Race, otitis media, and antibiotic selection.

Abstract:

BACKGROUND AND OBJECTIVE:Previous research suggests that physicians may be less likely to diagnose otitis media (OM) and to prescribe broad-spectrum antibiotics for black versus nonblack children. Our objective was to determine whether race is associated with differences in OM diagnosis and antibiotic prescribing nationally. METHODS:We examined OM visit rates during 2008 to 2010 for children ≤14 years old using the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. We compared OM visits between black and nonblack children, as percentages of all outpatient visits and visit rates per 1000. We compared antibiotic prescribing by race as the percentage of OM visits receiving narrow-spectrum (eg, amoxicillin) versus broader-spectrum antibiotics. We used multivariable logistic regression to examine whether race was independently associated with antibiotic selection for OM. RESULTS:The percentage of all visits resulting in OM diagnosis was 30% lower in black children compared with others (7% vs 10%, P = .004). However, OM visits per 1000 population were not different between black and nonblack children (253 vs 321, P = .12). When diagnosed with OM during visits in which antibiotics were prescribed, black children were less likely to receive broad-spectrum antibiotics than nonblack children (42% vs 52%, P = .01). In multivariable analysis, black race was negatively associated with broad-spectrum antibiotic prescribing (adjusted odds ratio 0.59; 95% confidence interval, 0.40-0.86). CONCLUSIONS:Differences in treatment choice for black children with OM may indicate race-based differences in physician practice patterns and parental preferences for children with OM.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Fleming-Dutra KE,Shapiro DJ,Hicks LA,Gerber JS,Hersh AL

doi

10.1542/peds.2014-1781

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

1059-66

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2014-1781

journal_volume

134

pub_type

杂志文章
  • Ultrasound imaging of milk ejection in the breast of lactating women.

    abstract:OBJECTIVE:Currently, the methods for assessing milk ejection in women include serial sampling of plasma oxytocin and measurement of intraductal pressure, both of which are invasive and may induce stress. We hypothesized that milk ejection would cause an increase in milk-duct diameter that could be observed noninvasivel...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.2.361

    authors: Ramsay DT,Kent JC,Owens RA,Hartmann PE

    更新日期:2004-02-01 00:00:00

  • A review of five years' experience with rubella vaccine in the United States.

    abstract::National morbidity figures show a decline in reported rubella and congenital rubella syndrome since 1969, concurrent with widespread use of rubella vaccine. In addition, no nationwide outbreak, such as the 1963-1964 epidemic, has occurred, though on the basis of long-term secular trends, one would be expected between ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Modlin JF,Brandling-Bennett AD,Witte JJ,Campbell CC,Meyers JD

    更新日期:1975-01-01 00:00:00

  • Childhood urolithiasis: experiences and advances.

    abstract::Between June 1979 and June 1989, 54 children with urolithiasis were evaluated and treated at the Johns Hopkins Children's Center. The most common symptoms were flank or abdominal pain (58%) and gross hematuria (28%). In 46 children (86%), stones were secondary to a preexisting condition and in only 8 (14%) no apparent...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gearhart JP,Herzberg GZ,Jeffs RD

    更新日期:1991-04-01 00:00:00

  • The delivery of immunizations and other preventive services in private practices.

    abstract:OBJECTIVES:To measure the proportion of children cared for in private practices who are fully immunized and have been screened for anemia, tuberculosis (TB), and lead poisoning by 2 years of age. DESIGN:Cross-sectional chart review. SETTING:Fifteen private pediatric practices in central North Carolina (11 chosen rand...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bordley WC,Margolis PA,Lannon CM

    更新日期:1996-04-01 00:00:00

  • Policy statement--Child abuse, confidentiality, and the health insurance portability and accountability act.

    abstract::The federal Health Insurance Portability and Accountability Act (HIPAA) of 1996 has significantly affected clinical practice, particularly with regard to how patient information is shared. HIPAA addresses the security and privacy of patient health data, ensuring that information is released appropriately with patient ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-2864

    authors: Committee on Child Abuse and Neglect.

