We propose to evaluate the impact of antibiotic prescribing patterns on hospital revisit rates among children with community acquired pneumonia. 1) Among children discharged from emergency department (ED) with Community-Acquired Pneumonia (CAP), does antibiotic prescribing patterns impact 3-day and 7-day revisit rates? Hypothesis 1: Children receiving amoxicillin do not have higher ED revisit rates compared to children receiving a cephalosporin antibiotic. Hypothesis 2: School age children who receive a macrolide antibiotic (e.g. azithromycin) in combination with amoxicillin are less likely to have an ED revisit compared with children receiving amoxicillin alone. 2) Among children hospitalized with CAP, does antibiotic prescribing patterns impact 30-day readmission rates? Hypothesis 3: Hospitalized children who receive amoxicillin after discharge are less likely to be readmitted within 30-days following discharge compared to children receiving a cephalosporin antibiotic. This will be a retrospective cohort study of children cared for at 8 children’s hospitals included in the PEDSnet database with CAP.
Comparative Effectiveness of Narrow Versus Broad-Spectrum Antibiotic Use On ED Revisit Rates In Pediatric Pneumonia
Funding Source:
Participating PEDSnet Sites:
- Boston Children’s Hospital
- Children’s Hospital Colorado
- Children’s Hospital of Philadelphia
- Cincinnati Children’s Hospital Medical Center
- Nationwide Children’s Hospital
- Nemours Children’s Health
- St. Louis Children’s Hospital
- Seattle Children’s Hospital
Study Investigator:
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