对于患有支气管炎的重症儿童的阿兹罗米辛:美国儿科健康信息系统注册研究,2013-2022年
Alexa R Roberts1, Nikhil Vallabhaneni2, Brett W Russi1
1Division of Pediatric Critical Care Medicine, Johns Hopkins All Children's Hospital, St. Petersburg, FL.
概括
阿齐思罗米被处方给3.8%的患有支气管炎的重症儿童. 率因机构和患者年龄而异,在十年内呈现下降趋势.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 急性支气管炎是一种常见的儿科呼吸道疾病.
- 阿齐思罗米是一种抗生素,具有潜在的免疫调节作用.
- 它在患有支气管炎的重症儿童中的使用还没有得到很好的定义.
研究的目的:
- 为了估计急性支气管炎的重症儿童的阿齐思罗米辛处方率.
- 识别各机构和随着时间的推移对处方实践的变化.
主要方法:
- 追溯性队列研究,对82,677名因急性支气管炎住院的0-3岁儿童进行了追溯性队列研究.
- 来自儿科健康信息系统注册表 (2013-2022) 的数据.
- 分析阿齐思罗米辛的处方率和相关的临床因素.
主要成果:
- 在符合条件的儿童中,阿齐思罗米被处方给了3.8%的儿童.
- 处方费率呈现下降趋势,从2013年的4.0%降至2022年的2.2%.
- 阿齐思罗米的使用与年龄较大,皮质类固醇的使用和呼吸支的增加有关.
结论:
- 2013年至2022年期间,对患有支气管炎的重症儿童的阿齐思罗米的处方率为3.8%.
- 观察到显著的机构变化和阿齐思罗米使用的下降趋势.
- 需要进一步的研究来了解阿齐思罗米在这个人群中的作用.
相关概念视频
Pulmonary Cycle: Exhalation
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
Asthma-IV: Diagnostic and Management
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
Respiratory Syncytial Virus Disease
Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...

