[EXPERIENCE OF THE RATIONAL ANTIBACTERIAL THERAPY CONDUCTION IN TREATMENT OF CHILDREN FOR THE BURN TRAUMA]
Insights
Rational antibacterial therapy in pediatric burn trauma patients is crucial. Probiotics effectively prevented antibiotic-associated diarrhea, a common complication.
Area of Science:
- Pediatric Burn Care
- Infectious Disease Management
- Pharmacology
Context:
- Analysis of 808 pediatric burn trauma cases treated in a specialized hospital.
- Antibacterial therapy was administered to 40.3% of patients.
- Empirical antibiotic selection considered departmental bacteriology and patient premorbidity.
Purpose:
- To analyze the principles of rational antibacterial therapy in pediatric burn trauma.
- To evaluate the efficacy of probiotics in preventing antibiotic-associated diarrhea.
- To identify effective strategies for managing complications of antibacterial therapy in pediatric burn patients.
Summary:
- 808 pediatric burn trauma patients were studied, with 40.3% receiving antibacterial therapy.
- Antibiotics were prescribed empirically, often as monotherapy (82.2%).
- Co-administration of anticlostridial probiotics (Lactobacillus rhamnosus R0011, Lactobacillus acedofilus R0052) with antibiotics effectively prevented antibiotic-associated diarrhea.
Impact:
- Highlights the importance of rational antibiotic use in pediatric burn patients.
- Demonstrates the prophylactic role of specific probiotics against a frequent complication.
- Provides evidence-based recommendations for improving treatment outcomes in pediatric burn care.
Abstract:
Abstract The principles of rational antibacterial therapy in children for the burn trauma were analyzed. The results of the completed treatment of 808 children for the burn trauma in a Combustiological Department of Municipal clinical hospital of City of Zaporozhye were studied. In 326 (40.3%) children antibacterial therapy was conducted, including one antibiotic--in 268 (82.2%), two and more--in 37 (11.3%). The preparations were prescribed empirically, taking into account bacteriological profile of the Department and the patients premorbidity background present. Prescription of modern anticlostridial probiotics, containing stamms of Lactobacillus rhamnosus R0011 and Lactobacillus acedofilus R0052, on background of continuing antibacterial therapy, have constituted the effective measure of prophylaxis for the antibiotic-associated diarrhea, as the most frequent complication of antibacterial therapy.
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