Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2007 Nov;14(11):595-600
Low rates of adherence to 1999 acute otitis media treatment guidelines across pediatric and family practices
Walter EB, Yang H, Dolor RJ

Abstract Objective: To assess adherence to 1999 guidelines for the treatment of children with acute otitis media (AOM) across primary care specialties and to measure differences across specialties and practice types. Design: Retrospective record review. Patients and setting: 723 children aged 6 to 36 months who were diagnosed with suppurative otitis media in 2000 and received care at 1 of 4 primary care practice cohorts (university, community, pediatric, and family practice) within the Duke University Health System. Results: Adherence to guidelines was seen in 34% of episodes of AOM. Reasons for nonadherence included use of an alternate antimicrobial agent (46%) or suboptimal dosing of amoxicillin or amoxicillin-clavulanate (54%). Pediatricians were more likely than family practitioners to use high-dose amoxicillin or amoxicillin-clavulanate therapy (odds ratio [OR], 8.27; P < 0.001) and to follow treatment guidelines (OR, 3.70; P < 0.001). Guideline adherence was significantly lower in the treatment of children who had received prescriptions for antimicrobials in the past 3 months (OR, 0.58; P = 0.005), were younger than 2 years of age (OR, 0.48; P < 0.001), or had a history of antimicrobial allergy (OR, 0.50; P = 0.03). Conclusion: Rates of adherence to AOM treatment guidelines were low and varied between types of primary care practices.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw