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[抗生素在小儿急性鼻-鼻窦炎中的合理应用]

[Reasonable application of antibiotics in pediatric acute rhinosinusitis].

作者信息

Zhou Huiqin, Xu Yu

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):752-755. doi: 10.13201/j.issn.2096-7993.2021.08.017.

Abstract

The incidence of upper respiratory tract infection in children is extremely high, and some of them are prone to develop to acute rhinosinusitis. Antibiotics are the first-line medication to alleviate bacterial infections. However, due to the lack of practical and accurate objective indicators for the diagnosis of acute rhinosinusitis, it is difficult to distinguish the acute bacterial rhinosinusitis subgroup, leading to the overuse of antibiotics. In recent years, the form of antibiotic resistance has become more severe, and the application conditions of antibiotics have become more stringent. In addition, the physiological conditions of children are different from adults. Chinese and foreign studies are controversial about the rational application of antibiotics in children with acute rhinosinusitis. The relevant researches of antibiotic treatment in children with acute rhinosinusitis are now reviewed, with a view to providing clinical reference for the rational use of antibiotics in this group of people.

摘要

儿童上呼吸道感染的发病率极高,其中一些人容易发展为急性鼻窦炎。抗生素是缓解细菌感染的一线药物。然而,由于缺乏用于诊断急性鼻窦炎的实用且准确的客观指标,难以区分急性细菌性鼻窦炎亚组,导致抗生素的过度使用。近年来,抗生素耐药形式变得更加严峻,抗生素的应用条件也变得更加严格。此外,儿童的生理状况与成人不同。国内外对于急性鼻窦炎患儿抗生素的合理应用存在争议。现对急性鼻窦炎患儿抗生素治疗的相关研究进行综述,以期为该人群抗生素的合理使用提供临床参考。

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