Inpatient outcomes for children receiving empiric methicillin-resistant Staphylococcus aureus coverage for complicated pneumonia.
Document Type
Article
Publication Date
1-2022
Identifier
DOI: 10.1002/jhm.2736
Abstract
Rigorous evidence for antibiotic management of pediatric complicated pneumonia is lacking, likely contributing to variation in empiric antibiotic(s). Using the Pediatric Health Information System database, we sought to describe use and clinical outcomes of children hospitalized with complicated pneumonia who received empiric antibiotic regimens with and without methicillin-resistant Staphylococcus aureus (MRSA) coverage. We evaluated empiric antibiotic selection on Day 0-1, grouping based on use of an antibiotic with or without MRSA coverage. We used generalized linear mixed effects models to examine the association of MRSA coverage and outcomes. Across 46 children's hospitals, 71.5% of children (N = 1279) received an empiric antibiotic regimen with MRSA coverage. In adjusted analyses, length of stay, need for repeat pleural drainage procedures, 7-day emergency department revisits and 7-day readmissions were similar between groups. Future prospective studies examining the need for MRSA coverage may assist in refining national treatment guidelines for complicated pneumonia in children.
Journal Title
J Hosp Med
Volume
17
Issue
1
First Page
36
Last Page
41
MeSH Keywords
Anti-Bacterial Agents; Child; Humans; Inpatients; Methicillin-Resistant Staphylococcus aureus; Pneumonia; Prospective Studies
Keywords
Anti-Bacterial Agents; Inpatients; Methicillin-Resistant Staphylococcus aureus; Pneumonia; Prospective Studies
Recommended Citation
Markham JL, Hackman S, Hall M, Burns A, Goldman JL. Inpatient outcomes for children receiving empiric methicillin-resistant Staphylococcus aureus coverage for complicated pneumonia. J Hosp Med. 2022;17(1):36-41. doi:10.1002/jhm.2736
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