An Italian multidisciplinary Delphi Consensus on managing children and adolescents with mild-moderate acute pain

Michele Miraglia Del Giudice1, Gianluigi Marseglia2,3, Francesco Scaglione4

  • 1Department of Woman, Child and General and Specialized Surgery, Luigi Vanvitelli University of Campania, Naples, Italy.

Minerva Pediatrics
|June 13, 2025
PubMed

Insights

Ketoprofen lysine salt (KLS) is effective for managing mild-moderate acute pain in children and adolescents aged six and older. This Delphi Consensus confirms KLS as a safe and valuable treatment option, comparable to acetaminophen and ibuprofen.

Area of Science:

  • Pediatric Allergy and Immunology
  • Pain Management
  • Pharmacology

Background:

  • Acute pain is prevalent in children and adolescents, necessitating effective management strategies.
  • Acetaminophen and ibuprofen are common first-line treatments for mild-moderate acute pediatric pain.
  • Ketoprofen lysine salt (KLS), an NSAID, is indicated for young patients aged six and older, offering analgesic, anti-inflammatory, and antipyretic effects.

Purpose of the Study:

  • To establish practical statements on pain management in pediatrics.
  • To evaluate the potential use of ketoprofen lysine salt (KLS) for mild-moderate acute pediatric pain.
  • To provide expert consensus on KLS as a treatment option.

Main Methods:

  • A multidisciplinary Delphi Consensus involving 33 experts.
  • Anonymous voting on statements drafted by a steering committee.
  • Discussion and agreement on pain assessment and treatment guidelines.

Main Results:

  • Strong agreement on the importance of assessing and treating pain in all children and adolescents.
  • Advocacy for consistent pain measurement using algometric scales.
  • Consensus that KLS is effective, rapid, and safe for children aged six and older with mild-moderate acute pain.

Conclusions:

  • Ketoprofen lysine salt (KLS) is a valuable option for managing mild-moderate acute pain in children over six and adolescents.
  • KLS demonstrates comparable efficacy and safety to ibuprofen and acetaminophen.
  • The Delphi Consensus supports KLS as a viable therapeutic choice in pediatric pain management.

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