Prateek J Shukla1, Maria Behnam-Terneus2, Beatriz Cunill-De Sautu2, Geovanny F Perez3,4,5,6. 1. Division of Pulmonary and Sleep Medicine. 2. Miami Children's Health System, Nicklaus Children's Hospital, Miami, Florida; and. 3. Division of Pulmonary and Sleep Medicine, gperez@childrensnational.org. 4. Department of Pediatrics, School of Medicine and Health Sciences, and. 5. Department of Integrative Systems Biology, George Washington University, Washington, District of Columbia. 6. Center for Genetic Research Medicine, Children's National Medical Center, Washington, District of Columbia.
Abstract
OBJECTIVES: To determine the antibiotic prescribing practices of pediatric residents and assess how they acquire knowledge leading to prescribing behaviors. METHODS: We performed a cross-sectional electronic survey of all pediatric residents at the Children's National Medical Center and Nicklaus Children's Hospital, assessing antibiotic prescribing patterns for common pediatric infections, use of antibiograms, and factors influencing antibiotic choice. RESULTS: Eighty-five surveys (45%) were returned complete and included in the analysis. Increased deviations from clinical guideline recommendations were observed for antibiotic treatments of sinusitis and community-acquired pneumonia as compared with otitis media and group A streptococcal pharyngitis. Only 57% of residents reported having used antibiograms. General pediatric inpatient attending physicians were identified as the most influential source for house staff antibiotic knowledge. CONCLUSIONS: Results illustrate the need for better promotion and integration of clinical guidelines with antibiograms when developing antibiotic education programs for residents in training. In addition, pediatric hospitalists should play an active role in the implementation of these programs and can provide valuable insight into the development of educational programs in conjunction with graduate medical education divisions.
OBJECTIVES: To determine the antibiotic prescribing practices of pediatric residents and assess how they acquire knowledge leading to prescribing behaviors. METHODS: We performed a cross-sectional electronic survey of all pediatric residents at the Children's National Medical Center and Nicklaus Children's Hospital, assessing antibiotic prescribing patterns for common pediatric infections, use of antibiograms, and factors influencing antibiotic choice. RESULTS: Eighty-five surveys (45%) were returned complete and included in the analysis. Increased deviations from clinical guideline recommendations were observed for antibiotic treatments of sinusitis and community-acquired pneumonia as compared with otitis media and group A streptococcal pharyngitis. Only 57% of residents reported having used antibiograms. General pediatric inpatient attending physicians were identified as the most influential source for house staff antibiotic knowledge. CONCLUSIONS: Results illustrate the need for better promotion and integration of clinical guidelines with antibiograms when developing antibiotic education programs for residents in training. In addition, pediatric hospitalists should play an active role in the implementation of these programs and can provide valuable insight into the development of educational programs in conjunction with graduate medical education divisions.
Authors: Yu Kyung Kim; Jong Ho Lee; Sae Yoon Kim; Ji Young Ahn; Kwang Hae Choi; Young Hwan Lee; Kyung Mi Jang; Yong Sauk Hau; Jae Min Lee Journal: Antibiotics (Basel) Date: 2021-03-10