子どもにおける合併症性肺炎
Fernando M de Benedictis1, Eitan Kerem2, Anne B Chang3
1Salesi Children's Hospital Foundation, Ancona, Italy.
Lancet (London, England)
|September 13, 2020
まとめ
子供のコミュニティでの合併症性肺炎は重症であるが,治療可能である. 早期の疑惑と適切な抗生物質は,画像と培養によって導かれ,排水がしばしば十分な治療によって回復します.
科学分野:
- 小児科
- 感染症
- 肺科
背景:
- 合併症性地域性肺炎 (CCAP) は,小児における局所的および全身的な合併症を伴う.
- 肺炎が48~72時間以内に抗生物質に反応しない場合,CCAPは迅速な認識と治療を必要とします.
研究 の 目的:
- 子供のコミュニティで発症する 合併症性肺炎の診断と管理の戦略を概説する.
- 早期発見と適切な治療の重要性を強調し,好ましい結果を保証する.
主な方法:
- 初期診断は胸部X線写真と超音波で 肺パレンキマと胞液の評価を行う.
- 治療には,微生物学的データに基づいて,静脈内および経口抗生物質の長期投与が含まれます.
- 胸腔液の分析とイメージングは,胸腔内フィブリノリチクと排水手順に関する決定を導く.
主要な成果:
- 肺炎菌と黄金菌は一般的な病原体である.
- ほとんどの症例は抗生物質と膜排水で治療され,大規模な手術はめったに必要ありません.
- 特に死滅性肺炎の場合,潜在的に長い経過にもかかわらず,完全な回復は典型的な結果です.
結論:
- 早期の疑惑と診断と治療の構造的なアプローチは,小児CCAPの管理に不可欠です.
- 抗生物質の選択は微生物学によって導かれ 胸膜の排水などの適切な介入が 治療の成功の鍵となります
- CCAPは重症であるが,適切な治療をすれば,一般的に治る状態である.
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