Monika K. Goyal|Tiffani J. Johnson|James M. Chamberlain|T. Charles Casper|Timothy Simmons|Evaline A. Alessandrini|Lalit Bajaj|Robert W. Grundmeier|Jeffrey S. Gerber|Scott A. Lorch|Elizabeth R. Alpern
Racial and Ethnic Differences in Antibiotic Use for Viral Illness in Emergency Departments
Children's National|University of Pennsylvania|Children's National|University of Utah|University of Utah|Cincinnati Children's Hospital Medical Center|University of Colorado System|University of Colorado Boulder|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
background objectives primary care setting racial ethnic differences antibiotic prescribing acute respiratory tract infections artis viral artis commonly diagnosed pediatric emergency department ped racial ethnic differences antibiotic prescribing previously reported sought investigate whether patient race ethnicity associated differences antibiotic prescribing viral artis ped methods retrospective cohort study encounters 7 peds 2013 used electronic health data pediatric emergency care applied research network registry multivariable logistic regression used examine association patient race ethnicity antibiotics administered prescribed among children discharged hospital viral arti children bacterial codiagnoses chronic disease immunocompromised excluded covariates included age sex insurance triage level provider type emergency department type emergency department site results 39 445 ped encounters viral artis met inclusion criteria 26 95 confidence interval ci 2428 received antibiotics including 43 nonhispanic nh white 19 nh black 26 hispanic 29 nh children multivariable analyses nh black adjusted odds ratio aor 044 ci 036053 hispanic aor 065 ci 053081 nh aor 068 ci 052087 children remained less likely receive antibiotics viral artis conclusions compared nh white children nh black hispanic children less likely receive antibiotics viral artis ped future research seek understand racial ethnic differences overprescribing exist including parental expectations provider perceptions parental expectations implicit provider bias