A survey of current management practices for delayed maculopapular exanthemas during antibiotic treatment among primary care pediatricians.

IF 3.1 3区医学 Q1 PEDIATRICS

Italian Journal of Pediatrics Pub Date : 2025-08-27 DOI:10.1186/s13052-025-02106-4

Lucia Liotti, Annamaria Bianchi, Giuseppe Crisafulli, Silvia Caimmi, Paolo Bottau, Fabrizio Franceschini, Rocco Luigi Valluzzi, Sara Riscassi, Francesca Saretta, Michele Miraglia Del Giudice, Carlo Caffarelli, Francesca Mori

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Abstract

Background: Several guidelines recommended how to manage delayed maculopapular exanthemas during antibiotic treatment. The aim of the present survey was to assess knowledge gaps of primary care pediatricians in managing children with delayed maculopapular exanthemas during a course of antibiotics.

Methods: We conducted an online survey among primary care pediatricians in Italy, focusing on the management of children with maculopapular exanthemas occurring during antibiotic administration.

Results: We found that 41% of pediatricians continued with the same antibiotic after the onset of mild to moderate maculopapular exanthemas. Additionally, only 25% took pictures of the skin manifestations during the acute phase, and 66% recorded the latency of the reaction.

Conclusions: Primary care management of children with suspected antibiotic induced maculopapular exanthemas is heterogeneous. Primary care physicians and allergists need to share common decisions and protocols to avoid mislabelling children as allergic to antibiotics.

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在初级保健儿科医生抗生素治疗期间延迟性黄斑丘疹的当前管理实践的调查。

背景：一些指南推荐了抗生素治疗期间如何处理延迟性黄斑丘疹。本调查的目的是评估初级保健儿科医生在抗生素治疗过程中管理延迟性黄斑丘疹儿童的知识差距。方法：我们在意大利的初级保健儿科医生中进行了一项在线调查，重点关注抗生素使用期间发生的黄斑丘疹儿童的管理。结果：我们发现41%的儿科医生在轻度至中度黄斑丘疹发病后继续使用相同的抗生素。此外，只有25%的人在急性期拍摄了皮肤表现，66%的人记录了反应的潜伏期。结论：疑似抗生素性黄斑丘疹患儿的初级保健管理存在差异。初级保健医生和过敏症专家需要分享共同的决定和方案，以避免错误地将儿童贴上对抗生素过敏的标签。

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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来源期刊

Italian Journal of Pediatrics PEDIATRICS-

CiteScore

6.10

自引率

13.90%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues. The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field. Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.