Karageorgos Spyridon, Hibberd Owen, Mullally Patrick Joseph William, Segura-Retana Roberto, Soyer Shenelle, Hall Dani
Faculty of Medicine and Dentistry, Blizard Institute, Queen Mary University of London, London E1 2AT, UK.
First Department of Pediatrics, Aghia Sophia Children's Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Antibiotics (Basel). 2023 Jun 22;12(7):1092. doi: 10.3390/antibiotics12071092.
Antibiotics are one of the most prescribed medications in pediatric emergency departments. Antimicrobial stewardship programs assist in the reduction of antibiotic use in pediatric patients. However, the establishment of antimicrobial stewardship programs in pediatric EDs remains challenging. Recent studies provide evidence that common infectious diseases treated in the pediatric ED, including acute otitis media, tonsillitis, community-acquired pneumonia, preseptal cellulitis, and urinary-tract infections, can be treated with shorter antibiotic courses. Moreover, there is still controversy regarding the actual need for antibiotic treatment and the optimal dosing scheme for each infection.
抗生素是儿科急诊科最常开具的药物之一。抗菌药物管理计划有助于减少儿科患者的抗生素使用。然而，在儿科急诊科建立抗菌药物管理计划仍然具有挑战性。最近的研究表明，儿科急诊科治疗的常见传染病，包括急性中耳炎、扁桃体炎、社区获得性肺炎、眶隔前蜂窝织炎和尿路感染，可以采用更短疗程的抗生素治疗。此外，对于抗生素治疗的实际需求以及每种感染的最佳给药方案仍存在争议。
