Delayed Medication of Antibiotics for Children with Respiratory Infections

A. López
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Abstract

Preschoolers experience regular illness because of infections, which results in more trips to basic care than any other age group. The most common reason pediatricians visit the hospital is for respiratory tract illnesses (RTIs). Antibiotics are frequently recommended for RTIs even though they are typically self-limited and unlikely to alter the course of the disease [1]. Antibiotic use raises the likelihood that patients will experience adverse events and that they will seek counsel in the event of recurrent episodes. The limited diagnostic tools used in basic care frequently result in ambiguous diagnoses and incidents of improper antibiotic prescribing [2]. Moreover, antibiotics are provided in order to avoid complications or to satisfy parental expectations if symptoms continue. Some clinical practice guidelines advise DAP (Delayed Antibiotic Prescription) if the need for antibiotics is suspected. The scientific proof on the use of DAP in young kids is limited, with research studies only in the United States England and Jordan [3]. This occurs in some RTI infections, conjunctivitis, and urinary tract infections. Implications of the DAP method in wealthy nations with increased revenue. Antibiotic usage is unknown, as it is in southern Europe. Hence, in order to compare the effectiveness of DAP to that of IAP (Immediate Antibiotic Prescription) and NAP (No Antibiotic Prescription), we carried out a randomized trial.
呼吸道感染儿童延迟使用抗生素
学龄前儿童经常因感染而生病,这导致他们比任何其他年龄组更常去接受基本护理。儿科医生去医院最常见的原因是呼吸道疾病(RTIs)。抗生素经常被推荐用于RTIs,即使它们通常是自限性的,不太可能改变疾病的进程[1]。抗生素的使用增加了患者出现不良事件的可能性,如果复发,他们将寻求咨询。基础护理中使用的有限诊断工具经常导致诊断不明确和抗生素处方不当的事件[2]。此外,如果症状持续,提供抗生素是为了避免并发症或满足父母的期望。一些临床实践指南建议,如果怀疑需要抗生素,应采取延迟抗生素处方(DAP)。关于在幼儿中使用DAP的科学证据有限,仅在美国、英国和约旦有研究[3]。这发生在一些呼吸道感染、结膜炎和尿路感染中。DAP方法对收入增加的富裕国家的影响。与南欧一样,抗生素的使用情况不详。因此,为了比较DAP与IAP(即刻抗生素处方)和NAP(无抗生素处方)的有效性,我们进行了一项随机试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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