Therapeutics is the official journal of the Pediatric Pharmacy Advocacy Group. JPPT is a peer-reviewed multi disciplinary journal that is devoted to promoting the safe and effective use of medications in infants and children. To this end, the journal publishes practical information for all practitioners who provide care to pediatric patients. Each issue includes review articles, original clinical investigations, case reports, editorials, and other information relevant to pediatric medication therapy. The Journal focuses all work on issues related to the practice of pediatric pharmacology and therapeutics. The scope of content includes pharmacotherapy, extemporaneous compounding, dosing, methods of medication administration, medication error prevention, and legislative issues. The Journal will contain original research, review articles, short subjects, case reports, clinical investigations, editorials, and news from such organizations as the Pediatric Pharmacy Advocacy Group, the FDA, the American Academy of Pediatrics, the American Society of Health-System Pharmacists, and so on.