Table 3: Results.

Pre-order set Post-order set
Empiric therapy: Adherence to guidelines 52%* 84% (21/25)
Empiric Antibiotic Amoxicillin/clavulanate + azithromycin: 1/88 (1.1%) Amoxicillin/clavulanate: 1/25 (4%)
Amoxicillin/clavulanate: 3/88 (3.4%) Amoxicillin: 6/25 (24%)
Amoxicillin: 15/88 (17.2%) Azithromycin + Ceftriaxone: 1/25 (4%)
Ampicillin: 3/88 (3.4%) Azithromycin: 3/25 (12%)
Azithromycin + Ceftriaxone: 9/88 (10.3%) Cefpodoxime + azithromycin: 1/25 (4%)
Azithromycin: 1/88 (1.1%) Ceftriaxone: 6/25 (24%)
Cefpodoxime + Azithromycin: 1/88 (1.1%) Clindamycin: 1/25 (4%)
Ceftriaxone: 49/88 (56.3%)
Clindamycin: 1/88 (1.1%)
Levofloxacin: 1/88 (1.1%) (The 2 patients with penicillin allergy: 1 patient treated with ceftriaxone
and one with clindamycin)
Vancomycin + Ceftriaxone: 1/88 (1.1%)
Antimicrobial therapy duration (days) Mode: 10 Mode: 10
Mean: 8.34 Mean: 8.4
Chest radiograph results Atelectasis: 2.3% Atelectasis: 0%
Atypical + Other*: 4.4% Atypical + Other*: 16%
Atypical Pneumonia: 20.7% Atypical Pneumonia: 12%
Bacterial Pneumonia: 54% Bacterial Pneumonia: 20%
Effusions/Empyema: 1.1% Effusions/Empyema: 12%
No pneumonia: 2.3% No pneumonia: 8%
Radiograph not documented: 5% Radiograph not documented: 4%
Viral Pneumonia: 10.3% Viral Pneumonia: 24%
Bacterial + Atypical: 4%
Respiratory Viral Panel (RVP) conducted 57/88 (64.8%) 15/25 (60%)
Positive RVP 34/57 (59.7%) 9/15 (60%)
RVP results Adenovirus: 1/34 (2.9%) Corona 229E + Parainfluenza 1: 1/9 (11.1%)
Coronavirus: 1/34 (2.9%) Influenza B: 1/9 (11.1%)
Influenza A: 3/34 (8.8%) Metapneumovirus: 3/9 (33.3%)
Metapneumovirus: 4/34 (11.8%) Parainfluenza 3: 1/9 (11.1%)
Parainfluenza 1: 1/34 (2.9%) Rhino/enterovirus: 2/9 (22.2%)
Parainfluenza 3: 4/34 (11.8%) RSV: 1/9 (11.1%)
Rhino/enterovirus: 6/34 (17.7%)
RSV: 14/34 (41.2%)
Blood cultures 37/88 drawn (42%) 9/25 drawn (36%)
36 no growth 0 no growth
Length of stay (days) Mode: 1 Mode: 2
Range: < 1-15 Range: < 1-5
Mean: 2.6 Mean: 2.2
Readmissions 5/88 (5.7%) 1/25 (4%)
Development of pneumonia-associated complications 4/88 (4.4%) 3/25 (12%)
Discharge antibiotics No antibiotics: 15/88 (17%) No antibiotics: 2/25 (8.3%)
Amoxicillin: 24/88 (27.3%) Amoxicillin: 12/25 (50%)
Amoxicillin/clavulanate: 16/88 (18.2%) Amoxicillin/clavulanate: 2/25 (8.3%)
Amoxicillin + azithromycin: 3/88 (3.4%) Cefdinir + azithromycin: 1/25 (4.2%)
Augmentin + azithromycin: 2/88 (2.3%) Cefdinir: 2/25 (8.3%)
Cefdinir + Azithromycin: 1/88 (1.1%) Azithromycin: 4/25 (16.7%)
Cefacolor: 1/88 (1.1%) Clindamycin: 1/25 (4.2%)
2nd or 3rd generation cephalosporin: 17/88 (19.3%)
Azithromycin: 6/88 (6.8%)
Levofloxacin: 2/88 (2.3%)
Piperacillin/tazobactam: 1/88 (1.1%)
Clindamycin: 1/88 (1.1%)
*: Statistically adjusted for indeterminable adherence
therapy due to lack of immunization documentation
*: Other: Bacterial, effusions/empyemas, or atelectasis