Physician Compliance With Bronchiolitis Guidelines in Pediatric Emergency Departments.

Abstract:

:An online survey was administered through the American Academy of Pediatrics (AAP) Section of Emergency Medicine Survey Listserv in Fall, 2017. Overall compliance was measured as never using chest X-rays, viral testing, bronchodilators, or systemic steroids. Practice compliance was measured as never using those modalities in a clinical vignette. Chi-square tests assessed differences in compliance between modalities. t tests assessed differences on agreement with each AAP statement. Multivariate logistic regression determined factors associated with overall compliance. Response rate was 47%. A third (35%) agreed with all 7 AAP statements. There was less compliance with ordering a bronchodilator compared with chest X-ray, viral testing, or systemic steroid. There was no association between compliance and either knowledge or agreement with the guideline. Physicians with institutional bronchiolitis guidelines were more likely to be practice compliant. Few physicians were compliant with the AAP bronchiolitis guideline, with bronchodilator misuse being most pronounced. Institutional bronchiolitis guidelines were associated with physician compliance.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Rivera-Sepulveda AV,Rebmann T,Gerard J,Charney RL

doi

10.1177/0009922819850462

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

1008-1018

issue

9

eissn

0009-9228

issn

1938-2707

journal_volume

58

pub_type

杂志文章
  • Pediatric volleyball-related injuries treated in US emergency departments, 1990-2009.

    abstract::This study describes the epidemiology of pediatric volleyball-related injuries treated in US hospital emergency departments. Data for children younger than 18 years obtained from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission from 1990 through 2009 were analyzed. An est...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811406262

    authors: Pollard KA,Shields BJ,Smith GA

    更新日期:2011-09-01 00:00:00

  • Pain management in young children undergoing diagnostic tympanocentesis.

    abstract:OBJECTIVE:To describe the pain associated with diagnostic tympanocentesis and to gather preliminary data comparing the efficacy of 3 methods of pain reduction for tympanocentesis. METHODS:In children 6 to 36 months of age undergoing tympanocentesis for acute otitis media, the authors measured pain and distress through...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922810385677

    authors: Shaikh N,Hoberman A,Kurs-Lasky M,Rockette HE,Chandra A,Colborn DK,Hooper EG,Reis EC

    更新日期:2011-03-01 00:00:00

  • The long term benefits of a comprehensive teenage pregnancy program.

    abstract::A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000508

    authors: Rabin JM,Seltzer V,Pollack S

    更新日期:1991-05-01 00:00:00

  • The perinatal infection of cytomegalovirus is an important etiology for biliary atresia in China.

    abstract:AIMS:The aims of this study were to detect the infection rates of DNA viruses in liver tissue of biliary atresia and to investigate the effect of perinatal infection of cytomegalovirus in biliary atresia. METHODS:A total of 85 liver biopsies (taken during Kasai portoenterostomy) were tested by fluorescence quantitativ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811406264

    authors: Xu Y,Yu J,Zhang R,Yin Y,Ye J,Tan L,Xia H

    更新日期:2012-02-01 00:00:00

  • Impact of a Personalized Audit and Feedback Intervention on Antibiotic Prescribing Practices for Outpatient Pediatric Community-Acquired Pneumonia.

    abstract::Antibiotic choice for pediatric community-acquired pneumonia (CAP) varies widely. We aimed to determine the impact of a 6-month personalized audit and feedback program on primary care providers' antibiotic prescribing practices for CAP. Participants in the intervention group received monthly personalized feedback. We ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820928054

    authors: Diaz MCG,Handy LK,Crutchfield JH Jr,Cadilla A,Hossain J,Werk LN

    更新日期:2020-10-01 00:00:00

  • Premarketing surveillance of ibuprofen suppositories in febrile children.

