{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:05:50Z","timestamp":1793379950075,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajicjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Infection Control"],"published-print":{"date-parts":[[2023,5]]},"DOI":"10.1016\/j.ajic.2022.07.027","type":"journal-article","created":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T12:49:02Z","timestamp":1659790142000},"page":"520-526","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Impact of an antibiotic stewardship program on antibiotic choice, dosing, and duration in pediatric urgent cares"],"prefix":"10.1016","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5564-3762","authenticated-orcid":false,"given":"Amanda","family":"Nedved","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1337-1105","authenticated-orcid":false,"given":"Brian R.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Hamner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7011-4826","authenticated-orcid":false,"given":"Ann","family":"Wirtz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4261-6076","authenticated-orcid":false,"given":"Alaina","family":"Burns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7533-1144","authenticated-orcid":false,"given":"Rana E.","family":"El Feghaly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajic.2022.07.027_bib0001","series-title":"Antibiotic Resistance Threats in the United States 2019","year":"2019"},{"key":"10.1016\/j.ajic.2022.07.027_bib0002","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/jcpt.12610","article-title":"Antibacterials dispensed in the community comprise 85%-95% of total human antibacterial consumption","volume":"43","author":"Duffy","year":"2018","journal-title":"J Clin Pharm Ther"},{"key":"10.1016\/j.ajic.2022.07.027_bib0003","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1093\/cid\/ciz225","article-title":"Changes in US outpatient antibiotic prescriptions from 2011-2016","volume":"70","author":"King","year":"2020","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0004","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1093\/cid\/ciw118","article-title":"Implementing an antibiotic stewardship program: guidelines by the infectious Diseases Society of America and the Society for Healthcare Epidemiology of America","volume":"62","author":"Barlam","year":"2016","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0005","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s13756-019-0471-0","article-title":"Value of hospital antimicrobial stewardship programs [ASPs]: a systematic review","volume":"8","author":"Nathwani","year":"2019","journal-title":"Antimicrob Resist Infect Control"},{"key":"10.1016\/j.ajic.2022.07.027_bib0006","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1093\/jpids\/piab002","article-title":"Policy statement: antibiotic stewardship in pediatrics","volume":"10","author":"Gerber","year":"2021","journal-title":"J Pediatric Infect Dis Soc"},{"key":"10.1016\/j.ajic.2022.07.027_bib0007","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr6506a1","article-title":"Core elements of outpatient antibiotic stewardship","volume":"65","author":"Sanchez","year":"2016","journal-title":"MMWR Recomm Rep"},{"key":"10.1016\/j.ajic.2022.07.027_bib0008","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/cid\/ciaa667","article-title":"Unnecessary antibiotic prescribing in US ambulatory care settings, 2010-2015","volume":"72","author":"Hersh","year":"2021","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0009","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.1001\/jama.2017.18715","article-title":"Association of broad- vs narrow-spectrum antibiotics with treatment failure, adverse events, and quality of life in children with acute respiratory tract infections","volume":"318","author":"Gerber","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.ajic.2022.07.027_bib0010","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1542\/peds.2011-2526","article-title":"Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital","volume":"129","author":"Doherty","year":"2012","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajic.2022.07.027_bib0011","doi-asserted-by":"crossref","first-page":"2553","DOI":"10.1093\/cid\/ciz698","article-title":"Each additional day of antibiotics is associated with lower gut anaerobes in neonatal intensive care unit patients","volume":"70","author":"Rooney","year":"2020","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0012","doi-asserted-by":"crossref","first-page":"153","DOI":"10.7326\/M18-3640","article-title":"Excess antibiotic treatment duration and adverse events in patients hospitalized with pneumonia: a multihospital cohort study","volume":"171","author":"Vaughn","year":"2019","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.ajic.2022.07.027_bib0013","first-page":"146","article-title":"Reducing antibiotic prescribing in primary care for respiratory illness","author":"Kronman","year":"2020","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajic.2022.07.027_bib0014","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1001\/jama.2016.0275","article-title":"Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial","volume":"315","author":"Meeker","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.ajic.2022.07.027_bib0015","doi-asserted-by":"crossref","first-page":"d8173","DOI":"10.1136\/bmj.d8173","article-title":"Effectiveness of multifaceted educational programme to reduce antibiotic dispensing in primary care: practice based randomised controlled trial","volume":"344","author":"Butler","year":"2012","journal-title":"BMJ"},{"key":"10.1016\/j.ajic.2022.07.027_bib0016","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.ajic.2020.08.023","article-title":"Novel outpatient antibiotic prescribing report of respiratory infections in a pediatric health system\u2019s emergency departments and urgent care clinics","volume":"49","author":"El Feghaly","year":"2020","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.ajic.2022.07.027_bib0017","unstructured":"Children's Mercy Kansas City. Provider resources for antimicrobial stewardship. Accessed August 25 2022. https:\/\/www.childrensmercy.org\/siteassets\/media-documents-for-depts-section\/documents-for-health-care-providers\/evidence-based-practice\/clinical-practice-guidelines--care-process-models\/outpatient-antibiotic-handbook.pdf. 2021."