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. 2014 Mar;58(6):834-8.
doi: 10.1093/cid/ciu013. Epub 2014 Jan 6.

Impact of Infectious Diseases Society of America/Pediatric Infectious Diseases Society guidelines on treatment of community-acquired pneumonia in hospitalized children

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Impact of Infectious Diseases Society of America/Pediatric Infectious Diseases Society guidelines on treatment of community-acquired pneumonia in hospitalized children

Rachael K Ross et al. Clin Infect Dis. 2014 Mar.

Abstract

We examined the impact of the Pediatric Infectious Diseases Society/Infectious Diseases Society of America guidelines that recommend ampicillin or amoxicillin for children hospitalized with community-acquired pneumonia. Prescribing of ampicillin/amoxicillin increased following guideline publication, but remains low. Cephalosporin and macrolide prescribing decreased but remains common. Further studies exploring outcomes of and reasons for compliance with guidelines are warranted.

Keywords: antibiotics; community-acquired pneumonia; guidelines; pediatrics.

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Figures

Figure 1.
Figure 1.
Crude, modeled, and projected trajectories of rates of prescribing of antibiotics for hospitalized children with community-acquired pneumonia across 38 US children's hospitals, October 2009 to March 2013. A, Guideline-recommended first-line therapy (amoxicillin, ampicillin, or penicillin). B, Cephalosporins and macrolides. Prescribing rates for macrolides have been standardized for season.

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