Comparative Evaluation of a Rapid Influenza Diagnostic Test in the Pediatric Emergency Department Setting Using Three Specimen Collection Methods

Acute otitis media (AOM) is a leading cause of health encounters and antimicrobial prescriptions in children worldwide. We assessed (1) the rates of antimicrobial prescribing by pediatric emergency department clinicians using a smartphone otoscope device as compared with a conventional otoscope and (2) clinician acceptability of the smartphone device. We conducted a randomized control study in children’s hospital emergency departments over 6 months. More than 1500 encounters were analyzed. The odds of prescribing antibiotics after being given a diagnosis of AOM by clinicians assigned to the smartphone group was 11% higher than the conventional group (18.8% vs 18.0%, odds ratio = 1.106, P = .600). Eight (73%) of the 11 physicians in the smartphone group preferred the smartphone device over the conventional otoscope. Use of a smartphone otoscope for detection of AOM in a pediatric emergency department setting did not lead to an increased likelihood of AOM diagnosis.

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The clinical utility of pulse oximetry in the pediatric emergency department setting

Pediatric Emergency Care ◽

10.1097/00006565-199110000-00001 ◽

1991 ◽

Vol 7 (5) ◽

pp. 263-266 ◽

Cited By ~ 10

Author(s):

ALISON BRENT ANDERSON ◽

ROBERT G. ZWERDLING ◽

THOMAS G. DEWITT

Keyword(s):

Emergency Department ◽

Pulse Oximetry ◽

Clinical Utility ◽

Pediatric Emergency ◽

Pediatric Emergency Department ◽

Emergency Department Setting

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Impact of the Sofia® Influenza A+B FIA rapid diagnostic test in a pediatric emergency department

Archives de Pédiatrie ◽

10.1016/j.arcped.2018.10.004 ◽

2019 ◽

Vol 26 (1) ◽

pp. 6-11 ◽

Cited By ~ 3

Author(s):

D. Diallo ◽

A. Hochart ◽

M. Lagree ◽

B. Dervaux ◽

A. Martinot ◽

...

Keyword(s):

Emergency Department ◽

Diagnostic Test ◽

Rapid Diagnostic Test ◽

Influenza A ◽

Pediatric Emergency ◽

Pediatric Emergency Department

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Utilizing E-Coded Data for Nonfatal Injury Surveillance in the Pediatric Emergency Department Setting

Pediatric Emergency Care ◽

10.1097/pec.0b013e31829839e2 ◽

2013 ◽

Vol 29 (7) ◽

pp. 801-805 ◽

Cited By ~ 1

Author(s):

Rennie W. Ferguson ◽

Wendy Shields ◽

Michael Cookson ◽

Andrea C. Gielen

Keyword(s):

Emergency Department ◽

Pediatric Emergency ◽

Injury Surveillance ◽

Pediatric Emergency Department ◽

Emergency Department Setting ◽

Nonfatal Injury

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COVID-19 Result Follow-up Process in the Pediatric Emergency Department Setting

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2020.403 ◽

2020 ◽

pp. 1-11

Author(s):

Shaina Newman ◽

Joelle Simpson ◽

Ashley Perritt ◽

Sephora Morrison ◽

Deena Berkowitz ◽

...

Keyword(s):

Emergency Department ◽

Pediatric Emergency ◽

Pediatric Emergency Department ◽

The Novel ◽

Antibody Testing ◽

National Hospital ◽

Good Patient ◽

Emergency Department Setting ◽

Novel Coronavirus

Abstract The novel coronavirus (COVID-19) pandemic upended the world. As emergency departments and hospitals across the nation and world braced themselves for the surge of this new disease, the Emergency Department (ED) at Children’s National Hospital (CNH) quickly created a process to address surges in patient visits and follow-ups for coronavirus testing. Within two weeks of the first reported pediatric patient diagnosed with COVID-19 in the DC metropolitan area, CNH ED implemented a new comprehensive follow-up process. This article describes the novel process which ensured timely notification of testing results, enabled patients to speak remotely with ED providers, increased patient and staff safety by reducing unnecessary exposures and suggested a good patient experience. With over 1900 patients discharged pending their COVID results, the program is successful. We anticipate expansion into antibody testing and notification as the pandemic progresses.

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