Amy Keith
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View article: Interventions to Minimize Unnecessary Antibiotic Use for Acute Otitis Media: A Meta-Analysis
Interventions to Minimize Unnecessary Antibiotic Use for Acute Otitis Media: A Meta-Analysis Open
Backgrounds/Objectives: Acute otitis media (AOM) is the leading reason antibiotics are prescribed to children. Despite guidelines advocating for watchful waiting and shorter antibiotic durations, overprescribing remains a concern. This met…
View article: Differences in Antibiotic Prescribing Patterns for Children with Acute Otitis Media Based on Patient, Clinician, and Clinic Characteristics
Differences in Antibiotic Prescribing Patterns for Children with Acute Otitis Media Based on Patient, Clinician, and Clinic Characteristics Open
Corresponding Author Alex Plattner, MD, MBA; One Children’s Place, St. Louis, MO 63110; [email protected] Funding This project was funded under grant number 1R01HS029153-01 from the Agency for Healthcare Research and Quality (AHRQ), US D…
View article: Implementation of Outpatient Automated Stewardship Information System (OASIS©) Audit and Feedback in Two Healthcare Systems
Implementation of Outpatient Automated Stewardship Information System (OASIS©) Audit and Feedback in Two Healthcare Systems Open
Background: Combating antibiotic resistance, exacerbated by widespread unnecessary outpatient antibiotic prescriptions, necessitates innovative stewardship solutions. Audit and feedback reports are effective but often resource heavy. We in…
View article: Cost-Effectiveness of Pediatric Conjunctivitis Management and Return to Childcare and School Strategies: A Comparative Study
Cost-Effectiveness of Pediatric Conjunctivitis Management and Return to Childcare and School Strategies: A Comparative Study Open
Background Infectious conjunctivitis affects 1 in 8 children annually, resulting in high ophthalmic antibiotic prescribing and absenteeism from childcare and school. We aimed to quantify the cost-effectiveness and annual savings of 3 evide…
View article: Clinical Outcomes Associated with Amoxicillin Treatment for Acute Otitis Media in Children
Clinical Outcomes Associated with Amoxicillin Treatment for Acute Otitis Media in Children Open
Background Acute otitis media (AOM) is the most common reason children are prescribed antibiotics. Bacteria that produce beta-lactamase are an increasingly frequent cause of AOM and may be resistant to amoxicillin, the currently recommende…
View article: Interventions to de-implement unnecessary antibiotic prescribing for ear infections (DISAPEAR Trial): protocol for a cluster-randomized trial
Interventions to de-implement unnecessary antibiotic prescribing for ear infections (DISAPEAR Trial): protocol for a cluster-randomized trial Open
Background Watchful waiting management for acute otitis media (AOM), where an antibiotic is used only if the child’s symptoms worsen or do not improve over the subsequent 2–3 days, is an effective approach to reduce antibiotic exposure for…
View article: Implementation of Outpatient Automated Stewardship Information System (OASIS<sup>©</sup>) audit and feedback in 2 healthcare systems
Implementation of Outpatient Automated Stewardship Information System (OASIS<sup>©</sup>) audit and feedback in 2 healthcare systems Open
View article: Reducing length of antibiotics for children with ear infections: protocol for a cluster-randomized trial in the USA
Reducing length of antibiotics for children with ear infections: protocol for a cluster-randomized trial in the USA Open
Aim: Preventing unnecessarily long durations of antibiotic therapy is a key opportunity to reduce antibiotic overuse in children 2 years of age and older with acute otitis media (AOM). Pragmatic interventions to reduce durations of therapy…
View article: Reducing Ophthalmic Antibiotic Use for Non-severe Conjunctivitis in Children
Reducing Ophthalmic Antibiotic Use for Non-severe Conjunctivitis in Children Open
Background Antibiotics are often overprescribed for pediatric conjunctivitis. We implemented a system-level quality improvement (QI) intervention to reduce unnecessary ophthalmic antibiotic use. Methods The multi-faceted intervention in De…
View article: Reliability of nasopharyngeal PCR for the detection of otopathogens in children with uncomplicated acute otitis media compared to culture
