儿科社区获得的非复杂肺炎的短期治疗:这是可以做到的!

A. Troisi, Alessandra Iacono, F. Marchetti
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摘要

该论文报告了2022年11月发表在《美国医学会儿科学》杂志上的一项系统综述和荟萃分析的结果,该分析比较了使用相同口服抗生素治疗非严重社区获得性肺炎(CAP)的短期治疗和长期治疗。结果表明,在2至59个月的儿童中,短周期与长周期的差异并不明显。此外,短期抗生素治疗可提高依从性,减少不良反应和药物费用,并减少护理人员缺勤。儿科医生应考虑到目前可获得的几项随机临床试验的结果,对非严重CAP开具5天阿莫西林抗生素治疗处方(90mg /kg/天,分3次给药)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Terapia breve per la polmonite non complicata acquisita in comunità in età pediatrica: si può fare!
The paper reports the results published in the journal JAMA Pediatrics in November 2022 of a systematic review and meta-analysis comparing brief therapy and prolonged therapy for the treatment of non-severe community-acquired pneumonia (CAP) with the same oral antibiotic. The results suggest the non-inferiority of a short versus a long cycle in children aged 2 to 59 months. In addition, short-term antibiotic therapy improves adherence, reduces adverse effects and drug costs, and reduces caregiver work absenteeism. Paediatricians should prescribe 5 days of antibiotic therapy with amoxicillin (90 mg/kg/day in 3 doses) for non-severe CAP, taking into account the results of several randomized clinical trials that are now available.
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