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Description

A QI project aimed at increasing the percentage of children discharged home from the emergency department with a diagnosis of community acquired pneumonia (CAP) or acute bacterial rhinosinusitis (ABRS) treated with an optimal antibiotic duration (5 days or less for CAP, 7 days or less for ABRS) from 22% to 70% by July 2025. Additionally, assess for differences in care based on demographic and socioeconomic factors such as the area deprivation index. National guidelines and CMH clinical pathways recommend short antibiotic durations (5-7 days) for most infections (5 days for community acquired pneumonia, 5-7 days for acute bacterial rhinosinusitis). At CMH ED, our clinicians are using first-line guideline-recommended antibiotics as an appropriate choice for the majority of patients (per our ASP report tracking), however, duration continues to be a problem. When evaluating all infections treated in the ED through a benchmarking work, only 50% of all patients receive 7 days or less of antibiotics. Some patients who are diagnosed with pharyngitis or AOM where 10 days may be appropriate, would require longer courses; however, we suspect many patients with the diagnoses listed above continue to receive prolonged courses of antibiotics.

Publication Date

4-2024

Disciplines

Pediatrics

When and Where Presented

Presented at the Pediatric Emergency Medicine Fellows Conference; April 16-18, 2024; Cleveland, OH.

Antimicrobial Duration Stewardship Project: A QI approach

Included in

Pediatrics Commons

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