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Antibiotic Administration for CAP & Length of Stay

J Pediatr Infect Dis; ePub 2018 Feb 8; Christensen, et al

Among pediatric patients hospitalized for community-acquired pneumonia (CAP), reductions in both length of stay (LOS) and costs were observed with a 1-day decrease in the hospital-level average last day of service on which a patient received antibiotics intravenously or on the first day of service on which the patient received antibiotics orally, a recent study found. The retrospective study included 78,673 pediatric patients aged 3 months to 17 years hospitalized for CAP. Hospital practice patterns were modeled using hospital-level averages for the last day of service on which patients received antibiotics intravenously or first day of service on which patients received antibiotics orally. Researchers found:

  • A 1-day decrease in the hospital-level average last day of service on which a patient received antibiotics intravenously reduced the average LOS by 0.58 day and average cost by $1,332.
  • Results were similar when hospital practice patterns were modeled using the average first day of service on which a patient received antibiotics orally.
  • These reductions were not associated with a difference in 30-day readmission rates.
Citation:

Christensen EW, Spaulding AB, Pomputius WF, Grapentine SP. Effects of hospital practice patterns for antibiotic administration for pneumonia on hospital length of stay and costs. [Published online ahead of print February 8, 2018]. J Pediatr Infect Dis. doi:10.1093/jpids/piy003.

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