Publications by authors named "Aileen L Kirby"
Background: For almost 50 years, pediatricians used adult guidelines to diagnose ARDS. In 2015, specific criteria for pediatric ARDS were defined. However, it remains unclear how frequently providers recognize pediatric ARDS and whether recognition affects adherence to consensus recommendations.
View Article and Find Full Text PDFAssociation of Diagnostic Stewardship for Blood Cultures in Critically Ill Children With Culture Rates, Antibiotic Use, and Patient Outcomes: Results of the Bright STAR Collaborative.
Charlotte Z Woods-Hill Elizabeth A Colantuoni Danielle W Koontz Annie Voskertchian Anping Xie Aileen L Kirby
JAMA Pediatr
July 2022
Article Synopsis
- Blood culture overuse in pediatric intensive care can lead to unnecessary antibiotic use, which contributes to antibiotic resistance, making it crucial to optimize blood culture practices.
- A study evaluated a quality improvement initiative across 14 PICUs that aimed to reduce blood culture rates, antibiotic use, and improve patient outcomes from 2017 to 2020.
- Results showed a significant 33% reduction in blood culture rates and a 13% decrease in broad-spectrum antibiotic use, indicating that the collaborative initiative was effective in promoting better antibiotic stewardship in these units.
Management of mechanical ventilation is a complex process with outcomes affected by multiple patient and caregiver variable. Well-constructed protocols represent the synthesis of best available evidence regarding ventilator management. In adults, protocols improve important outcomes such as duration of mechanical ventilation, length of stay, and complication rates; however, protocols are not uniformly successful.
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