Reliability of nasopharyngeal PCR for the detection of otopathogens in children with uncomplicated acute otitis media compared to culture Open
View article: 1318. Etiology of Infectious Conjunctivitis in Children: A Multi-Center Case-Controlled Study
1318. Etiology of Infectious Conjunctivitis in Children: A Multi-Center Case-Controlled Study Open
Background Acute infectious conjunctivitis (AIC) is a common pediatric infection affecting one in eight children annually. The etiology of AIC is poorly understood but important to inform treatment and return to school recommendations. Add…
View article: Sustainability of Interventions to Increase Guideline-Concordant Durations of Antibiotic Therapy for Children with Acute Otitis Media
Sustainability of Interventions to Increase Guideline-Concordant Durations of Antibiotic Therapy for Children with Acute Otitis Media Open
View article: COVID-19 and Acute Otitis Media in Children: A Case Series
COVID-19 and Acute Otitis Media in Children: A Case Series Open
Background: The association of SARS-CoV-2 with acute otitis media (AOM) in children is poorly understood. Methods: Cases were identified as a subpopulation within the NO TEARS prospective AOM study in Denver, CO from March to December 2020…
View article: 113. Reliability of Nasopharyngeal PCR for the Detection of Otopathogens in Children with Uncomplicated Acute Otitis Media
113. Reliability of Nasopharyngeal PCR for the Detection of Otopathogens in Children with Uncomplicated Acute Otitis Media Open
Background Among children with acute otitis media (AOM) S.pneumoniae, H.influenzae, and M.catarrhalis are the predominant bacterial otopathogens. There is a high correlation between nasopharyngeal (NP) and middle ear fluid (MEF) organisms …
View article: 347. SARS-CoV-2 and Acute Otitis Media in Children: A Case Series
347. SARS-CoV-2 and Acute Otitis Media in Children: A Case Series Open
Background Reports in adults with COVID-19 and acute otitis media (AOM) show that severe symptoms and hearing loss may be more common than with the clinical presentation of typical AOM. However, the association of SARS-CoV-2 with AOM in ch…
View article: Increasing Guideline-Concordant Durations of Antibiotic Therapy for Acute Otitis Media
Increasing Guideline-Concordant Durations of Antibiotic Therapy for Acute Otitis Media Open
View article: Caregiver perspectives and preferences for acute otitis media management
Caregiver perspectives and preferences for acute otitis media management Open
Surveyed caregivers of children in Denver, Colorado, with acute otitis media (AOM) preferred immediate antibiotics over delayed antibiotics or observation. Overall, 77% stated that they would immediately fill a prescription written as dela…
View article: 1342. Clinical failure rates of amoxicillin for the treatment of acute otitis media in young children
1342. Clinical failure rates of amoxicillin for the treatment of acute otitis media in young children Open
Background Acute otitis media(AOM) is the most common indication for antibiotics in children. The primary pathogens that cause AOM have changed since the introduction of the pneumococcal conjugate vaccine(PCV). The clinical failure rate of…
View article: ¿Cuándo es voluntario el retorno? Las condiciones de asilo en el Líbano
¿Cuándo es voluntario el retorno? Las condiciones de asilo en el Líbano Open
La decisión de los refugiados sirios en el Líbano de retornar a Siria no debe estar basada en un deterioro de la calidad del asilo que cree presiones físicas, sociales y materiales sobre la decisión de retornar.
View article: When is return voluntary? Conditions of asylum in Lebanon
When is return voluntary? Conditions of asylum in Lebanon Open
The decision of Syrian refugees in Lebanon to return to Syria must not be based on a deteriorating quality of asylum that creates physical, social and material pressures on decisions to return.
View article: Still Looking for Safety: Voices of refugees from Syria on solutions for the present and future
Still Looking for Safety: Voices of refugees from Syria on solutions for the present and future Open
Syrian refugees and Palestine refugees from Syria have fled their homes in search of safety. But Oxfam's 2017 research revealed that most people interviewed do not consider that they have found complete safety and protection in Lebanon. Re…