预防和治疗无脾或脾功能减退儿童的感染。
Preventing and treating infections in children with asplenia or hyposplenia.
作者信息
Salvadori Marina I, Price Victoria E
出版信息
Paediatr Child Health. 2014 May;19(5):271-8.
Abstract
Children with asplenia or hyposplenia are at risk of developing overwhelming sepsis. Health care providers caring for children with asplenia should ensure the best outcomes by using preventive strategies that focus on parent and patient education, immunization, antibiotic prophylaxis and aggressive management of suspected infection. The present position statement offers current guidance on each of these issues and replaces a previous CPS statement, 'Prevention and therapy of bacterial infections for children with asplenia or hyposplenia', published in 1999.
摘要
无脾或脾功能减退的儿童有发生暴发性败血症的风险。照顾无脾儿童的医护人员应通过采用侧重于家长和患者教育、免疫接种、抗生素预防以及对疑似感染进行积极管理的预防策略，确保获得最佳治疗效果。本立场声明就上述每个问题提供了当前指导意见，并取代了加拿大儿科学会1999年发表的前一份声明《无脾或脾功能减退儿童细菌感染的预防和治疗》。
相似文献
1
Preventing and treating infections in children with asplenia or hyposplenia.
Paediatr Child Health. 2014 May;19(5):271-8.
2
The prevention and management of infections in children with asplenia or hyposplenia.
Infect Dis Clin North Am. 2007 Sep;21(3):697-710, viii-ix. doi: 10.1016/j.idc.2007.07.002.
3
Prevention and therapy of bacterial infections for children with asplenia or hyposplenia.
Paediatr Child Health. 1999 Sep;4(6):417-31. doi: 10.1093/pch/4.6.417.
4
Splenic function: physiology and splenic hypofunction.
Crit Rev Oncol Hematol. 1987;7(1):1-36. doi: 10.1016/s1040-8428(87)80012-4.
5
Preventing infections in children and adults with asplenia.
Hematology Am Soc Hematol Educ Program. 2020 Dec 4;2020(1):328-335. doi: 10.1182/hematology.2020000117.
6
Pneumococcal purpura fulminans in asplenic or hyposplenic patients: a French multicenter exposed-unexposed retrospective cohort study.
Crit Care. 2020 Feb 26;24(1):68. doi: 10.1186/s13054-020-2769-y.
7
[Children with asplenia or hyposplenia: Preventing overwhelming post splenectomy infection].
Rev Chilena Infectol. 2014 Feb;31(1):66-72. doi: 10.4067/S0716-10182014000100010.
8
Prevention of life-threatening infections due to encapsulated bacteria in children with hyposplenia or asplenia: a brief review of current recommendations for practical purposes.
Eur J Haematol. 2003 Nov;71(5):319-26. doi: 10.1034/j.1600-0609.2003.00158.x.
9
The prevention and treatment of bacterial infections in children with asplenia or hyposplenia: practice considerations at the Hospital for Sick Children, Toronto.
Pediatr Blood Cancer. 2006 May 1;46(5):597-603. doi: 10.1002/pbc.20477.
10
Spleen Australia guidelines for the prevention of sepsis in patients with asplenia and hyposplenism in Australia and New Zealand.
Intern Med J. 2017 Aug;47(8):848-855. doi: 10.1111/imj.13348.
引用本文的文献
1
Treatment of blunt splenic injury in children in China.
Front Surg. 2024 Dec 3;11:1502557. doi: 10.3389/fsurg.2024.1502557. eCollection 2024.
2
The Successful Management of Gangrenous Pneumococcal Infection in an Infant With Polysplenia Syndrome.
Cureus. 2023 Jul 5;15(7):e41390. doi: 10.7759/cureus.41390. eCollection 2023 Jul.
3
Acute complications in children with sickle cell disease: Prevention and management.
Paediatr Child Health. 2022 Mar 7;27(1):50-62. doi: 10.1093/pch/pxab096. eCollection 2022 Mar.
4
Role of Partial Splenectomy in Hematologic Childhood Disorders.
Pathogens. 2021 Nov 5;10(11):1436. doi: 10.3390/pathogens10111436.
5
Recommendations of the Italian society for infectious and tropical diseases (SIMIT) for adult vaccinations.
Hum Vaccin Immunother. 2021 Nov 2;17(11):4265-4282. doi: 10.1080/21645515.2021.1971473. Epub 2021 Sep 15.
6
Prescribing patterns and drug-related problems (DRPs) in transfusion-dependent paediatric thalassemia patients: A prospective interventional study from a tertiary care hospital in India.
Int J Pediatr Adolesc Med. 2021 Mar;8(1):35-38. doi: 10.1016/j.ijpam.2020.01.001. Epub 2020 Jan 7.
7
The development of a quality improvement project to improve infection prevention and management in patients with asplenia or hyposplenia.
BMJ Open Qual. 2020 Aug;9(3). doi: 10.1136/bmjoq-2019-000770.
8
Late Infection-Related Mortality in Asplenic Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study.
J Clin Oncol. 2018 Jun 1;36(16):1571-1578. doi: 10.1200/JCO.2017.76.1643. Epub 2018 Apr 17.
9
Splenic trauma: WSES classification and guidelines for adult and pediatric patients.
World J Emerg Surg. 2017 Aug 18;12:40. doi: 10.1186/s13017-017-0151-4. eCollection 2017.
10
A fatal case of pneumococcal sepsis years after splenectomy.
CMAJ. 2017 Jun 12;189(23):E800-E802. doi: 10.1503/cmaj.160455.
本文引用的文献
1
Canadian recommendations for the prevention and treatment of malaria among international travellers--2009.
Can Commun Dis Rep. 2009 Jul;35 Suppl 1:1-82.
2
Persistent and relapsing babesiosis in immunocompromised patients.
Clin Infect Dis. 2008 Feb 1;46(3):370-6. doi: 10.1086/525852.
3
The prevention and management of infections in children with asplenia or hyposplenia.
Infect Dis Clin North Am. 2007 Sep;21(3):697-710, viii-ix. doi: 10.1016/j.idc.2007.07.002.
4
Combined schedules of pneumococcal conjugate and polysaccharide vaccines: is hyporesponsiveness an issue?
Lancet Infect Dis. 2007 Sep;7(9):597-606. doi: 10.1016/S1473-3099(07)70210-4.
5
Falciparum malaria after splenectomy: a prospective controlled study of 33 previously splenectomized Malawian adults.
Trans R Soc Trop Med Hyg. 2005 Nov;99(11):861-7. doi: 10.1016/j.trstmh.2005.03.008.
6
Update of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen.
Clin Med (Lond). 2002 Sep-Oct;2(5):440-3. doi: 10.7861/clinmedicine.2-5-440.
7
Risk of infection and death among post-splenectomy patients.
J Infect. 2001 Oct;43(3):182-6. doi: 10.1053/jinf.2001.0904.
8
Immune responses of splenectomized trauma patients to the 23-valent pneumococcal polysaccharide vaccine at 1 versus 7 versus 14 days after splenectomy.
J Trauma. 1998 May;44(5):760-5; discussion 765-6. doi: 10.1097/00005373-199805000-00004.
9
Capnocytophaga canimorsus infections in human: review of the literature and cases report.
Eur J Epidemiol. 1996 Oct;12(5):521-33. doi: 10.1007/BF00144007.
10
Postsplenectomy sepsis.
Perspect Pediatr Pathol. 1973;1:285-311.
Zotero 插件