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[Treatment of serious infectious diseases in children]
Lars Krogvold1, Karl-Olaf Wathne
1Seksjon for infeksjonssykdommer, Barnemedisinsk avdeling, Ullevål universitetssykehus, Oslo. lars.krogvold@ulleval.no
Insights
New guidelines for treating serious pediatric infections propose once-daily aminoglycosides and higher aciclovir doses for herpes simplex encephalitis, promoting antibiotic resistance prevention.
Area of Science:
- Pediatric Infectious Diseases
- Pharmacology
- Antimicrobial Stewardship
Context:
- Serious systemic infections pose significant challenges in pediatric care.
- Effective treatment guidelines are crucial for managing pediatric infections.
- Antibiotic resistance is a growing global health concern.
Purpose:
- To propose updated treatment guidelines for serious pediatric infectious diseases.
- To recommend specific dosage adjustments for key antimicrobial agents.
- To advocate for a conservative antibiotic policy to combat resistance.
Summary:
- Guidelines suggest once-daily dosing for aminoglycosides in pediatric patients.
- Increased dosage of aciclovir is recommended for treating herpes simplex encephalitis.
- The proposals aim to optimize treatment while minimizing resistance development.
Impact:
- Potential to improve treatment efficacy for serious pediatric infections.
- Contributes to a more sustainable and environmentally conscious antibiotic strategy.
- Supports global efforts in antimicrobial stewardship and resistance prevention.
Background:
Serious systemic infections represent a major challenge to all paediatric departments, hence the importance of having treatment guidelines available.
Materials And Methods:
Based on a review of the literature and a meeting of Norwegian paediatricians with an interest in the field, guidelines for the treatment of serious infectious diseases are proposed.
Results:
The two main new proposals include once daily dosage of aminoglycosides and increased dosage of aciclovir in the treatment of herpes simplex encephalitis.
Interpretation:
The main objective of the meeting was to maintain a conservative and environmental-friendly antibiotics policy in order to contribute to the prevention of antibiotic resistance.
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