Improving Antimicrobial Stewardship in the Emergency Department for Patients Diagnosed with Acute Otitis Media

Author(s):  
Brandon Ku ◽  
Jonathan M. Beus ◽  
Jane Lavelle ◽  
Talene Metjian ◽  
Molly Hayes ◽  
...  
2021 ◽  
pp. 014556132110091
Author(s):  
Ying-Fang Jiang ◽  
Wen-Wei Luo ◽  
Xin Zhang ◽  
Dong-Dong Ren ◽  
Yi-Bo Huang

Objective: The associations between climate variables and diseases such as respiratory infections, influenza, pediatric seizure, and gastroenteritis have been long appreciated. Infection is the main reason for acute otitis media (AOM) incidence. However, few previous studies explored the correlation between climatic parameters and AOM infections. The most important meteorological factors, temperature, relative humidity, and fine particulate matter (PM2.5), were included in this study. We studied the relationship between these meteorological factors and the AOM visits. Materials and Methods: It was a retrospective cross-sectional study. A linear correlation and a linear regression model were used to explore the AOM visits and meteorological factors. Results: A total of 7075 emergency department visits for AOM were identified. Relative humidity was found an independent risk factor for the AOM visits in preschool children (regression coefficient = −10.841<0, P = .039 < .05), but not in infants and school-age children. Average temperature and PM2.5 were not correlated with AOM visits. Conclusion: Humidity may have a significant inverse impact on the incidence of AOM in preschool-age children.


2020 ◽  
Vol 10 (7) ◽  
pp. 615-619
Author(s):  
Christine E. MacBrayne ◽  
Manon C. Williams ◽  
Nicole M. Poole ◽  
Kelly Pearce ◽  
Jillian M. Cotter ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alicia Daggett ◽  
Donna R. Wyly ◽  
Tanis Stewart ◽  
Patty Phillips ◽  
Cassandra Newell ◽  
...  

2010 ◽  
Vol 2010 ◽  
pp. 1-5
Author(s):  
Daniel Yawman ◽  
Patrick Mahar ◽  
Aaron Blumkin ◽  
Gregory Conners

Background.It is unclear if clinicians evaluate for concurrent bacteremia or UTI in young patients diagnosed with acute otitis media (AOM).Objectives.To describe how often, and under which circumstances, emergency providers investigate for bacteremia or UTI in 2–36 month olds with AOM.Methods.Cases of AOM were analyzed from the 2001–2004 National Hospital Ambulatory Medical Care Survey (NHAMCS)-Emergency Department dataset.Results.AOM was diagnosed in 17% of the 10,847 recorded visits of 2–36 month olds. Of these visits, laboratory testing included: CBC: 7%, Blood culture: 4%, urinalysis or urine culture: 5%, and any of these tests: 9%. Rates of testing for 2–6 month olds with temperature≥ 38.0(CBC: 13%, blood culture: 9%, urinalysis or urine culture: 7%, any of the tests: 14%) were not significantly different from testing of patients aged 6–12 months, or 12–36 months (allP>.1). Patients with temperature of≥39.0were more likely to have all tests, with the exception of urine investigation, than patients with temperature between 38.0 and 38.9.Conclusions.17% of 2–36 month old patients seen in the emergency department are diagnosed with AOM. Investigating for bacteremia or UTI in these patients is not routine, even in febrile infants.


2020 ◽  
Vol 39 (9) ◽  
pp. 581-583
Author(s):  
Federico Marchetti ◽  
Sara Tagliani

A recent publication on the prescriptive attitude of American paediatricians towards a child older than two years of age with acute otitis media (OMA) showed that 98% of cases received antibiotic therapy, only in 4.5% of cases administered after “delayed prescription" (persistence or worsening of symptoms 48-72 hours after the onset). In accordance with the guidelines, the first choice drug in 80% of the cases was amoxicillin while the duration of therapy in many cases was longer than the 5 days recommended in the treatment of OMA in this age group. The indications and divergences of the main guidelines on the treatment of the OMA are discussed in the present paper. Guidelines are frequently disregarded in clinical practice, also in Italy, although the numerous studies available confirm their validity. Therefore, it is necessary to define indicators relating to the excessive use of antibiotics to identify specific areas of intervention that should be considered as priorities in punctual antimicrobial stewardship programmes aimed to improve clinical practice.


2009 ◽  
Vol 25 (9) ◽  
pp. 575-578 ◽  
Author(s):  
Thomas Fischer ◽  
Adam J. Singer ◽  
Stuart Chale

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