Medical Professional Publications

Medical Staff Communications Corner

(From the August 2016 Issue of MedStat)

Bi-Directional PDC Trial Began July 13
Many of you are aware that we are starting to use Physician Direct Connect (PDC) in reverse, allowing a Nationwide Children’s specialist to quickly reach a community pediatrician or family practitioner. Several physicians from Hospital Pediatrics, Infectious Disease and Neonatology are testing the system to assess its functionality and identify any concerns. We ask that each community physician review his/her office protocol so that the system can run efficiently. Presently, we have received backline information for more than 450 community physicians. We continue to collect this data, and look forward to including all physicians who refer to Nationwide Children’s. If you have any questions, please contact Rob Snyder at Rob.Snyder@NationwideChildrens.org.

QI Initiative to Treat UTIs
There is a new quality improvement initiative to treat patients seen by Nationwide Children's off-campus urgent care network for urinary tract infections. Based on a review of current literature and local urgent care data, the UC UTI Empiric Therapy QI Team has made treatment recommendations that optimize therapy for uncomplicated bacterial cystitis and improve antimicrobial stewardship.

For children ages 3-18 years with suspected uncomplicated bacterial cystitis, clinicians will use the following treatment recommendations for preferred antibiotics and duration:

  • Children ages 3-11 years: Cephalexin – Therapy duration 5 days            
  • Children ages 12 -18 years and can swallow a capsule: Nitrofurantoin macrocystal/monohydrate (Macrobid) – Therapy duration 5 days

If you have any questions or concerns about the management of UTI in patients in Nationwide Children’s off-campus urgent care centers, please contact the QI team leaders Jimisha Patel (Urgent Care) at Jimisha.Patel@NationwideChildrens.org or Josh Watson (Infectious Diseases) at Joshua.Watson@NationwideChildrens.org.

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Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000