},{"key":"10.1016\/j.ajic.2022.07.027_bib0018","unstructured":"Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, (U.S.) CfDCaP. MITIGATE antimicrobial stewardship toolkit : a guide for practical implementation in adult and pediatric emergency department and urgent care settings. 2018."},{"key":"10.1016\/j.ajic.2022.07.027_bib0019","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.1093\/cid\/cir531","article-title":"The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America","volume":"53","author":"Bradley","year":"2011","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0020","doi-asserted-by":"crossref","first-page":"e964","DOI":"10.1542\/peds.2012-3488","article-title":"The diagnosis and management of acute otitis media","volume":"131","author":"Lieberthal","year":"2013","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajic.2022.07.027_bib0021","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1093\/cid\/cis847","article-title":"Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America","volume":"55","author":"Shulman","year":"2012","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0022","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1093\/cid\/ciu296","article-title":"Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America","volume":"59","author":"Stevens","year":"2014","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.ajic.2022.07.027_bib0023","first-page":"138","article-title":"Reaffirmation of AAP clinical practice guideline: the diagnosis and management of the initial urinary tract infection in febrile infants and young children 2-24 months of age","year":"2016","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajic.2022.07.027_bib0024","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1542\/peds.2011-1330","article-title":"Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months","volume":"128","year":"2011","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajic.2022.07.027_bib0025","series-title":"Red Book 2021-2024 Rerport of the Committee on Infectious Diseases","first-page":"990","article-title":"System-based treatment table","year":"2021"},{"key":"10.1016\/j.ajic.2022.07.027_bib0026","series-title":"The Health Care Data Guide: Learning from Data for Improvement","author":"Provost","year":"2011"},{"key":"10.1016\/j.ajic.2022.07.027_bib0027","doi-asserted-by":"crossref","first-page":"2763","DOI":"10.1128\/AAC.02239-13","article-title":"Trends and seasonal variation in outpatient antibiotic prescription rates in the United States, 2006 to 2010","volume":"58","author":"Suda","year":"2014","journal-title":"Antimicrob Agents Chemother"},{"key":"10.1016\/j.ajic.2022.07.027_bib0028","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1017\/ice.2019.352","article-title":"Association between statewide adoption of the CDC's Core Elements of Hospital Antimicrobial Stewardship Programs and rates of methicillin-resistant Staphylococcus aureus bacteremia and Clostridioides difficile infection in the United States","volume":"41","author":"Garcia Reeves","year":"2020","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.ajic.2022.07.027_bib0029","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.jhin.2019.03.002","article-title":"The economic impact of antimicrobial stewardship programmes in hospitals: a systematic literature review","volume":"102","author":"Huebner","year":"2019","journal-title":"J Hosp Infect"},{"key":"10.1016\/j.ajic.2022.07.027_bib0030","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1093\/jac\/dkx492","article-title":"Impact of antibiotic stewardship programmes in Asia: a systematic review and meta-analysis","volume":"73","author":"Lee","year":"2018","journal-title":"J Antimicrob Chemother"},{"key":"10.1016\/j.ajic.2022.07.027_bib0031","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/cid\/ciaa667","article-title":"Unnecessary antibiotic prescribing in US ambulatory care settings, 2010-2015","volume":"72","author":"Hersh","year":"2021","journal-title":"Clin Infect Dis"},{"issue":"1","key":"10.1016\/j.ajic.2022.07.027_bib0032","first-page":"3","article-title":"APPROVED: new antimicrobial stewardship standard","volume":"36","year":"2016","journal-title":"Jt Comm Perspect"},{"key":"10.1016\/j.ajic.2022.07.027_bib0033","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD003539.pub2","article-title":"Interventions to improve antibiotic prescribing practices in ambulatory care","author":"Arnold","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajic.2022.07.027_bib0034","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1001\/jamainternmed.2018.1632","article-title":"Comparison of antibiotic prescribing in retail clinics, urgent care centers, emergency departments, and traditional ambulatory care settings in the United States","volume":"178","author":"Palms","year":"2018","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.ajic.2022.07.027_bib0035","doi-asserted-by":"crossref","first-page":"51","DOI":"10.4103\/1817-1737.197779","article-title":"A multifaceted approach to decrease inappropriate antibiotic use in a pediatric outpatient clinic","volume":"12","author":"Al-Tawfiq","year":"2017","journal-title":"Ann Thorac Med"},{"key":"10.1016\/j.ajic.2022.07.027_bib0036","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1017\/ice.2018.227","article-title":"Antibiotic prescribing for acute respiratory infections in New York City: a model for collaboration","volume":"39","author":"Guzik","year":"2018","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.ajic.2022.07.027_bib0037","first-page":"147","article-title":"Short-duration electronic health record option buttons to reduce prolonged length of antibiotic therapy in outpatients","author":"Sun","year":"2021","journal-title":"Pediatrics"}],"container-title":["American Journal of Infection Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196655322005971?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196655322005971?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T06:33:47Z","timestamp":1759300427000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0196655322005971"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["S0196655322005971"],"URL":"https:\/\/doi.org\/10.1016\/j.ajic.2022.07.027","relation":{},"ISSN":["0196-6553"],"issn-type":[{"value":"0196-6553","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of an antibiotic stewardship program on antibiotic choice, dosing, and duration in pediatric urgent cares","name":"articletitle","label":"Article Title"},{"value":"American Journal of Infection Control","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajic.2022.07.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}