    更新日期:2010-01-01 00:00:00

  • The Ethics of Creating a Resource Allocation Strategy During the COVID-19 Pandemic.

    abstract::The coronavirus disease 2019 pandemic has affected nearly every aspect of medicine and raises numerous moral dilemmas for clinicians. Foremost of these quandaries is how to delineate and implement crisis standards of care and, specifically, how to consider how health care resources should be distributed in times of sh...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2020-1243

    authors: Laventhal N,Basak R,Dell ML,Diekema D,Elster N,Geis G,Mercurio M,Opel D,Shalowitz D,Statter M,Macauley R

    更新日期:2020-07-01 00:00:00

  • Prospective evaluation of postnatal steroid administration: a 1-year experience from the California Perinatal Quality Care Collaborative.

    abstract:OBJECTIVE:Postnatal steroids (PNSs) are used frequently to prevent or treat chronic lung disease (CLD) in the very low birth weight (VLBW) infant, and their use continues despite concerns regarding an increased incidence of longer-term neurodevelopmental abnormalities in such infants. More recently, there has been a su...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-0796

    authors: Finer NN,Powers RJ,Ou CH,Durand D,Wirtschafter D,Gould JB,California Perinatal Quality Care Collaborative Executive Committee.

    更新日期:2006-03-01 00:00:00

  • Early-onset group B streptococcal disease in the era of maternal screening.

    abstract:BACKGROUND:With the widespread implementation of intrapartum antibiotic prophylaxis (IAP), the rate of early-onset neonatal sepsis and meningitis caused by Streptococcus agalactiae (group B streptococcus [GBS]) has decreased dramatically, especially in term infants. However, cases of GBS disease continue to occur despi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2275

    authors: Puopolo KM,Madoff LC,Eichenwald EC

    更新日期:2005-05-01 00:00:00

  • Health and mental health needs of children in US military families.

    abstract::The wars in Afghanistan and Iraq have been challenging for US uniformed service families and their children. Almost 60% of US service members have family responsibilities. Approximately 2.3 million active duty, National Guard, and Reserve service members have been deployed since the beginning of the wars in Afghanista...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0940

    authors: Siegel BS,Davis BE,Committee on Psychosocial Aspects of Child and Family Health and Section on Uniformed Services.

    更新日期:2013-06-01 00:00:00

  • Cost of vaccine administration among pediatric practices.

    abstract:OBJECTIVE:The goal was to describe variable costs to providers of delivering childhood immunizations. METHODS:We documented variable costs (costs that vary with the amount of services rendered), including time spent by pediatric staff members and physicians on immunization-related activities, as well as supply costs a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1542H

    authors: Glazner JE,Beaty B,Berman S

    更新日期:2009-12-01 00:00:00

  • A block rotation in community pediatrics.

    abstract:OBJECTIVES:To develop, implement, and evaluate a 1-month block rotation in community pediatrics. INTERVENTIONS:Faculty from University of California San Diego and Naval Medical Center San Diego developed a combined and integrated curriculum for second-year residents in community pediatrics. Resident activities include...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Shope TR,Bradley BJ,Taras HL

    更新日期:1999-07-01 00:00:00

  • 15-year follow-up of recurrent "hypoglycemia" in preterm infants.

    abstract:BACKGROUND:Observational study of 543 infants who weighed <1850 g, published in 1988 reported seriously impaired motor and cognitive development at 18 months in those with recurrent, asymptomatic hypoglycemia (plasma glucose level ≤2.5 mmol/L on ≥3 days). No study has yet replicated this observation. AIM:To quantify d...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-0776

    authors: Tin W,Brunskill G,Kelly T,Fritz S

    更新日期:2012-12-01 00:00:00

  • Cardiac effects of dexamethasone in very low birth weight infants.

    abstract:OBJECTIVE:To characterize the cardiac effects of dexamethasone in very low birth weight infants. DESIGN:Prospective, randomized, placebo-controlled, double-blind trial. Enrolled subjects were randomized to receive either a 42-day tapering course of dexamethasone or a saline placebo. Echocardiographic measurements were...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bensky AS,Kothadia JM,Covitz W

    更新日期:1996-06-01 00:00:00

  • Are Patients With Loeys-Dietz Syndrome Misdiagnosed With Beals Syndrome?

    abstract::Beals syndrome, also known as congenital contractural arachnodactyly (Online Mendelian Inheritance in Man: 121050), is an autosomal dominant disorder caused by a mutation in FBN2 that is typically characterized by congenital contractures and arachnodactyly. It shares a number of phenotypic features with Loeys-Dietz sy...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-1281

    authors: Woolnough R,Dhawan A,Dow K,Walia JS

    更新日期:2017-03-01 00:00:00

  • A double-blind, placebo-controlled, randomized trial of montelukast for acute bronchiolitis.

