Embedding discharge orders that reflected the latest guidelines helped drive a dramatic drop in the duration of antibiotics for the common condition.
LOS ANGELES — Embedding a new discharge order set into electronic health record s with a preselected 5-day antibiotic course for children aged 2 years or older diagnosed with acute otitis media cut antibiotic duration sharply, according to new data presented at the
Antibiotics can cause side effects such as diarrhea and rashes. “Each additional day of antibiotics that are not needed leads to more side effects,” Dimo said, as well as contributing to antibiotic resistance. The intervention did not lead to increased treatment failures or complications, she added. The team looked for diagnostic codes for mastoiditis, subperiosteal abscess, petrositis, labyrinthitis, meningitis, and intracranial abscess, and “none of our patients” developed any of those complications, Dimo said.
He said that some physicians may still be defaulting to the longer doses — up to 10 days — that they may have learned in medical school or residency.
Otitis Media Otolaryngology ENT Specialty Head And Neck Surgery ENT Speciality Children Child Childhood Pediatrics Kids Acute Otitis Media Electronic Medical Record EMR Electronic Health Record EHR Computerized Medical Records Systems Computerized Patient Records Digital Personal Health Record PHR Computerised Medical Records Systems Computerised Patient Records
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