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{
    "pk": 7600,
    "title": "Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants",
    "subtitle": null,
    "abstract": "Introduction:\n 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.\n \nMethods:\n 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.\n \nResults: \nWe observed\n \ndelayed 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 (\nP \n> 0.05). ED time to antibiotic administration was not associated with hospital length of stay, and there was no inpatient mortality.\n \nConclusion: \nDelayed 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. [West J Emerg Med. 2013;14(5):518-524.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "emergency department crowding"
        },
        {
            "word": "neonatal sepsis"
        },
        {
            "word": "time to antibiotic administration"
        },
        {
            "word": "Medicine"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "pediatrics"
        }
    ],
    "section": "Emergency Department Access",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/35p451gt",
    "frozenauthors": [
        {
            "first_name": "Jennifer",
            "middle_name": "K.",
            "last_name": "Light",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Robyn",
            "middle_name": "M.",
            "last_name": "Hoelle",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Jill",
            "middle_name": "Boylston",
            "last_name": "Herndon",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Institute for Child Health Policy, Department of Health Outcomes and Policy, Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Wei",
            "middle_name": "",
            "last_name": "Hou",
            "name_suffix": "",
            "institution": "Stony Brook University Medical Center, Division of Epidemiology, Department of Preventive Medicine, Stony Brook, New York",
            "department": "None"
        },
        {
            "first_name": "Marie-Carmelle",
            "middle_name": "",
            "last_name": "Elie",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Kelly",
            "middle_name": "",
            "last_name": "Jackman",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "J.",
            "middle_name": "Adrian",
            "last_name": "Tyndall",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Donna",
            "middle_name": "Lynne",
            "last_name": "Carden",
            "name_suffix": "",
            "institution": "University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2012-11-05T18:34:42Z",
    "date_accepted": "2012-11-05T18:34:42Z",
    "date_published": "2013-09-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7600/galley/4463/download/"
        }
    ]
}