    abstract:BACKGROUND:Cysteinyl leukotrienes are implicated in the inflammation of bronchiolitis. Recently, a specific cysteinyl leukotriene receptor antagonist, montelukast (Singulair [MSD, Haarlem, Netherlands]), has been approved for infants in granule sachets. OBJECTIVE:Our goal was to evaluate the effect of montelukast on c...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2008-1744

    authors: Amirav I,Luder AS,Kruger N,Borovitch Y,Babai I,Miron D,Zuker M,Tal G,Mandelberg A

    更新日期:2008-12-01 00:00:00

  • Promoting best-care practices in childhood asthma: quality improvement in community health centers.

    abstract:OBJECTIVE:Outpatient asthma management remains suboptimal. We previously reported significant improvements in asthma guideline adherence and outcomes in children by using quality-improvement processes and community health workers. We hypothesized that a larger project could achieve comparable outcome improvements with ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2010-1962

    authors: Lob SH,Boer JH,Porter PG,Núñez D,Fox P

    更新日期:2011-07-01 00:00:00

  • Routine quantitative blood cultures in children with Haemophilus influenzae or Streptococcus pneumoniae bacteremia.

    abstract::The potential clinical value of quantitative blood cultures determined by a commercially available lysis-direct plating method was studied in 50 children with either Haemophilus influenzae or Streptococcus pneumoniae bacteremia. The magnitude of bacteremia correlated with the severity of the infection; patients with g...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bell LM,Alpert G,Campos JM,Plotkin SA

    更新日期:1985-12-01 00:00:00

  • Unilateral hearing loss is associated with worse speech-language scores in children.

    abstract:OBJECTIVE:To determine whether children with unilateral hearing loss (UHL) demonstrate worse language skills than their siblings with normal hearing, and whether children with UHL are more likely to receive extra assistance at school. PATIENTS AND METHODS:We conducted a case-control study of 6- to 12-year-old children...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-2448

    authors: Lieu JE,Tye-Murray N,Karzon RK,Piccirillo JF

    更新日期:2010-06-01 00:00:00

  • Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F).

    abstract:OBJECTIVE:This study validates the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F), a screening tool for low-risk toddlers, and demonstrates improved utility compared with the original M-CHAT. METHODS:Toddlers (N = 16,071) were screened during 18- and 24-month well-child care visits in m...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1813

    authors: Robins DL,Casagrande K,Barton M,Chen CM,Dumont-Mathieu T,Fein D

    更新日期:2014-01-01 00:00:00

  • Do pediatricians recognize mothers with depressive symptoms?

    abstract:OBJECTIVE:To determine whether pediatric health care providers recognize maternal depressive symptoms and to explore whether maternal, provider, and visit characteristics affect pediatric providers' ability to recognize inner-city mothers with depressive symptoms. DESIGN:A cross-sectional study was conducted at a hosp...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.6.1367

    authors: Heneghan AM,Silver EJ,Bauman LJ,Stein RE

    更新日期:2000-12-01 00:00:00

  • Cardio-facio-cutaneous syndrome: clinical features, diagnosis, and management guidelines.

    abstract::Cardio-facio-cutaneous syndrome (CFC) is one of the RASopathies that bears many clinical features in common with the other syndromes in this group, most notably Noonan syndrome and Costello syndrome. CFC is genetically heterogeneous and caused by gene mutations in the Ras/mitogen-activated protein kinase pathway. The ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2013-3189

    authors: Pierpont ME,Magoulas PL,Adi S,Kavamura MI,Neri G,Noonan J,Pierpont EI,Reinker K,Roberts AE,Shankar S,Sullivan J,Wolford M,Conger B,Santa Cruz M,Rauen KA

    更新日期:2014-10-01 00:00:00

  • False-positive tricyclic antidepressant drug screen results leading to the diagnosis of carbamazepine intoxication.

    abstract::Ingestion of toxic substances is a common problem in pediatrics. When presented with the limited history of an unknown ingestion in a patient with altered mental status, a clinician depends on the physical examination and a toxic screen to determine the ingested substance(s). Some toxic screens yield false-positive or...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.105.5.e66

    authors: Matos ME,Burns MM,Shannon MW

    更新日期:2000-05-01 00:00:00

  • Research ethics in the MySpace era.

