Publications by authors named "A Kempe"
Article Synopsis
- - Initial oral antibiotics for children with community-acquired pneumonia (CAP) may be just as effective as IV antibiotics, leading to shorter hospital stays and lower costs.
- - A study reviewed data from 1,147 hospitalized children and found those starting with oral antibiotics experienced an 8% shorter length of stay and a 14% decrease in hospital costs compared to those on IV antibiotics.
- - Overall, using oral antibiotics as the first treatment for hospitalized children with CAP appears to be a safe and effective option without increasing the need for escalated care or readmissions.
Background And Objectives: Studies note a high prevalence of pediatric coronavirus disease 2019 (COVID-19)-specific vaccine hesitancy in the United States. Our objective was to assess whether clinicians perceive a spillover effect of COVID-19 vaccine hesitancy onto other vaccines, and the impact of this spillover on their general recommendation behavior.
Methods: We conducted semistructured interviews with pediatricians in California and Colorado pediatric practices (January-March 2023).
Research into vaccine hesitancy is a critical component of the public health enterprise, as rates of communicable diseases preventable by routine childhood immunization have been increasing in recent years. It is therefore important to estimate proportions of "never-vaccinators" in various subgroups of the population in order to successfully target interventions to improve childhood vaccination rates. However, due to privacy issues, it may be difficult to obtain individual patient data (IPD) needed to perform the appropriate time-to-event analyses: state-level immunization information services may only be willing to share aggregated data with researchers.
View Article and Find Full Text PDFStudy Objective: To assess whether a general emergency department's (ED) annual pediatric sepsis volume increases the odds of delivering care concordant with Surviving Sepsis pediatric guidelines.
Methods: A retrospective cohort study of children <18 years with sepsis presenting to 29 general EDs. Emergency department and hospital data were abstracted from the medical records of 2 large health care systems, including all hospitals to which children were transferred.
Objective: The purpose of the current study was to understand what families identify as necessary information to guide decision-making in the treatment of their child with UPJO.
Methods: We conducted semi-structured interviews with parents of children with UPJO using phenomenological methodology. Data were systematically analyzed according to principles of thematic analysis, using a team-based inductive approach.