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.预防和治疗无脾或脾功能减退儿童的感染。
Paediatr Child Health. 2014 May;19(5):271-8.
2
The prevention and management of infections in children with asplenia or hyposplenia.无脾或脾功能减退儿童感染的预防与管理
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.无脾或脾功能减退儿童细菌感染的预防与治疗。
Paediatr Child Health. 1999 Sep;4(6):417-31. doi: 10.1093/pch/4.6.417.
4
Splenic function: physiology and splenic hypofunction.脾脏功能：生理学与脾功能减退
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.预防无脾儿童和成人的感染。
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.无脾或脾功能减退患者的暴发性肺炎球菌紫癜：一项法国多中心暴露-未暴露回顾性队列研究。
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].[无脾或脾功能减退儿童：预防脾切除术后暴发性感染]
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.脾功能减退或无脾儿童中预防由包膜细菌引起的危及生命的感染：基于实际目的对当前建议的简要综述
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.无脾或脾功能减退儿童细菌感染的预防与治疗：多伦多病童医院的实践考量
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.澳大利亚脾脏协会关于澳大利亚和新西兰无脾及脾功能减退患者败血症预防的指南。
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.中国儿童钝性脾损伤的治疗
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.多脾综合征婴儿坏疽性肺炎球菌感染的成功管理
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.镰状细胞病患儿的急性并发症：预防与管理
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.部分脾切除术在儿童血液系统疾病中的作用
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.意大利传染病和热带病学会（SIMIT）关于成人疫苗接种的建议。
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.输血依赖型小儿地中海贫血患者的用药模式及药物相关问题：来自印度一家三级护理医院的前瞻性干预研究。
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.开展一项质量改进项目，以改善无脾或脾功能低下患者的感染预防和管理。
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.非脾脏切除的儿童癌症幸存者的迟发性感染相关死亡率：来自儿童癌症幸存者研究的报告。
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.脾脏创伤：WSES 分类和成人及儿童患者治疗指南。
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.脾切除术后数年发生的一例致命性肺炎球菌败血症病例。
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.《2009年加拿大国际旅行者疟疾预防与治疗建议》
Can Commun Dis Rep. 2009 Jul;35 Suppl 1:1-82.
2
Persistent and relapsing babesiosis in immunocompromised patients.免疫功能低下患者的持续性和复发性巴贝斯虫病。
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.无脾或脾功能减退儿童感染的预防与管理
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?肺炎球菌结合疫苗和多糖疫苗的联合接种程序：低反应性是一个问题吗？
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.脾切除术后的恶性疟：对33名先前已接受脾切除术的马拉维成年人进行的前瞻性对照研究。
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.无脾或脾功能不全患者感染预防与治疗指南的更新
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.脾切除术后患者的感染和死亡风险。
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.人感染犬咬二氧化碳嗜纤维菌：文献综述与病例报告
Eur J Epidemiol. 1996 Oct;12(5):521-33. doi: 10.1007/BF00144007.
10
Postsplenectomy sepsis.脾切除术后脓毒症
Perspect Pediatr Pathol. 1973;1:285-311.
Zotero 插件