    abstract::Social networking web sites are popular among adolescents and may represent a new venue for conducting adolescent health research. Conducting research by using social networking web sites raises several concerns, including the social value of this research, fair subject selection, confidentiality, privacy, and informe...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2007-3015

    authors: Moreno MA,Fost NC,Christakis DA

    更新日期:2008-01-01 00:00:00

  • Fatal hepatitis B in early infancy: the importance of identifying HBsAg-positive pregnant women and providing immunoprophylaxis to their newborns.

    abstract::Infants born to women who are asymptomatic hepatitis B surface antigen (HBsAg) carriers frequently acquire hepatitis B virus infection in infancy. The spectrum of disease in such affected infants includes mild transient acute hepatitis B, chronic active hepatitis with or without cirrhosis, chronic persistent hepatitis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Delaplane D,Yogev R,Crussi F,Shulman ST

    更新日期:1983-08-01 00:00:00

  • Case Report: When an Induced Illness Looks Like a Rare Disease.

    abstract::The recognition of fabricated illness (FI) in a child represents a diagnostic challenge. The suspicion of FI often arises from the discrepancy between laboratory tests and clinical history. For instance, (unnecessary) insulin injections by caregivers has been widely described as a common cause of factitious hypoglycem...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-4165

    authors: Rabbone I,Galderisi A,Tinti D,Ignaccolo MG,Barbetti F,Cerutti F

    更新日期:2015-11-01 00:00:00

  • School-age outcomes in children who were extremely low birth weight from four international population-based cohorts.

    abstract:OBJECTIVE:The aim of this study was to determine whether learning and school problems in extremely low birth weight (ELBW) and reference children differ between cohorts in different countries. METHODS:Participants were 4 international population-based cohorts of ELBW survivors who were 500 to 1000 g birth weight from ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.112.4.943

    authors: Saigal S,den Ouden L,Wolke D,Hoult L,Paneth N,Streiner DL,Whitaker A,Pinto-Martin J

    更新日期:2003-10-01 00:00:00

  • Drugs for pediatric emergencies. Committee on Drugs, Committee on Drugs, 1996 to 1997, Liaison Representatives, and AAP Section Liaisons.

    abstract::This statement provides current recommendations about the use of emergency drugs for acute pediatric problems that require pharmacologic intervention. At each clinical setting, physicians and other providers should evaluate drug, equipment, and training needs. The information provided here is not all-inclusive and is ...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引

    doi:

    authors:

    更新日期:1998-01-01 00:00:00

  • Computer-based documentation: effects on parent-provider communication during pediatric health maintenance encounters.

    abstract:OBJECTIVE:The goal was to investigate the impact of a computer-based documentation tool on parent-health care provider communication during a pediatric health maintenance encounter. METHODS:We used a quasiexperimental study design to compare communication dynamics between clinicians and parents/children in health main...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-3005

    authors: Johnson KB,Serwint JR,Fagan LA,Thompson RE,Wilson ME,Roter D

    更新日期:2008-09-01 00:00:00

  • Readmissions among children previously hospitalized with pneumonia.

    abstract:BACKGROUND AND OBJECTIVES:Pneumonia is a leading cause of hospitalization and readmission in children. Understanding the patient characteristics associated with pneumonia readmissions is necessary to inform interventions to reduce avoidable hospitalizations and related costs. The objective of this study was to characte...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2014-0331

    authors: Neuman MI,Hall M,Gay JC,Blaschke AJ,Williams DJ,Parikh K,Hersh AL,Brogan TV,Gerber JS,Grijalva CG,Shah SS

    更新日期:2014-07-01 00:00:00

  • Neuroimaging and neurodevelopmental outcome in extremely preterm infants.

    abstract:BACKGROUND:Extremely preterm infants are at risk for neurodevelopmental impairment (NDI). Early cranial ultrasound (CUS) is usual practice, but near-term brain MRI has been reported to better predict outcomes. We prospectively evaluated MRI white matter abnormality (WMA) and cerebellar lesions, and serial CUS adverse f...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2014-0898

    authors: Hintz SR,Barnes PD,Bulas D,Slovis TL,Finer NN,Wrage LA,Das A,Tyson JE,Stevenson DK,Carlo WA,Walsh MC,Laptook AR,Yoder BA,Van Meurs KP,Faix RG,Rich W,Newman NS,Cheng H,Heyne RJ,Vohr BR,Acarregui MJ,Vaucher YE,P

    更新日期:2015-01-01 00:00:00