NETsELESOOBRAZNOST' NAZNAChENIYa ANTIBIOTIKOV PRI BRONKhIOLITE I OBSTRUKTIVNOM BRONKhITE U DETEY RANNEGO VOZRASTA


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

The article considers the problem of unnecessary antibacterial treatment for acute respiratory viral infections of lower respiratory tract in children. The medical records of 148 children aged up to 2 years admitted to a twenty-four-hour hospital for acute bronchiolitis or obstructive bronchitis in 2009-2011 were retrospectively analyzed. The frequency of antibiotic therapy and indications for its use in these children were evaluated. The course of disease was analyzed for 54 children aged up to 12 months who not received antibiotics in the prehospital stage. Of these, 12 (22 %) children received antibiotics for the treatment of concomitant bacterial infections during hospital stay, and 42 (78 %) - received no antibiotics, as they had no signs of bacterial inflammation. The absence of effect of antibiotic therapy on the course of acute bronchiolitis and obstructive bronchitis is demonstrated.

Texto integral

Acesso é fechado

Sobre autores

Yuliya Patrusheva

Email: jupatr@gmail.com

Bibliografia

  1. American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics 2006; 118(4): 1774-93.
  2. Pediatric Respiratory Medicine. Lynn M. Taussig, Louis I. Landau, ed. Elsevier Health Sciences, 2nd ed. Philadelphia, 2008.
  3. Meissner H.C. Selected populations at increased risk from respiratory syncytial virus infection. Pediatr Infect Dis J 2003; 22(21): 40-5.
  4. Tatochenko V., Uchaikin V., Gorelov A., et al. Epidemiology of respiratory syncytial virus in children № 2 years of age hospitalized with lower respiratory tract infections in the Russian Federation: a prospective, multicenter study. Clin Epidemiol 2010; 21(2): 221-27.
  5. Жукова О.В., Кононова С.В., Конышкина Т.М. Терапевтическая и экономическая целесообразность использования антибиотиков при лечении острого обструктивного бронхита у детей в условиях стационара // Проблемы управления здравоохранением 2011. № 5. С. 76-9.
  6. La Via W.V., Marks M.I., Stutman H.R. Respiratory syncytial virus puzzle: clinical features, pathophysiology, treatment, and prevention. J Pediatr 1992; 121(4): 503-10.
  7. Putto A., Ruuskanen O., Meurman O. Fever in respiratory virus infections. Am J Dis Child 1986; 140(11): 1159-63.
  8. Nichol K.P., Cherry J.D. Bacterial-viral interrelations in respiratory infections of children. N Engl J Med 1967; 277(13): 667-72.
  9. Field C.M., Connolly J.H., Murtagh G., et al. Antibiotic treatment of epidemic bronchiolitis-a double-blind trial. BMJ 1966; 1(5479): 83-5.
  10. Friis B., Andersen P., Brenoe E., et al. Antibiotic treatment of pneumonia and bronchiolitis. A prospective randomised study. Arch Dis Child 1984; 59(11): 1038-45.
  11. Liebelt E.L., Qi K., Harvey K. Diagnostic testing for serious bacterial infections in infants aged 90 days or younger with bronchiolitis. Arch Pediatr Adolesc Med 1999; 153(5): 525-30.
  12. Antonow J.A., Hansen K., McKinstry C.A., Byington C.L. Sepsis evaluations in hospitalized infants with bronchiolitis. Pediatr Infect Dis J 1998; 17(3): 231-36.
  13. Greenes D.S., Harper M.B. Low risk of bacteremia in febrile children with recognizable viral syndromes. Pediatr Infect Dis J 1999; 18(3): 258-61.
  14. Purcell K., Fergie J. Concurrent serious bacterial infections in 2396 infants and children hospitalized with respiratory syncytial virus lower respiratory tract infections. Arch Pediatr Adolesc Med 2002; 156: 322-24.
