Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants

Jennifer K. Light; Robyn M. Hoelle; Jill Boylston Herndon; Wei Hou; Marie-Carmelle Elie; Kelly Jackman; J. Adrian Tyndall; Donna L. Carden

doi:10.5811/westjem.2013.1.14693

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Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants

Journal article

Open access

Peer reviewed

Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants

Jennifer K. Light, Robyn M. Hoelle, Jill Boylston Herndon, Wei Hou, Marie-Carmelle Elie, Kelly Jackman, J. Adrian Tyndall and Donna L. Carden

The western journal of emergency medicine, Vol.14(5), pp.518-524

09/01/2013

DOI: 10.5811/westjem.2013.1.14693

PMCID: PMC3789918

PMID: 24106552

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Abstract

Introduction: Early antibiotic administration is recommended in newborns presenting with febrile illness to emergency departments (ED) to avert the sequelae of serious bacterial infection. Although ED crowding has been associated with delays in antibiotic administration in a dedicated pediatric ED, the majority of children that receive emergency medical care in the U.S. present to EDs that treat both adult and pediatric emergencies. The purpose of this study was to examine the relationship between time to antibiotic administration in febrile newborns and crowding in a general ED serving both an adult and pediatric population. Methods: We conducted a retrospective chart review of 159 newborns presenting to a general ED between 2005 and 2011 and analyzed the association between time to antibiotic administration and ED occupancy rate at the time of, prior to, and following infant presentation to the ED. Results: We observed delayed and variable time to antibiotic administration and found no association between time to antibiotic administration and occupancy rate prior to, at the time of, or following infant presentation (P > 0.05). ED time to antibiotic administration was not associated with hospital length of stay, and there was no inpatient mortality. Conclusion: Delayed and highly variable time to antibiotic treatment in febrile newborns was common but unrelated to ED crowding in the general ED study site. Guidelines for time to antibiotic administration in this population may reduce variability in ED practice patterns.

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Details

Title: Subtitle: Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants
Creators: Jennifer K. Light - Florida College
Robyn M. Hoelle - Stony Brook University Hospital
Jill Boylston Herndon
Wei Hou - Stony Brook University Hospital
Marie-Carmelle Elie - Stony Brook University Hospital
Kelly Jackman - Stony Brook University Hospital
J. Adrian Tyndall - Stony Brook University Hospital
Donna L. Carden - Stony Brook University Hospital
Resource Type: Journal article
Publication Details: The western journal of emergency medicine, Vol.14(5), pp.518-524
DOI: 10.5811/westjem.2013.1.14693
PMID: 24106552
PMCID: PMC3789918
NLM abbreviation: West J Emerg Med
ISSN: 1936-900X
eISSN: 1936-9018
Publisher: Department of Emergency Medicine, University of California, Irvine School of Medicine
Language: English
Date published: 09/01/2013
Academic Unit: Public Policy Center (Archive)
Record Identifier: 9984283707602771

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