[EXPERIENCE OF THE RATIONAL ANTIBACTERIAL THERAPY CONDUCTION IN TREATMENT OF CHILDREN FOR THE BURN TRAUMA]
Klinichna Khirurhiia
|June 2, 2016
Summary
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.
Related Concept Videos
Acute Pyelonephritis II: Diagnostic Studies and Management
606
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
606
Burn Injuries
4.9K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
4.9K
Pharmacokinetics in Pediatric Patients: Drug Excretion
368
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
368
Clinical Significance of Antibiotic Resistance
7
Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within...
7
Mechanism of Antibiotic Resistance in MRSA
37
Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and...
37
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
392
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
392


