Dietzsch H J
Kinderarztl Prax. 1979 Apr;47(4):175-8.
The formerly used long-term therapy with antibiotics in chronic bronchitis in adulthood has been nearly completely replaced by an intermittent treatment of the single attack. Therefore it seems necessary to check the appropriateness and the indications for an antibiotic long-term therapy in childhood. In the light of the greater importance of viral and bacteriological infections of the airways in children and in the light of the frequency of confirmed malformations of the tracheobronchial tree the further appropriateness for an antibiotic long-term therapy after a thorough bronchological examination is established. Also firstly established bronchiectases or severe cases of deforming bronchitis initially mostly require such a long-term treatment. Among the cases of a specialized dispensary care for chronic and recurrent bronchopulmonary diseases such an antibiotic long-term therapy is indicated in nearly 8 to 10 per cent of all patients.
过去在成人慢性支气管炎中使用的抗生素长期疗法几乎已完全被单次发作的间歇性治疗所取代。因此,似乎有必要检查儿童抗生素长期疗法的适用性和适应症。鉴于儿童气道病毒和细菌感染更为重要,且鉴于已确诊的气管支气管树畸形的发生率,在经过全面的支气管学检查后确定抗生素长期疗法的进一步适用性。同样,首先确诊的支气管扩张或严重变形性支气管炎病例最初大多需要这种长期治疗。在慢性和复发性支气管肺疾病的专科门诊护理病例中,所有患者中近8%至10%的病例需要这种抗生素长期治疗。