Outpatient antimicrobial stewardship targets for treatment of skin and soft-tissue infections.

摘要: Objective We sought to identify factors associated with long duration and/or non-first-line choice of treatment for pediatric skin and soft-tissue infections (SSTIs). Design Retrospective cohort study. Setting Ambulatory encounter claims Medicaid-insured children lacking chronic medical conditions treated SSTI animal bite injury in Ohio 2014. Methods For all diagnoses, was defined as >7 days. Non-first-line included 2 antimicrobials dispensed on the same calendar day or any not listed Infectious Diseases Society America guidelines. The adjusted odds (1) (2) were calculated patient age, prescriber type, county residence characteristics (ie, rural vs metropolitan area poverty rate). Results Of 10,310 encounters complete data available, prescribed 7,968 (77.3%). most common 10 A 1,030 (10%). Dispensation reason choice, these, trimethoprim-sulfamethoxazole plus a first-generation cephalosporin regimen. Compared pediatricians, ratio significantly lower other primary care specialties. Conversely, nonpediatricians more likely prescribe choice. Patient high-poverty increased both treatment. Conclusions Healthcare may be utilized measure opportunities first-line shorter SSTI.