  15. Purcell K., Fergie J. Concurrent serious bacterial infections in 912 infants and children hospitalized for treatment of respiratory syncytial virus lower respiratory tract infection. Pediatr Infect Dis J 2004; 23(3): 267-69.
  16. Titus M.O., Wright S.W. Prevalence of serious bacterial infections in febrile infants with respiratory syncytial virus infection. Pediatrics 2003; 112(2): 282-84.
  17. Melendez E., Harper M.B. Utility of sepsis evaluation in infants 90 days of age or younger with fever and clinical bronchiolitis. Pediatr Infect Dis J 2003; 22(12): 1053-56.
  18. Kuppermann N., Bank D.E., Walton E.A., et al. Risks for bacteremia and urinary tract infections in young febrile children with bronchiolitis. Arch Pediatr Adolesc Med 1997; 151(12): 1207-14.
  19. Levine D.A., Platt S.L., Dayan P.S., et al.; Multicenter RSV-SBI Study Group of the Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics. Risk of serious bacterial infection in young febrile infants with respiratory syncytial virus infections. Pediatrics 2004; 113(6): 1728-34.
  20. Hall C.B., Powell K.R., Schnabel K.C., et al. Risk of secondary bacterial infection in infants hospitalized with respiratory syncytial viral infection. J Pediatr 1988; 113(2): 266-71.
  21. Yarden-Bilavsky H., Ashkenazi-Hoffnung L., Livni G., et al. Month-by-month age analysis of the risk for serious bacterial infections in febrile infants with bronchiolitis. Clin Pediatr (Phila) 2011; 50(11): 1052-56.
  22. Bilavsky E., Shouval D.S., Yarden-Bilavsky H., et al. A prospective study of the risk for serious bacterial infections in hospitalized febrile infants with or without bronchiolitis. Pediatr Infect Dis J 2008; 27: 269-70.
  23. Бакрадзе М.Д. Новые лечебно-диагностические и организационные технологии ведения детей с острыми лихорадочными заболеваниями. Диc.. канд. мед. наук. М., 2009.
  24. Davies H.D., Matlow A., Petric M., Glazier R., Wang E.E. Prospective comparative study of viral, bacterial and atypical organisms identified in pneumonia and bronchiolitis in hospitalized Canadian infants. Pediatr Infect Dis J 1996; 15(4): 371-75.
  25. Hall C.B. Respiratory syncytial virus: A continuing culprit and conundrum. J Pediatr 1999; 135(2 Pt 2): 2-7.
  26. El-Radhi A.S., Barry W., Patel S. Association of fever and severe clinical course in bronchiolitis. Arch Dis Child 1999; 81(3): 231-34.
  27. Andrade M.A., Hoberman A., Glustein J., Paradise J.L., Wald E.R. Acute otitis media in children with bronchiolitis. Pediatrics 1998; 101(4 Pt 1): 617-19.
  28. Shazberg G., Revel-Vilk S., Shoseyov D., et al. The clinical course of bronchiolitis associated with acute otitis media. Arch Dis Child 2000; 83(4): 317-19.
  29. American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics 2004; 113(5): 1451-65.
  30. Brand P.L., Vaessen-Verberne A.A. Differences in management of bronchiolitis between hospitals in The Netherlands. Dutch Paediatric Respiratory Society. Eur J Pediatr 2000; 159(5): 343-47.
  31. Trautner B.W., Caviness A.C., Gerlacher G.R., et al. Prospective evaluation of the risk of serious bacterial infection in children who present to the emergency department with hyperpyrexia (temperature of 106 degrees F or higher). Pediatrics 2006; 118(1): 34-40.
  32. Purcell K., Fergie J. Lack of usefulness of an abnormal white blood cell count for predicting a concurrent serious bacterial infection in infants and young children hospitalized with respiratory syncytial virus lower respiratory tract infection. Pediatr Infect Dis J 2007; 26(4): 311-15.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies