Journal article

International Practice Patterns of Antibiotic Therapy and Laboratory Testing in Bronchiolitis

Amy Zipursky, Nathan Kuppermann, Yaron Finkelstein, Roger Zemek, Amy C Plint, Franz E Babl, Stuart R Dalziel, Stephen B Freedman, Dale W Steele, Ricardo M Fernandes, Todd A Florin, Derek Stephens, Anupam Kharbanda, Damian Roland, Mark D Lyttle, David W Johnson, David Schnadower, Charles G Macias, Javier Benito, Suzanne Schuh

Pediatrics | AMER ACAD PEDIATRICS | Published : 2020

Abstract

BACKGROUND AND OBJECTIVES: International patterns of antibiotic use and laboratory testing in bronchiolitis in emergency departments are unknown. Our objective is to evaluate variation in the use of antibiotics and nonindicated tests in infants with bronchiolitis in 38 emergency departments in Pediatric Emergency Research Networks in Canada, the United States, Australia and New Zealand, the United Kingdom and Ireland, and Spain and Portugal. We hypothesized there would be significant variation, adjusted for patient characteristics. METHODS: We analyzed a retrospective cohort study of previously healthy infants aged 2 to 12 months with bronchiolitis. Variables examined included network, poor ..

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