title: Evaluation of the American Academy of Pediatrics Principles on Management of Common Office Infections in a managed care setting.
abstract: The American Academy of Pediatrics has outlined principles for management of common office infections. We evaluated the impact of these principles at St. John's Health System. Study design was a pre and post guideline analysis of claims data and a randomized chart review. There was a high baseline compliance present with the AAP recommendations. There was a 33.5% increase in the use of throat cultures or streptococcal agglutination screens for diagnosis of upper respiratory infections (p = .001) and an 86% decrease in the use of sinus films (p < .001). We conclude that the AAP principles resulted in a significant change in clinical practice.
authors.forename: A R
authors.initials: AR
authors.lastname: Hover
authors.forename: V
authors.initials: V
authors.lastname: Cornwell
authors.forename: S
authors.initials: S
authors.lastname: Stevenson
authors.forename: D
authors.initials: D
authors.lastname: Sponenberg
mesh_terms: D000293:Adolescent; D000372:Agglutination Tests; D001431:Bacteriological Techniques; D001991:Bronchitis / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007344:Insurance Claim Reporting; D008297:Male; D008329:Managed Care Programs; D009304:Nasopharyngitis / Q000628:therapy; D010033:Otitis Media / Q000628:therapy; D010034:Otitis Media with Effusion / Q000628:therapy; D010612:Pharyngitis / Q000382:microbiology / Q000628:therapy; D010614:Pharynx / Q000382:microbiology; D011014:Pneumonia / Q000628:therapy; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011859:Radiography; D012141:Respiratory Tract Infections / Q000382:microbiology; D012189:Retrospective Studies; D012852:Sinusitis / Q000000981:diagnostic imaging / Q000628:therapy; D013290:Streptococcal Infections / Q000175:diagnosis / Q000628:therapy; D014069:Tonsillitis / Q000628:therapy