Journal article
Evaluating an admission avoidance pathway for children in the emergency department: Outpatient intravenous antibiotics for moderate/severe cellulitis
LF Ibrahim, SM Hopper, TG Connell, AJ Daley, PA Bryant, FE Babl
Emergency Medicine Journal | BMJ PUBLISHING GROUP | Published : 2017
Abstract
Objective Children with moderate/severe cellulitis requiring intravenous antibiotics are usually admitted to hospital. Admission avoidance is attractive but there are few data in children. We implemented a new pathway for children to be treated with intravenous antibiotics at home and aimed to describe the characteristics of patients treated on this pathway and in hospital and to evaluate the outcomes. Methods This is a prospective, observational cohort study of children aged 6 months-18 years attending the ED with uncomplicated moderate/severe cellulitis in March 2014-January 2015. Patients received either intravenous ceftriaxone at home or intravenous flucloxacillin in hospital based on ph..
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Funding Acknowledgements
This study is funded in part by grants from the RCH Foundation, the Murdoch Childrens Research Institute (MCRI) and the Victorian Department of Health, Melbourne, Australia. LFI was supported in part by a scholarship from Avant Mutual Group. PAB was in part supported by a Clinician Scientist Fellowship from the MCRI. FEB was supported in part by a grant from the RCH Foundation. The emergency research group, MCRI, is in part supported by a Centre for Research Excellence Grant for Paediatric Emergency Medicine from the National Health and Medical Research Council, Canberra, Australia, and the Victorian government infrastructure support programme.