Comparison of a Smartphone Otoscope and Conventional Otoscope in the Diagnosis and Management of Acute Otitis Media

2018 ◽  
Vol 58 (3) ◽  
pp. 302-306 ◽  
Author(s):  
K. Ning Chan ◽  
Anna Silverstein ◽  
Leah N. Bryan ◽  
Courtney E. McCracken ◽  
Wendalyn K. Little ◽  
...  
Keyword(s):  
Emergency Department ◽  
Otitis Media ◽  
Acute Otitis Media ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Hospital Emergency ◽  
Emergency Department Setting ◽  
Randomized Control ◽  
Hospital Emergency Departments ◽  
Control Study

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.

Treatment of Acute Otitis Media in the Pediatric Emergency Department

2018 ◽  
Vol 37 (6) ◽  
pp. 520-525 ◽  
Author(s):  
Sarah Rothman ◽  
Jacob Pitaro ◽  
Asher Hackett ◽  
Eran Kozer ◽  
Haim Gavriel ◽  
...  
Keyword(s):  
Emergency Department ◽  
Otitis Media ◽  
Acute Otitis Media ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

scholarly journals Evaluation of the Efficacy of a Onetime Injectable Dexamethasone Administered Orally in the Pediatric Emergency Department for Asthma Exacerbation

2017 ◽  
Vol 22 (5) ◽  
pp. 326-331
Author(s):  
Ashley McCallister ◽  
Tsz-Yin So ◽  
Josh Stewart
Keyword(s):  
Emergency Department ◽  
Asthma Exacerbation ◽  
Pediatric Patients ◽  
Pediatric Emergency ◽  
Average Weight ◽  
Pediatric Emergency Department ◽  
Routes Of Administration ◽  
Efficacious Treatment ◽  
Randomized Control ◽  
To Receive

OBJECTIVE This study assessed the efficacy of injectable dexamethasone administered orally in pediatric patients who presented to the emergency department with asthma exacerbation. METHODS This was a retrospective study of patients 0 to 18 years of age who presented to and who were directly discharged from the emergency department at Moses H. Cone Memorial Hospital between September 1, 2012, and September 30, 2015, for the diagnosis of asthma or asthma exacerbation. Patients had to receive a onetime dose of injectable dexamethasone orally prior to discharge. Patients were followed for a 30-day period to identify the number of asthma relapses. RESULTS Ninety-nine patients were included in this study. The average weight-based dose ± SD of dexamethasone was 0.35 ± 0.18 mg/kg (range, 0.08–0.62 mg/kg) and the actual dose ± SD was 10.58 ± 1.92 mg (range, 5–16 mg). Over a 30-day period, 6 patients (6%) had one repeated emergency department visit, 6 patients (6%) were admitted to the hospital, and 3 patients (3%) presented to an outpatient clinic for asthma-related symptoms. CONCLUSIONS Injectable dexamethasone administered orally may be an efficacious treatment for asthma exacerbation in pediatric patients. A randomized control trial comparing injectable dexamethasone administered orally to other dexamethasone formulations/routes of administration should be performed to adequately assess the bioequivalence and effectiveness of the former formulation.

scholarly journals Diarrhea Etiology in a Pediatric Emergency Department: A Case Control Study

2012 ◽  
Vol 55 (7) ◽  
pp. 897-904 ◽  
Author(s):  
Donna M. Denno ◽  
Nurmohammad Shaikh ◽  
Jenny R. Stapp ◽  
Xuan Qin ◽  
Carolyn M. Hutter ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Control Study ◽  
Pediatric Emergency ◽  
Case Control ◽  
Pediatric Emergency Department ◽  
Control Study

Delivering Tailored Asthma Family Education in a Pediatric Emergency Department Setting: A Pilot Study

PEDIATRICS ◽  
2006 ◽  
Vol 117 (Supplement 2) ◽  
pp. S135-S144 ◽  
Author(s):  
Marianna M. Sockrider ◽  
Stuart Abramson ◽  
Edward Brooks ◽  
A. Chantal Caviness ◽  
Susan Pilney ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pilot Study ◽  
Pediatric Emergency ◽  
Family Education ◽  
Pediatric Emergency Department ◽  
Emergency Department Setting

scholarly journals Guideline Adherence and Antibiotic Utilization by Community Pediatricians, Private Urgent Care Centers, and a Pediatric Emergency Department

2019 ◽  
Vol 59 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Shamim Islam ◽  
Mary Kathryn Mannix ◽  
Ryan K. Breuer ◽  
Amanda B. Hassinger
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
New York ◽  
Otitis Media ◽  
Pediatric Emergency ◽  
Urgent Care ◽  
Medical Society ◽  
Pediatric Emergency Department ◽  
Antibiotic Utilization ◽  
Urgent Care Centers

Pediatric antibiotic prescriptions originate from an increasingly broad range of ambulatory settings. In this retrospective study, pharyngitis, otitis media, sinusitis, pneumonia, and upper respiratory infection cases, at 11 primary care offices, 2 independent urgent care centers (UCCs), and a pediatric emergency department in Western New York, were analyzed relative to medical society practice guidelines and antibiotic utilization. Of 2358 eligible visits across all sites, 25% were for study diagnoses, with 38% at UCC ( P < .01). Across all sites, 26% of pharyngitis cases given antibiotics did not have diagnostic evidence of bacterial infection. At primary care offices and UCCs, guideline recommended first-line agents for pharyngitis and otitis media were used in only 58% and 63% of treated cases, respectively. Overall, an estimated 9855 to 12 045 avoidable antibiotic and 8030 non-guideline antibiotic courses annually are represented by the 14 sites studied. These and other study findings highlight numerous opportunities for outpatient pediatric antibiotic stewardship.

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