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Shorter versus longer duration antibiotic regimens for treatment of culture-positive neonatal sepsis.短疗程与长疗程抗生素治疗阳性培养新生儿败血症的比较。
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本文引用的文献

1
Epidemiology of infections and antimicrobial use in Greek Neonatal Units.希腊新生儿单位感染和抗菌药物使用的流行病学。
Arch Dis Child Fetal Neonatal Ed. 2019 May;104(3):F293-F297. doi: 10.1136/archdischild-2018-315024. Epub 2018 Jun 28.
2
Procalcitonin use for shorter courses of antibiotic therapy in suspected early-onset neonatal sepsis: are we getting there?降钙素原用于疑似早发型新生儿败血症的短疗程抗生素治疗:我们正在实现这一目标吗?
J Thorac Dis. 2017 Dec;9(12):4899-4902. doi: 10.21037/jtd.2017.11.80.
3
Procalcitonin-guided decision making for duration of antibiotic therapy in neonates with suspected early-onset sepsis: a multicentre, randomised controlled trial (NeoPIns).降钙素原指导疑似早发型败血症新生儿抗生素治疗时间决策的多中心随机对照试验(NeoPIns)。
Lancet. 2017 Aug 26;390(10097):871-881. doi: 10.1016/S0140-6736(17)31444-7. Epub 2017 Jul 12.
4
Conventional Versus Prolonged Infusion of Meropenem in Neonates With Gram-negative Late-onset Sepsis: A Randomized Controlled Trial.美罗培南常规输注与延长输注治疗新生儿革兰阴性菌迟发性败血症的随机对照试验
Pediatr Infect Dis J. 2017 Apr;36(4):358-363. doi: 10.1097/INF.0000000000001445.
5
Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America.《念珠菌病管理临床实践指南:美国传染病学会2016年更新版》
Clin Infect Dis. 2016 Feb 15;62(4):e1-50. doi: 10.1093/cid/civ933. Epub 2015 Dec 16.
6
Variation in paediatric hospital antibiotic guidelines in Europe.欧洲儿童医院抗生素指南的差异。
Arch Dis Child. 2016 Jan;101(1):72-6. doi: 10.1136/archdischild-2015-308255. Epub 2015 Sep 28.
7
Australia-wide Point Prevalence Survey of Antimicrobial Prescribing in Neonatal Units: How Much and How Good?澳大利亚新生儿病房抗菌药物处方全国性现况调查:用量多少及质量如何?
Pediatr Infect Dis J. 2015 Aug;34(8):e185-90. doi: 10.1097/INF.0000000000000719.
8
Comparative effectiveness of beta-lactams versus vancomycin for treatment of methicillin-susceptible Staphylococcus aureus bloodstream infections among 122 hospitals.β-内酰胺类药物与万古霉素治疗 122 家医院耐甲氧西林金黄色葡萄球菌血流感染的疗效比较。
Clin Infect Dis. 2015 Aug 1;61(3):361-7. doi: 10.1093/cid/civ308. Epub 2015 Apr 21.
9
Antimicrobial therapy in neonatal intensive care unit.新生儿重症监护病房的抗菌治疗
Ital J Pediatr. 2015 Apr 1;41:27. doi: 10.1186/s13052-015-0117-7.
10
Antibiotic stewardship: reassessment of guidelines for management of neonatal sepsis.抗生素管理:新生儿败血症管理指南的重新评估
Clin Perinatol. 2015 Mar;42(1):195-206, x. doi: 10.1016/j.clp.2014.10.007. Epub 2014 Nov 28.

新生儿重症监护病房的抗菌药物管理:最新进展

Antimicrobial Stewardship in the Neonatal Intensive Care Unit: An Update.

作者信息

Gkentzi Despoina, Dimitriou Gabriel

机构信息

Department of Paediatrics, Patras Medical School, Patras, Greece.

出版信息

Curr Pediatr Rev. 2019;15(1):47-52. doi: 10.2174/1573396315666190118101953.

DOI:10.2174/1573396315666190118101953
PMID:30657041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6696821/
Abstract

Neonates represent a vulnerable population for infections and neonatal sepsis is a major cause of mortality and morbidity worldwide. Therefore, antimicrobials are the most commonly prescribed drugs in the Neonatal Intensive Care Unit Setting but unfortunately are quite often used inappropriately with various short and long-term effects. The rational use of antimicrobials is of paramount importance in this population and structured antimicrobial stewardship interventions should be in place. These interventions are slightly different from those used in adults and older children due to the particularities of the neonatal medicine. The aim of this review is to provide an update in the field and identify areas for further consideration and future research.

摘要

新生儿是易受感染的群体,新生儿败血症是全球范围内死亡和发病的主要原因。因此,抗菌药物是新生儿重症监护病房最常用的处方药物,但不幸的是,它们经常被不恰当地使用,并产生各种短期和长期影响。合理使用抗菌药物在这一人群中至关重要,应实施结构化的抗菌药物管理干预措施。由于新生儿医学的特殊性,这些干预措施与成人和大龄儿童使用的措施略有不同。本综述的目的是提供该领域的最新情况,并确定需要进一步考虑和未来研究的领域。