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Updated: Jan 22, 2026

Antibiotic Dereplication Using the Antibiotic Resistance Platform
Published on: October 17, 2019
Antibiotic-related adverse events in paediatrics: unique characteristics
Nicola Principi1, Susanna Esposito2
1a Università degli Studi di Milano , Milan , Italy.
Insights
Children face a higher risk of adverse events from antibiotics due to developmental factors. Strategies like antibiotic stewardship and enhanced drug safety research can mitigate these risks in pediatric populations.
Area of Science:
- Pediatric Pharmacology
- Infectious Diseases
- Drug Safety
Background:
- Antibiotics are crucial for treating infections but can cause adverse events.
- Children, especially infants, are more susceptible to antibiotic-related adverse events than adults.
Purpose of the Study:
- To discuss factors contributing to the increased risk of antibiotic-related adverse events in children.
- To propose solutions for reducing these adverse events in pediatric populations.
Main Methods:
- Review of existing literature on pediatric antibiotic use and adverse events.
- Analysis of conditions predisposing children to adverse drug reactions.
- Expert opinion on current and future strategies for pediatric drug safety.
Main Results:
- Children's unique physiology increases their vulnerability to antibiotic side effects.
- Antibiotic stewardship programs are essential for curbing misuse and adverse events.
- Current pre-marketing and post-market surveillance systems require improvement for pediatric drugs.
Conclusions:
- Implementing robust antibiotic stewardship is key to reducing adverse events in children.
- Enhanced pre-clinical and clinical investigations, improved surveillance, and increased transparency are vital.
- Greater investment in pediatric drug development and training for researchers is necessary to ensure child safety.
Abstract:
Introduction: Antibiotics have saved and are still saving countless human lives from the burden of infectious diseases. However, as with all other drugs, they can cause adverse events. Generally, these are uncommon, mild and spontaneously resolving. However, in some cases, they can cause relevant clinical problems. Compared with adults, children, particularly in the first years of life, have a higher risk of antibiotic-related adverse events for several reasons. Areas covered: In this paper, the conditions that can contribute to the elevated risk of antibiotic-related adverse events in children are discussed. Expert opinion: Antibiotic stewardship can be a solution to limit antibiotic abuse and misuse and consequently the incidence of antibiotic-related adverse events in children. Moreover, most of the antibiotic-associated adverse events can be avoided with more extensive pre-marketing medicine investigations, improved postmarket safety surveillance system, increased transparency throughout the clinical research enterprise, increased training of clinical pharmacologists and paediatric researchers, expanded pool of paediatric patients, and providing additional funding and incentives for paediatric drug development.
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