{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:18:57Z","timestamp":1777526337960,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,10,30]],"date-time":"2017-10-30T00:00:00Z","timestamp":1509321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>We evaluated if the introduction of a clinical pathway for skin and soft-tissue infections (SSTIs) would reduce methicillin-resistant Staphylococcus aureus (MRSA)-directed therapy for simple cellulitis and antibiotic use for simple abscess after drainage. We compared the treatment of SSTI during a 3-month prepathway and 11-month postpathway period. We included patients 57 days to 18 years old discharged from the emergency department (ED) with a diagnosis of cellulitis or abscess. Balancing measures included 72-hour revisit rate and ED length of stay (LOS). A total of 291 patients prepathway and 781 patients postpathway were included. The proportion of patients with simple cellulitis prescribed MRSA-directed therapy decreased from 81% to 54% postpathway. The proportion of patients with a drained abscess prescribed systemic antibiotics decreased from 88% to 75%. There was no increase in 72-hour revisit rates (3.8% vs 3.2%, P = .64) or ED LOS (2.8 vs 2.7 hours, P = .05).<\/jats:p>","DOI":"10.1177\/0009922817738329","type":"journal-article","created":{"date-parts":[[2017,10,31]],"date-time":"2017-10-31T02:10:19Z","timestamp":1509415819000},"page":"660-666","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of Skin and Soft-Tissue Infections Before and After Clinical Pathway Implementation"],"prefix":"10.1177","volume":"57","author":[{"given":"Courtney E.","family":"Nelson","sequence":"first","affiliation":[{"name":"Nemours\/Alfred I. duPont Hospital for Children, Wilmington, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Chen","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"McAndrew","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khoon-Yen","family":"Tay","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran","family":"Balamuth","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,10,30]]},"reference":[{"key":"bibr1-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.12.004"},{"key":"bibr2-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.14.1585"},{"key":"bibr3-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu296"},{"key":"bibr4-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1086\/656431"},{"key":"bibr5-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2010.11.033"},{"key":"bibr6-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00652.x"},{"key":"bibr7-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa055356"},{"key":"bibr8-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.03.014"},{"key":"bibr9-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.03.002"},{"key":"bibr10-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-13-26"},{"key":"bibr11-0009922817738329","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2014.4.20583"},{"key":"bibr12-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2433"},{"key":"bibr13-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2013.08.016"},{"key":"bibr14-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq146"},{"key":"bibr15-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.12.004"},{"key":"bibr16-0009922817738329","doi-asserted-by":"crossref","unstructured":"Madaras-Kelly KJ, Remington RE, Oliphant CM, Sloan KL, Bearden DT. Efficacy of oral beta-lactam versus non-beta-lactam treatment of uncomplicated cellulitis.\n                      Am J Med\n                      . 2008;121:419-425.","DOI":"10.1016\/j.amjmed.2008.01.028"},{"key":"bibr17-0009922817738329","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2008.03.026"},{"key":"bibr18-0009922817738329","first-page":"e959","volume":"123","author":"Elliott DJ","year":"2009","journal-title":"Staphylococcus aureus. 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