This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
HOLSTER YOUR BROAD SPECTRUM
The study.
This study measured 2 known types of unnecessary antibiotic use for inpatient skin and soft tissue infections (SSTIs): (1) use of antibiotics with a broad spectrum of activity against aerobic Gram-negative pathogens; and (2) total treatment duration >10 days. The study was a planned secondary analysis of pediatric patients in a larger retrospective cohort of patients with SSTIs managed at hospitals in Colorado (84 of the 102 pediatric patients were treated at Children’s Hospital Colorado).
The key findings.
Two-thirds of children were exposed to either unnecessary broad-spectrum antibiotics, prolonged duration of antibiotic therapy, or both. This figure is probably a conservative estimate of inappropriate antibiotic therapy in the setting of an SSTI, as 40% of children in the current study had cutaneous abscesses, a proportion of whom received antibiotics. Other authors have shown that most adequately drained abscesses do not benefit from antibiotic therapy.1
Why do we care?
Management of the estimated 70 000 children hospitalized annually with SSTIs represents a tremendous antibiotic stewardship opportunity for pediatric hospitalists. The authors of this study have previously demonstrated the …
Individual Login
Institutional Login
You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.
Log in through your institution
Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00
Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.
In this issue
Jump to section
Related Articles
Cited By...
- No citing articles found.