{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T09:17:55Z","timestamp":1758705475162,"version":"3.40.5"},"reference-count":12,"publisher":"American Academy of Pediatrics (AAP)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES:<\/jats:title>\n                  <jats:p>To determine the antibiotic prescribing practices of pediatric residents and assess how they acquire knowledge leading to prescribing behaviors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>We performed a cross-sectional electronic survey of all pediatric residents at the Children\u2019s National Medical Center and Nicklaus Children\u2019s Hospital, assessing antibiotic prescribing patterns for common pediatric infections, use of antibiograms, and factors influencing antibiotic choice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Eighty-five surveys (45%) were returned complete and included in the analysis. Increased deviations from clinical guideline recommendations were observed for antibiotic treatments of sinusitis and community-acquired pneumonia as compared with otitis media and group A streptococcal pharyngitis. Only 57% of residents reported having used antibiograms. General pediatric inpatient attending physicians were identified as the most influential source for house staff antibiotic knowledge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Results illustrate the need for better promotion and integration of clinical guidelines with antibiograms when developing antibiotic education programs for residents in training. In addition, pediatric hospitalists should play an active role in the implementation of these programs and can provide valuable insight into the development of educational programs in conjunction with graduate medical education divisions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/hpeds.2017-0059","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T08:35:26Z","timestamp":1504254926000},"page":"553-558","source":"Crossref","is-referenced-by-count":12,"title":["Antibiotic Use by Pediatric Residents: Identifying Opportunities and Strategies for Antimicrobial Stewardship"],"prefix":"10.1542","volume":"7","author":[{"given":"Prateek J.","family":"Shukla","sequence":"first","affiliation":[{"name":"Division of Pulmonary and Sleep Medicine,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Behnam-Terneus","sequence":"additional","affiliation":[{"name":"Miami Children\u2019s Health System, Nicklaus Children\u2019s Hospital, Miami, Florida; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Cunill-De Sautu","sequence":"additional","affiliation":[{"name":"Miami Children\u2019s Health System, Nicklaus Children\u2019s Hospital, Miami, Florida; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geovanny F.","family":"Perez","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Sleep Medicine,"},{"name":"Department of Pediatrics, School of Medicine and Health Sciences, and"},{"name":"Department of Integrative Systems Biology, George Washington University, Washington, District of Columbia"},{"name":"Center for Genetic Research Medicine, Children\u2019s National Medical Center, Washington, District of Columbia;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2017,9,1]]},"reference":[{"issue":"3","key":"2021120817251585700_B1","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1542\/peds.2004-0670","article-title":"Provider and practice characteristics associated with antibiotic use in children with presumed viral respiratory tract infections","volume":"115","author":"Gaur","year":"2005","journal-title":"Pediatrics"},{"issue":"3","key":"2021120817251585700_B2","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2011-1533","article-title":"Impact of a guideline on management of children hospitalized with community-acquired pneumonia","volume":"129","author":"Newman","year":"2012","journal-title":"Pediatrics"},{"author":"Newland","key":"2021120817251585700_B3"},{"issue":"13","key":"2021120817251585700_B4","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1001\/archinte.164.13.1451","article-title":"A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance","volume":"164","author":"Srinivasan","year":"2004","journal-title":"Arch Intern Med"},{"issue":"8","key":"2021120817251585700_B5","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.1093\/cid\/cis370","article-title":"IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults","volume":"54","author":"Chow","year":"2012","journal-title":"Clin Infect Dis"},{"issue":"7","key":"2021120817251585700_B6","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 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guidelines, development and clinical application","volume":"39","author":"Lacy","year":"2004","journal-title":"Hosp Pharm"},{"issue":"6","key":"2021120817251585700_B10","doi-asserted-by":"crossref","first-page":"2629","DOI":"10.1128\/JCM.43.6.2629-2634.2005","article-title":"Nationwide antibiogram analysis using NCCLS M39-A guidelines","volume":"43","author":"Zapantis","year":"2005","journal-title":"J Clin Microbiol"},{"issue":"6","key":"2021120817251585700_B11","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.amjmed.2005.02.013","article-title":"Differences in antibiotic prescribing among physicians, residents, and nonphysician clinicians","volume":"118","author":"Roumie","year":"2005","journal-title":"Am J Med"},{"issue":"6","key":"2021120817251585700_B12","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/INF.0b013e3180593170","article-title":"A review of antimicrobial control strategies in hospitalized and ambulatory pediatric populations","volume":"26","author":"Patel","year":"2007","journal-title":"Pediatr Infect Dis J"}],"container-title":["Hospital 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