    abstract::In many countries, ibuprofen is available only in oral formulations. The authors aimed to investigate parental satisfaction and possible adverse reactions among children receiving newly marketed ibuprofen suppositories, prior to their arrival at the pharmaceutical points of distribution. Children needing antipyretic m...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922810384847

    authors: Hadas D,Youngster I,Cohen A,Leibovitch E,Shavit I,Erez I,Uziel Y,Berkovitch M

    更新日期:2011-03-01 00:00:00

  • The prognostic value of obtaining a negative endoscopy in children with functional gastrointestinal disorders.

    abstract:OBJECTIVES:Functional gastrointestinal disorders (FGIDs) are common. Diagnosis is based on the Rome criteria. It has been argued that performing endoscopies could help by providing reassurance and thus improve outcomes. This study was conducted to evaluate the impact of obtaining normal endoscopies in the outcome of ch...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922810392773

    authors: Bonilla S,Deli Wang,Saps M

    更新日期:2011-05-01 00:00:00

  • Scleredema revisited. A poststreptococcal complication.

    abstract::Scleredema is a rare connective disease which must be differentiated from scleroderma in childhood. Scleredema is characterized by thickening of the dermis of the neck, head, and upper trunk. We report a case of scleredema in an 8-year-old boy with coincident streptococcal colonization. The patient report demonstrates...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992289403301006

    authors: Cron RQ,Swetter SM

    更新日期:1994-10-01 00:00:00

  • Failure to clinically predict NICU hearing loss.

    abstract::Neonatal intensive care unit (NICU) survivors demonstrate handicapping sensorineural hearing loss up to 50 times more frequently than normal newborns, yet little is known about the etiology of the hearing loss. Theoretically, accurate identification and triage of a particular infant based on a clinical profile would b...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289503400304

    authors: Eavey RD,Bertero Mdo C,Thornton AR,Herrmann BS,Joseph JM,Gliklich RE,Krishnamoorthy KS,Todres ID

    更新日期:1995-03-01 00:00:00

  • Lyme arthritis presenting as transient synovitis of the hip.

    abstract::Transient synovitis of the hip is a common cause of hip pain in children. The etiology of transient synovitis of the hip is unknown. Lyme arthritis is characterized by brief, often recurrent episodes of oligoarthritis. Lyme arthritis most often affects a single knee, but hip involvement is uncommon. This report descri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808318337

    authors: Saulsbury FT

    更新日期:2008-10-01 00:00:00

  • Preschool vision screening in pediatric practices.

    abstract::A national sample of pediatricians was surveyed to evaluate preschool vision screening practices (response rate 55%, 377 of 690 eligible respondents). The rate of acuity screening for 3-year-old children was low (35%), but increased for 4- (73%) and 5-year-old children (66%). Few used photoscreening or autorefraction ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280604500309

    authors: Kemper AR,Clark SJ

    更新日期:2006-04-01 00:00:00

  • Rickets secondary to phosphate depletion. A sequela of antacid use in infancy.

    abstract::Two infants presented with growth failure and were found to have generalized osteomalacia (rickets) due to phosphate depletion from prolonged administration of an aluminum-containing antacid given for the symptoms of colic. One of the infants developed bilateral proptosis due to craniosynostosis related to the underly...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289503400202

    authors: Pivnick EK,Kerr NC,Kaufman RA,Jones DP,Chesney RW

    更新日期:1995-02-01 00:00:00

  • Child Life Services in an Epilepsy Monitoring Unit.

    abstract::The goal of this study was to determine the value of a certified child life specialist (CCLS) on the patient and staff experiences in an epilepsy monitoring unit (EMU). We integrated a CCLS into the EMU for all children as well as adults with intellectual disability. We surveyed families to determine the impact of chi...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818769469

    authors: Lowenstein DB,Cervenka MC,Mitchell L,Stewart N,Kossoff EH,Kelley SA

    更新日期:2018-10-01 00:00:00

  • Infection caused by Propionibacterium in children.

