Table IV.
Characteristics of children 2-18 years old with AOM who received ≤7 days of antibiotics compared with those who received ≥10 days at DH Medical Center, January-December 2018
| Characteristics | ≤7 Days of therapy (n = 412) | ≥10 Days of therapy (n = 499) | P value* |
|---|---|---|---|
| Age, years | <.0001 | ||
| 2-5 | 208 (50.5) | 324 (64.9) | |
| 6-10 | 130 (31.6) | 124 (24.9) | |
| >10 | 74 (18.0) | 51 (10.2) | |
| Female | 187 (45.4) | 256 (51.3) | .08 |
| Non-white/other race | 129 (31.3) | 164 (32.9) | .62 |
| Hispanic | 310 (75.2) | 351 (70.3) | .10 |
| Private insurance | 35 (8.5) | 56 (11.2) | .17 |
| Location | <.01 | ||
| Pediatric clinic | 212 (51.5) | 205 (41.1) | |
| Nonpediatric clinic | 87 (21.1) | 104 (20.8) | |
| Emergency/urgent care | 113 (27.4) | 190 (38.1) | |
| First-line antibiotic | 352 (85.4) | 400 (80.2) | .04 |
| SNAPs | 26 (6.3) | 14 (2.8) | .01 |
| Penicillin allergy | 3 (0.7) | 8 (1.6) | .36 |
| Received ≥1 dose PCV13 | 317 (76.9) | 403 (80.8) | .16 |
| Received ≥2 doses any PCV | 369 (89.6) | 450 (90.2) | .76 |
| Smoke exposure | 54 (13.1) | 75 (15.0) | .41 |
| Hospitalized in prior year | 10 (2.4) | 15 (3.0) | .59 |
| ≥3 Sick visits in prior year | 280 (68.0) | 293 (58.7) | .02 |
| Bilateral infection | 69 (16.8) | 122 (24.5) | <.01 |
| Failed OTC medication trial | 37 (9.0) | 23 (4.6) | <.01 |
| Fever† | 182 (44.2) | 233 (46.7) | .45 |
| Multivariate logistic model for ≤7 vs ≥10 days of therapy‡ | |||
| Final model | |||
| Age, years | |||
| 2-5 | 2.01 (1.32-3.05) | <.001 | |
| 6-10 | 1.28 (0.82-2.02) | .28 | |
| >10 | Referent | ||
| Female | 1.32 (1.01-1.74) | .04 | |
| Non-white/other race | 1.16 (0.86-1.58) | .34 | |
| Hispanic | 0.72 (0.52-1.00) | .05 | |
| Location | |||
| Emergency/urgent Care | 1.73 (1.26-2.38) | <.001 | |
| Nonpediatric clinic | 1.16 (0.81-1.67) | .42 | |
| Pediatric clinic | Referent | ||
| >3 Sick visits in prior year | 1.35 (1.01-1.80) | .04 | |
| Non-first-line antibiotic | 1.44 (1.00-2.08) | .05 | |
| Safety net antibiotic | 0.48 (0.24-0.96) | .04 | |
| Failed OTC medication | 0.56 (0.32-0.99) | .05 | |
| Bilateral infection | 1.69 (1.20-2.38) | <.01 | |
Values that are statistically significant are in bold.
Values are number (%) or aOR (Wald 95% CI).
*
Calculated using 2-sided χ2 or Fisher exact test with significance defined as P < .05.
†
Fever subjectively reported by parents or documented as ≥100.4°F.
‡
Factors with P < .1 on univariate analysis were included in the logistic regression model along with race and ethnicity regardless of significance.