1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1001/archpedi.158.10.977" target="_blank" rel="noreferrer noopener">http://doi.org/10.1001/archpedi.158.10.977</a>
Pages
977–981
Issue
10
Volume
158
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Effect of a standardized pharyngitis treatment protocol on use of antibiotics in a pediatric emergency department.
Publisher
An entity responsible for making the resource available
Archives of Pediatrics & Adolescent Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
2004-10
Subject
The topic of the resource
*Emergency Service; *Practice Guidelines as Topic; Adolescent; Adult; Anti-Bacterial Agents/*therapeutic use; Child; Cohort Studies; Dose-Response Relationship; Drug; Drug Administration Schedule; Evidence-Based Medicine; Female; Follow-Up Studies; Hospital; Hospitals; Humans; Male; Pediatric; Pharyngitis/*drug therapy/*microbiology; Preschool; Streptococcal Infections/*drug therapy/microbiology; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Diaz Maria Carmen G; Symons Nadine; Ramundo Maria L; Christopher Norman C
Description
An account of the resource
BACKGROUND: Pharyngitis is a common complaint in pediatric patients. If clinical parameters are used alone, bacterial pathogens will be wrongly implicated in many cases. A nonstandardized approach to the treatment of children with pharyngitis in an emergency department setting may lead to inappropriate empirical therapy, contribute to increased bacterial resistance, and result in adverse events related to the treatment provided. OBJECTIVE: To implement evidence-based guidelines for the diagnosis and treatment of children with pharyngitis in an emergency department setting and thereby influence practices of prescribing antibiotics. DESIGN AND METHODS: An evidence-based guideline for the evaluation and treatment of patients with pharyngitis was developed and implemented in our emergency department. Preintervention and postintervention patient cohorts were identified by a search of the emergency department's clinical repository. A medical record review was performed using a standardized data abstraction form (history and examination data, diagnostic testing, and therapy provided). Treatment decisions were judged as appropriate if the diagnosis of pharyngitis caused by group A beta-hemolytic streptococci was based on confirmatory microbiological testing rather than on the history and physical examination findings alone. RESULTS: We included 443 patients for study (219 preintervention and 224 postintervention). In the preintervention group, 97 (44%) of 214 received appropriate treatment. In the postintervention group, 204 (91%) of 224 received appropriate treatment. CONCLUSION: An evidence-based clinical guideline can influence and improve practices of prescribing antibiotics by pediatric emergency physicians in a teaching hospital setting.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/archpedi.158.10.977" target="_blank" rel="noreferrer noopener">10.1001/archpedi.158.10.977</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Emergency Service
*Practice Guidelines as Topic
2004
Adolescent
Adult
Akron Children's Hospital
Anti-Bacterial Agents/*therapeutic use
Archives of pediatrics & adolescent medicine
Child
Christopher Norman C
Cohort Studies
Department of Emergency Medicine
Department of Pediatrics
Diaz Maria Carmen G
Dose-Response Relationship
Drug
Drug Administration Schedule
Evidence-Based Medicine
Female
Follow-Up Studies
Hospital
Hospitals
Humans
Male
NEOMED College of Medicine
Pediatric
Pharyngitis/*drug therapy/*microbiology
Preschool
Ramundo Maria L
Streptococcal Infections/*drug therapy/microbiology
Symons Nadine
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/01.pec.0000150987.19228.c8" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.pec.0000150987.19228.c8</a>
Pages
35–37
Issue
1
Volume
21
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
A thyroglossal duct cyst causing apnea and cyanosis in a neonate.
Publisher
An entity responsible for making the resource available
Pediatric emergency care
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-01
Subject
The topic of the resource
Airway Obstruction/etiology/therapy; Apnea/*etiology/therapy; Cyanosis/*etiology/therapy; Humans; Infant; Intratracheal; Intubation; Male; Newborn; Thyroglossal Cyst/*complications/*congenital
Creator
An entity primarily responsible for making the resource
Diaz Maria Carmen G; Stormorken Anne; Christopher Norman C
Description
An account of the resource
This is a case of a 3-week-old male who presented to the emergency department with intermittent apnea and cyanosis. While in the emergency department, he had respiratory compromise with stress and required intubation. Further evaluation confirmed the diagnosis of a thyroglossal duct cyst. Congenital lesions causing extrinsic airway compression should be considered in all neonates with apnea, cyanosis, and respiratory compromise. Knowledge of pediatric airway anatomy and physiology is important in all cases where obstructive apnea is suspected.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/01.pec.0000150987.19228.c8" target="_blank" rel="noreferrer noopener">10.1097/01.pec.0000150987.19228.c8</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2005
Airway Obstruction/etiology/therapy
Akron Children's Hospital
Apnea/*etiology/therapy
Christopher Norman C
Cyanosis/*etiology/therapy
Department of Emergency Medicine
Department of Pediatrics
Diaz Maria Carmen G
Humans
Infant
Intratracheal
Intubation
Male
NEOMED College of Medicine
Newborn
Pediatric emergency care
Stormorken Anne
Thyroglossal Cyst/*complications/*congenital