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Peter Salama says high rates in children might be due to facility types.
Experts found 23.2% of antibiotics were inappropriate, but many other prescriptions fell in gray areas.
Oral antibiotic prescribing by dermatologists fell 37% from 2008 through 2016, but use in some areas rose.
The new cases and 6 new deaths bring the outbreak total to 658 and the fatality count to 402, with 200 cases still being investigated.
The review recommends categorizing patients into low-, medium-, and high-risk.
About 400 staffers have returned from furlough, 150 of them for food inspections.
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