Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Mar;4(1):57-9.
doi: 10.1093/jpids/piu044. Epub 2014 May 23.

Lessons Learned in Antibiotic Stewardship: Fluoroquinolone Use in Pediatrics

Adam L Hersh  1 , Jeffrey S Gerber  2 , Lauri A Hicks  3 , Andrew T Pavia  1
Affiliations
Review

Lessons Learned in Antibiotic Stewardship: Fluoroquinolone Use in Pediatrics

Adam L Hersh et al. J Pediatric Infect Dis Soc. 2015 Mar.

Abstract

The use of fluoroquinolones differs dramatically between adult and pediatric patients. For adults, they are the leading class of antibiotics prescribed in ambulatory care visits whereas in children, they are the least frequently prescribed class. The reasons for this difference in practice likely relate to perceptions of their potential for harm. This highlights the impact of physicians' perception of direct patient harm in antibiotic decision making which has implications for antibiotic stewardship.

Keywords: antibacterial agents; drug resistance; physician's practice patterns..

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Annual percentage of all antibiotics prescribed accounted for by fluoroquinolones (FQs) during ambulatory care visits in the United States. Source: The National Ambulatory Care and Hospital Ambulatory Care Surveys.
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention. Antibiotic Resistance Threats in the United States, 2013. Available at: http://www.cdc.gov/drugresistance/threat-report-2013/ . Accessed May 14, 2014.
    1. Grijalva CG, Nuorti JP, Griffin MR. Antibiotic prescription rates for acute respiratory. f58–66. - PMC - PubMed
    1. Gerber JS, Prasad PA, Fiks AG, et al. Effect of an outpatient antimicrobial stewardship intervention on broad-spectrum antibiotic prescribing by primary care pediatricians: a randomized trial. JAMA. 2013;309:2345–52. - PubMed
    1. Shapiro DJ, Hicks LA, Pavia AT, Hersh AL. Antibiotic prescribing for adults in ambulatory care in the USA, 2007–09. J Antimicrob Chemother. 2014;69:234–40. - PubMed
    1. Bradley JS, Jackson MA. The use of systemic and topical fluoroquinolones. Pediatrics. 2011;128:e1034–45. - PubMed

Publication types

MeSH terms