Why is penicillin a narrow spectrum antibiotic




















This imbalance was addressed by including practice type, which is the likely driver of imbalance in race and insurance, in the response models. Remaining imbalance in season was both restricted to a single season and inconsistent and, thus, likely to be an artifact.

Although this could have resulted in uncontrolled confounding, results were robust to multiple analyses. Among children with acute respiratory tract infections, broad-spectrum antibiotics were not associated with better clinical or patient-centered outcomes compared with narrow-spectrum antibiotics, and were associated with higher rates of adverse events.

Corresponding Author: Jeffrey S. Author Contributions: Dr Gerber had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Dr Zaoutis reported serving as a consultant to T2 Biosystems and Nabriva. Dr Fiks reported receiving a Pfizer independent research grant. No other disclosures were reported.

Disclaimer: The statements presented in this publication are solely the responsibility of the authors and do not necessarily represent the views of PCORI or its board of governors or methodology committee.

Mr Massey received administrative support for this project, which included compensation from PCORI for help with recruiting practices for the intervention. We also thank the family advisory council not compensated for their support and guidance on this project from conception through execution; Susan L.

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue. Figure 1. View Large Download. Figure 2. Table 1. Table 2. Table 3. Table 4. Patient-Centered Outcomes in the Prospective Cohort. Diagnosis codes for acute respiratory tract infections eTable 2. Appropriate antibiotics with classification for treatment of acute respiratory tract infections eTable 3. Odds ratios for clinical outcomes eTable 5.

Clinical outcomes, results stratified by diagnosis eTable 6. Prospective patient-centered outcome cohort: Comparison of patient characteristics of children who did and did not complete the day interview eTable 8. Odds ratios for patient-centered outcomes eTable Patient-centered outcomes, results stratified by diagnosis eText eFigure. Trends of outpatient prescription drug utilization in US children, PubMed Google Scholar Crossref.

Antibiotic prescribing in ambulatory pediatrics in the United States. Antibiotic prescription rates for acute respiratory tract infections in US ambulatory settings. Antimicrobial drug prescription in ambulatory care settings, United States, Emerg Infect Dis. Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care. Frequency of first-line antibiotic selection among US ambulatory care visits for otitis media, sinusitis, and pharyngitis.

US emergency department visits for outpatient adverse drug events, A placebo-controlled trial of antimicrobial treatment for acute otitis media. N Engl J Med. Treatment of acute otitis media in children under 2 years of age.

IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. Meta-analysis of cephalosporin versus penicillin treatment of group A streptococcal tonsillopharyngitis in children.

Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review. Institute of Medicine. Getting the methods right—the foundation of patient-centered outcomes research. Comparative effectiveness research using the electronic medical record: an emerging area of investigation in pediatric primary care. J Pediatr. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: update by the Infectious Diseases Society of America [published correction appears in Clin Infect Dis.

Pediatric deaths attributable to complex chronic conditions: a population-based study of Washington State, PubMed Google Scholar. Variation in antibiotic prescribing across a pediatric primary care network. J Pediatric Infect Dis Soc. Variations in antibiotic and azithromycin prescribing for children by geography and specialty—United States, [published online July 19, ]. Pediatr Infect Dis J.

Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. Identifying patient and family centered outcomes around antibiotics for acute respiratory tract infections in children. J Pediatr Infect Dis Soc. Varni JW. Accessed November 19, The PedsQL 4. Ambul Pediatr. Health Qual Life Outcomes. PedsQL 4. Med Care. Qual Life Res. Racial differences in antibiotic prescribing by primary care pediatricians.

Hansen BB. Full matching in an observational study of coaching for the SAT. J Am Stat Assoc. Google Scholar Crossref. Using full matching to estimate causal effects in nonexperimental studies: examining the relationship between adolescent marijuana use and adult outcomes. Dev Psychol. Estimating the effect of treatment on binary outcomes using full matching on the propensity score. Stat Methods Med Res. Allison PD. Fixed Effects Regression Models.

Newbury Park, CA: Sage; Estimation of multiple relative risk functions in matched case-control studies. Am J Epidemiol. Optmatch: functions for optimal matching, version 0. Accessed November 29, The use of bootstrapping when using propensity-score matching without replacement: a simulation study.

Stat Med. Discrete Multivariate Analysis: Theory and Practice. Sensitivity analysis without assumptions. Sensitivity analysis in observational research: introducing the E-value. Ann Intern Med. Health-related quality of life in pediatric minor injury: reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory in the emergency department.

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