| Antibiotic use in premature infants after discharge from the neonatal intensive care unit. | |
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MedLine Citation:
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PMID: 19448131 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Using a retrospective cohort of premature infants, we constructed multivariable Poisson models to determine factors associated with the receipt of antibiotics during the first year after discharge, N = 891. Black race (incidence rate ratio 1.80 compared with White infants, P = .008), male gender (incidence rate ratio 1.44; P = .007), bronchopulmonary dysplasia (incidence rate ratio 1.47; P = .04), and each additional child at home (incidence rate ratio 1.21, P = .002) increased the receipt of antibiotics for any reason. Male gender and additional children at home increased the receipt of non-recommended antibiotics, while Black infants received care at facilities that prescribed more non-recommended antibiotics. Even in a high-risk population of children, factors other than the medical history and presentation of the child may alter antibiotic prescription patterns and result in variations in care. |
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Authors:
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Scott A Lorch; Kelly C Wade; Susan Bakewell-Sachs; Barbara Medoff-Cooper; Jeffrey H Silber; Gabriel J Escobar |
Publication Detail:
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Type: Journal Article Date: 2009-05-15 |
Journal Detail:
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Title: Clinical pediatrics Volume: 49 ISSN: 1938-2707 ISO Abbreviation: Clin Pediatr (Phila) Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-18 Completed Date: 2010-05-19 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0372606 Medline TA: Clin Pediatr (Phila) Country: United States |
Other Details:
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Languages: eng Pagination: 249-57 Citation Subset: AIM; IM |
Affiliation:
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Center for Outcomes Research, The Children's Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, USA. lorch@email.chop.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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African Americans
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statistics & numerical data* Anti-Bacterial Agents / administration & dosage* Bronchopulmonary Dysplasia / drug therapy Drug Utilization Review European Continental Ancestry Group / statistics & numerical data* Female Humans Incidence Infant Infant, Newborn Infant, Premature* Intensive Care Units, Neonatal* Male Multivariate Analysis Patient Discharge* Poisson Distribution Retrospective Studies Sex Factors Time Factors United States |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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