    abstract::Three hundred eighty-six isolates of Propionibacterium sp. were recovered from 2,003 specimens studied for the identification of anaerobic bacteria in children during a 15-year period. Three hundred forty-three (89%) of these were Propionibacterium acnes. A total of 50 (13%) Propionibacterium isolates identified from ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289403300807

    authors: Brook I

    更新日期:1994-08-01 00:00:00

  • A view of Danish pediatric care.

    abstract::The Danish social system provides competent, accessible, continuous, and coordinated medical care to the pediatric population. The pediatrician does not deal with the routine aspects of well-infant and child care but is rather hospital based and acts on consultant to the generalists in his district. The generalist has...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287501400409

    authors: Maisel JE

    更新日期:1975-04-01 00:00:00

  • Increasing HPV Vaccination Coverage Through Provider-Based Interventions.

    abstract::With discouragingly low vaccination rates for human papillomavirus (HPV), we sought to improve the HPV vaccine completion rate for adolescents by increasing the consistency and quality of provider recommendations. Baseline data was extracted for vaccine completion rates among patients aged 13 to 17 years. Quality impr...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922817722014

    authors: Krantz L,Ollberding NJ,Beck AF,Carol Burkhardt M

    更新日期:2018-03-01 00:00:00

  • Gelastic seizures misdiagnosed as gastroesophageal reflux disease.

    abstract::Gastroesophageal reflux disease can have variable manifestations including regurgitation, irritability, arching, choking, and apnea. The disorder is also frequently mistaken for seizures (Sandifer syndrome). We report 6 patients in whom the opposite phenomenon occurred: their seizures were mistaken for gastroesophagea...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806295400

    authors: Sweetman LL,Ng YT,Kerrigan JF

    更新日期:2007-05-01 00:00:00

  • Multidisciplinary team evaluation of school dysfunction. An analysis of utilization.

    abstract::Little is known of the characteristics of children experiencing school dysfunction who are evaluated by multidisciplinary teams. The records of 87 children seen during a calendar year were reviewed and information was gathered regarding their age, sex, and referral source. In addition, the chief concerns of the child'...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288802700406

    authors: Chessare JB,Joost J,Smith J,Zinna D,Pohorecki S

    更新日期:1988-04-01 00:00:00

  • The extent and patterns of multiple chronic conditions in low-income children.

    abstract:BACKGROUND AND OBJECTIVES:Little is known about the magnitude of multiple chronic conditions (MCC) in children. This study describes the prevalence of and patterns of comorbidities in children receiving Medicaid assistance. METHODS:Diagnoses from 5 years of Medicaid claims data were reviewed and identified 128,044 chi...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815574073

    authors: Clark NM,Lachance L,Benedict MB,Little R,Leo H,Awad DF,Wilkin MK

    更新日期:2015-04-01 00:00:00

  • Relapse markers in childhood thyrotoxicosis.

    abstract::Childhood thyrotoxicosis is not an uncommon illness, but there is a considerable relapse rate in these patients on medical treatment. An attempt is made in this study to identify those markers that are predictive of a tendency to relapse in childhood thyrotoxicosis. A total of 32 patients with Graves disease were incl...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288702600306

    authors: Tan SH,Lee BW,Wong HB,Uma R

    更新日期:1987-03-01 00:00:00

  • Unwanted sexual experiences in adolescents. Patterns of disclosure.

    abstract::More than 300 patients who presented consecutively to a sexual abuse clinic, a family planning clinic, and a family practice clinic filled out an anonymous survey regarding unwanted sexual experiences. In the family planning and family practice clinics, 40% of females and 16% of males reported having at least one unwa...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/000992289503400603

    authors: Kellogg ND,Huston RL

    更新日期:1995-06-01 00:00:00

  • Growth of healthy term infants fed an extensively hydrolyzed casein-based or free amino acid-based infant formula: a randomized, double-blind, controlled trial.

