急性中耳炎和急性细菌性鼻窦炎的抗生素推荐：不再有难题。
Antibiotic Recommendations for Acute Otitis Media and Acute Bacterial Sinusitis: Conundrum No More.
机构信息
From the Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
出版信息
Pediatr Infect Dis J. 2018 Dec;37(12):1255-1257. doi: 10.1097/INF.0000000000002009.
Abstract
There has been a substantial change in the prevalence and microbiologic characteristics of cases of acute otitis media secondary to the widespread use of pneumococcal conjugate vaccines. Current trends in nasopharyngeal colonization and the microbiology of acute otitis media support a change in the recommendation for antibiotic management of acute otitis media and acute bacterial sinusitis in children.
摘要
由于肺炎球菌结合疫苗的广泛使用，急性中耳炎病例的流行和微生物特征发生了重大变化。目前鼻咽定植和急性中耳炎的微生物学趋势支持改变儿童急性中耳炎和急性细菌性鼻窦炎的抗生素管理建议。
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本文引用的文献
1
Dynamics of Bacterial Colonization With Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis During Symptomatic and Asymptomatic Viral Upper Respiratory Tract Infection.病毒引起的上呼吸道感染时及无症状期肺炎链球菌、流感嗜血杆菌和卡他莫拉菌的定植动力学。
Clin Infect Dis. 2018 Mar 19;66(7):1045-1053. doi: 10.1093/cid/cix941.
2
Immunization, Antibiotic Use, and Pneumococcal Colonization Over a 15-Year Period.15年期间的免疫接种、抗生素使用与肺炎球菌定植
Pediatrics. 2017 Nov;140(5). doi: 10.1542/peds.2017-0001. Epub 2017 Oct 4.
3
Epidemiology of Acute Otitis Media in the Postpneumococcal Conjugate Vaccine Era.肺炎球菌结合疫苗时代急性中耳炎的流行病学
Pediatrics. 2017 Sep;140(3). doi: 10.1542/peds.2017-0181. Epub 2017 Aug 7.
4
Nasopharyngeal microbiota in infants and changes during viral upper respiratory tract infection and acute otitis media.婴儿鼻咽部微生物群以及病毒引起的上呼吸道感染和急性中耳炎期间的变化。
PLoS One. 2017 Jul 14;12(7):e0180630. doi: 10.1371/journal.pone.0180630. eCollection 2017.
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Clin Infect Dis. 2017 Jun 15;64(suppl_3):S317-S327. doi: 10.1093/cid/cix100.
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Clin Infect Dis. 2016 Sep 1;63(5):611-8. doi: 10.1093/cid/ciw347. Epub 2016 May 25.
10
Clinical Features, Virus Identification, and Sinusitis as a Complication of Upper Respiratory Tract Illness in Children Ages 4-7 Years.4至7岁儿童上呼吸道疾病的临床特征、病毒鉴定及鼻窦炎作为并发症的情况
J Pediatr. 2016 Apr;171:133-9.e1. doi: 10.1016/j.jpeds.2015.12.034. Epub 2016 Jan 16.
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