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Antibiotics prescribed for children more often at nonpediatric EDs

from HealthDay News via MPR

Most emergency visits by children occur at nonpediatric emergency departments, which have more frequent antibiotic prescribing, according to a study published online in Pediatrics. The researchers found that 14 percent of the 29 million mean annual emergency department visits by children in 2009 to 2014 occurred at pediatric emergency departments. Compared with pediatric emergency departments, antibiotics were prescribed more frequently in nonpediatric emergency departments (24 vs 20 percent). Over time, antibiotic prescribing frequencies were stable. Forty-four percent of all antibiotics prescribed were broad spectrum and 32 percent were generally not indicated. Nonpediatric emergency departments had a higher frequency of prescribing macrolides compared with pediatric emergency departments (18 vs 8 percent); they also had lower frequency of first-line, guideline-concordant prescribing for the respiratory conditions studied (77 vs 87 percent). more

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