{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T11:06:33Z","timestamp":1789297593912,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T00:00:00Z","timestamp":1654646400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/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":[[2022,11]]},"abstract":"<jats:p>We aimed to investigate the effectiveness of an antibiotic stewardship program (ASP) on antibiotic prescription in children with community-acquired pneumonia (CAP). Antibiotic purchasing data were collected for children aged 3 months to 18 years diagnosed with CAP from November 2016 to April 2017 (pre-intervention period) and from November 2017 to April 2018 (post-intervention period). The intervention was a 1-day seminar for primary care pediatricians on the diagnosis and treatment of CAP in children according to national guidelines. There was a substantial decrease in the use of azithromycin after the intervention. In younger children, there was a 42% decrease, alongside an increased use of amoxicillin ( P &lt; .001). In older children, there was a smaller, non-statistically significant decrease in the use of azithromycin ( P = .45). Our data demonstrate that the implementation of an ASP was associated with a reduction in the use of broad-spectrum antibiotics and macrolides and increased guideline adherence for the safe treatment of CAP.<\/jats:p>","DOI":"10.1177\/00099228221102827","type":"journal-article","created":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T03:08:56Z","timestamp":1654657736000},"page":"795-801","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Pediatric Antibiotic Stewardship for Community-Acquired Pneumonia: A Pre\u2013Post Intervention Study"],"prefix":"10.1177","volume":"61","author":[{"given":"Herman Avner","family":"Cohen","sequence":"first","affiliation":[{"name":"Pediatric Ambulatory Community Clinic, Petach Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Gerstein","sequence":"additional","affiliation":[{"name":"Pediatric Ambulatory Community Clinic, Petach Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiska","family":"Loewenberg Weisband","sequence":"additional","affiliation":[{"name":"Clalit Health Services, Clalit Research Institute, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Richenberg","sequence":"additional","affiliation":[{"name":"Clalit Health Services, Dan-Petach Tikva District, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2206-8068","authenticated-orcid":false,"given":"Eyal","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Clalit Health Services, Dan-Petach Tikva District, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moriya","family":"Cohen","sequence":"additional","affiliation":[{"name":"Ariel University, Ariel, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1733-5395","authenticated-orcid":false,"given":"Vered","family":"Shkalim Zemer","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"},{"name":"Clalit Health Services, Petach Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maayan Diti","family":"Machnes","sequence":"additional","affiliation":[{"name":"Pediatric Ambulatory Community Clinic, Petach Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,8]]},"reference":[{"key":"bibr1-00099228221102827","doi-asserted-by":"publisher","DOI":"10.3928\/19382359-20170616-01"},{"key":"bibr2-00099228221102827","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j686"},{"issue":"7","key":"bibr3-00099228221102827","volume":"53","author":"Bradely JS","year":"2011","journal-title":"Clin Infect Dis"},{"key":"bibr4-00099228221102827","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-200598"},{"key":"bibr5-00099228221102827","unstructured":"Israeli Pediatric Association. 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