Gordon P
Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson.
Postgrad Med. 1991 Jul;90(1):87-90. doi: 10.1080/00325481.1991.11700981.
Several studies now support outpatient treatment of many serious bacterial infections in children, such as periorbital or buccal cellulitis, urinary tract infection, pneumonia, and abscess. However, an appropriate agent, that is, a third-generation cephalosporin with a long half-life, must be available and its effectiveness properly researched. In addition, children must be free of other illnesses and able to ingest fluids and maintain hydration, and their parents must be willing and able to cooperate with an outpatient treatment regimen. Family physicians can maintain the close patient and family contact needed to facilitate this form of therapy.
目前有多项研究支持对儿童的多种严重细菌感染进行门诊治疗，如眶周或颊部蜂窝织炎、尿路感染、肺炎及脓肿。然而，必须有合适的药物，即半衰期长的第三代头孢菌素，且其有效性需经过充分研究。此外，儿童必须没有其他疾病，能够摄入液体并保持水合状态，其父母必须愿意并能够配合门诊治疗方案。家庭医生可以保持与患者及其家庭密切联系，以促进这种治疗方式。
