An antibiogram is a report that shows how susceptible strains of pathogens are to a variety of antibiotics in a given location.
It can help when creating local clinical protocols (e.g, what is the best treatment for urinary infections in our system) and also to get an idea of how likely the current regimen will be successful while you are waiting for full susceptibilties of an identified organism.
Finally, it can identify antibiotic resistance trends within a geographic area.
An antibiogram is not useful once full susceptibilities come back for a definitive pathogen. In that case, you should use susceptibilities of the pathogen of interest in that particular patient.
An antibiotic is a double-edged sword. With the benefits comes costs:
Resistance (both for an individual patient and society)
Disruption of pediatric microbiome
Allergic or perceived allergic reaction
C. difficile colitis (which can occur up to 90 days after treatment)
Cost, discomfort to patient
Prescribing is influenced by others
Prescribing antibiotics is often the path of least resistance
Fatigue can often lead to inappropriate prescribing
If you think a family wants antibiotics, you are more likely to prescribe them.
The Pediatric Healthcare Improvement Coalition of Georgia (PHIC) is a statewide network of the five (5) children’s hospital systems united to improve health outcomes for children and sustain quality pediatric care in Georgia.