• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Emergency

Antibiotic prescribing rates in pediatric emergency departments vary by race and ethnicity

byKate AndersonandLeah Carr, MD
September 5, 2017
in Emergency, Pediatrics, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. Non-Hispanic (NH) white children were more likely to be prescribed antibiotics for viral acute respiratory tract illnesses (ARTIs) in pediatric emergency departments (PEDs) when compared to children of other races and ethnicities.

Evidence Rating Level: 2 (Good)

Study Rundown: While previous studies have shown race/ethnicity -based discrepancies in utilization rates of various diagnostic and treatment strategies in the PED, no studies have examined the potential role of race and ethnicity on antibiotic prescribing in this setting. In the current study, researchers analyzed data collected from 7 PEDs to describe the possible relationship between antibiotic use for viral ARTIs and patient race/ethnicity. Results showed that NH white children had above average rates of antibiotic prescriptions, while NH blacks had below average rates of antibiotic prescriptions for viral ARTIs in the studied PEDs. Hispanic children and other NH children received antibiotics at approximately average rates. These trends were consistent within and across sites, and were independent of age, acuity level, insurance status, and provider type. One limitation of this study was the inclusion of data solely from pediatric specific emergency departments (EDs) in large academic centers, which may have resulted in lower rates of antibiotic misuse than general EDs and those not affiliated with academic centers. Results from this investigation are consistent with previous studies showing differences in care management based on race and ethnicity. Findings highlight the need to further examine factors contributing to these discrepancies in order to reduce disparities in care.

Click to read the study, published today in Pediatrics

Relevant reading: Racial differences in antibiotic prescribing by primary care pediatricians

In-depth [retrospective cohort]: Researchers analyzed data from 39 445 patient visits (50.5% NH black, 46% female, 77.5% covered by Medicaid, average age = 3.3 years) from 7 academically-affiliated PEDs to compare differences in antibiotic prescription rates for viral ARTIs based on race and ethnicity. Results showed antibiotics were prescribed at an average of 2.6% (95%CI 2.4-2.8) of PED visits for viral respiratory illness. NH white children received antibiotics with the highest frequency, followed by other NH children, Hispanic children, and NH black children (4.3%, 2.9%, 2.6%, and 1.9% respectively). NH white children were 2 times more likely to get antibiotics than NH black children (OR 0.41; 95%CI 0.35-0.49) and about 1.5 times more likely than Hispanic children (OR 0.57; 95%CI 0.47-0.69). Results were similar after adjusting for other demographic variables such as age, provider type, and level of visit acuity. No significant differences were found based on provider type, however the majority of prescribers (66.3%) were categorized as either pediatricians or PED attendings.

RELATED REPORTS

Risk of bloodstream infections with indwelling peripheral catheters increase after 3 days

#VisualAbstract Seven Days of Antibiotic Treatment Non-inferior to 14 Days for Bloodstream Infections

The 2 Minute Medicine Podcast Episode 54

Image: PD

©2017 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: antibioticshealthcare disparities
Previous Post

Cardiovascular benefits of intensive systolic blood pressure control may outweigh risks of chronic kidney disease events

Next Post

Physician notification increases patient participation in colorectal cancer screening

RelatedReports

Quick Take: Gentamicin compared with ceftriaxone for the treatment of gonorrhoea (G-ToG)
Hematology

Risk of bloodstream infections with indwelling peripheral catheters increase after 3 days

April 28, 2025
#VisualAbstract Seven Days of Antibiotic Treatment Non-inferior to 14 Days for Bloodstream Infections
StudyGraphics

#VisualAbstract Seven Days of Antibiotic Treatment Non-inferior to 14 Days for Bloodstream Infections

March 26, 2025
The 2 Minute Medicine Podcast Episode 15
2MM Podcast

The 2 Minute Medicine Podcast Episode 54

March 21, 2025
Oral amoxicillin as effective as injectable benzylpenicillin-gentamicin for infants with infection in which referral not possible [AFRINEST Trial]
Infectious Disease

Seven days of antibiotic treatment non-inferior to 14 days for bloodstream infections

March 18, 2025
Next Post
Development of a risk index for colorectal cancer screening

Physician notification increases patient participation in colorectal cancer screening

Live attenuated vaccine less effective in recent influenza season

Rapid tests linked to quicker and more accurate results for influenza diagnosis than traditional tests

Emergency department revisits and costs higher than previously reported

2 Minute Medicine Rewind September 4, 2017

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Repeated medial branch blocks do not improve pain outcomes for thermal radiofrequency ablation
  • Early screening for emotional and cognitive issues may improve psychiatric outcomes for stroke patients
  • Artificial intelligence may assist in early detection of decreased ejection fraction on echocardiograms
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.