    abstract::A masked, randomized, parallel growth study was conducted in infants fed an amino acid-based formula (AF) or an extensively hydrolyzed casein-based formula (HF). Infants were enrolled between 0 and 9 days and studied to 112 days of age. Growth, formula intake, stool patterns, and serum albumin concentrations were asse...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0009922813492883

    authors: Borschel MW,Ziegler EE,Wedig RT,Oliver JS

    更新日期:2013-10-01 00:00:00

  • French norms and validation of the Child Development Inventory (CDI): Inventaire du Developpement de l'Enfant (IDE).

    abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811398390

    authors: Duyme M,Zorman M,Tervo R,Capron C

    更新日期:2011-07-01 00:00:00

  • Serum immunoglobulins in the first year of life.

    abstract::Serum IgG, IgM, and IgA were measured in 316 infants younger than 12 months of age. Information including the child's race, sex, age, and past history of infections or atopy was collected. Birth records were also reviewed to ascertain the child's birthweight and gestational age. Serum IgG levels were higher in black i...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288502400204

    authors: Fosarelli P,Winkelstein J,DeAngelis C,Mellits ED

    更新日期:1985-02-01 00:00:00

  • The Role of Patient Advocacy and the Declining Rate of Clitoroplasty in 46,XX Patients With Congenital Adrenal Hyperplasia.

    abstract::Prior to the 1990s, most 46,XX infants with clitoromegaly secondary to congenital adrenal hyperplasia were treated with feminizing genitoplasty to make their cosmetic appearance congruent with their genotypic sex. A 2006 consensus statement for the management of intersex disorders accepted input from patient advocates...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818803407

    authors: Schoer MB,Nguyen PN,Merritt DF,Wesevich VG,Hollander AS

    更新日期:2018-12-01 00:00:00

  • E-cigs . . . Are They Cool? Talking to Teens About E-Cigarettes.

    abstract::Electronic cigarettes, or e-cigarettes as they are commonly called, have gained wide acceptance among adolescents, especially those with sweet flavors such as bubble gum and cheesecake. Although health effects of e-cigarettes have not been well characterized, their use increases a teen's exposure to nicotine and may s...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922817705188

    authors: Modesto-Lowe V,Alvarado C

    更新日期:2017-09-01 00:00:00

  • Fever of unknown origin: a diagnostic approach to this vexing problem.

    abstract::Fever is a common complaint leading families to seek medical attention. Its routine management is the bread and butter of pediatric practice. When fever is seen as prolonged beyond the expected time course (eg, 10 days for a presumed viral respiratory tract infection or 3 weeks for mononucleosis), concern for fever of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922809347799

    authors: Tolan RW Jr

    更新日期:2010-03-01 00:00:00

  • Neurologic manifestations of Mycoplasma pneumoniae infections: diverse spectrum of diseases. A report of six cases and review of the literature.

    abstract::Mycoplasma pneumoniae is a common cause of upper and lower respiratory tract infections of varying severity. It is also responsible for producing a wide spectrum of nonpulmonary manifestations including neurologic, hepatic, cardiac, and hematologic diseases. The neurologic manifestations are reported to be the most co...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992280003900401

    authors: Smith R,Eviatar L

    更新日期:2000-04-01 00:00:00

  • Evaluation of microcytic anemia.

    abstract::Anemia is defined as a reduction in red blood cell mass or hemoglobin concentration in blood. It is statistically differentiated from normal states as a hemoglobin concentration or hematocrit 2 SD below the mean for the healthy population adjusted for age and sex. Anemias may be classified based on the morphologic fun...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808323115

    authors: Jain S,Kamat D

    更新日期:2009-01-01 00:00:00

  • Congenital ocular motor apraxia. Case reports and literature review.

    abstract::Two children with congenital ocular motor apraxia (C-OMA) associated with congenital malformations of the central nervous system (CNS) are presented, and the literature is reviewed. C-OMA is an abnormality of ocular motility characterized by defective or absent voluntary horizontal gaze, associated with a characterist...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992288802700105

    authors: PeBenito R,Cracco JB

    更新日期:1988-01-01 00:00:00