在儿科急诊室的患者年龄和抗生素配方管理
Sriram Ramgopal1,2,3, Marc Rosenman2,3,4, Elizabeth R Alpern1,2,3
1Department of Pediatrics, Division of Emergency Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine.
Pediatric emergency care
|April 14, 2025
概括
儿科急诊室在口服抗生素配方中发现了与年龄相关的差异. 药片/囊使用在14岁左右超过了悬浮剂,为更好的坚持提供了处方信息.
科学领域:
- 儿科急救医学 儿科急救医学
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
背景情况:
- 口服抗生素在美国经常被处方.
- 选择的配方 (悬浮剂与片剂/囊) 可以影响儿童的药物坚持和治疗有效性.
研究的目的:
- 描述在急诊室 (ED) 的儿童中口服抗生素配方的分配.
- 为了确定小儿患者的药片/囊配方比悬浮剂更常见的年龄.
主要方法:
- 在2016-2022年间从儿科ED出院的儿童 (<18岁) 的回顾性单中心研究.
- 包括7种常见的口服抗生素悬浮剂或片剂/囊形式,但不包括特定的患者群体.
- 分析了抗生素的使用和处方数据,以确定年龄的配方偏好变化.
主要成果:
- 分析了12900个符合条件的遭遇,常见的诊断包括耳朵,喉和皮肤感染.
- 在ED中使用的所有抗生素中,药片/囊使用超过暂停的年龄值为14岁.
- 具体的年龄值因抗生素而异,从三甲胺-硫甲醇的10岁到阿莫西西林的16岁不等.
结论:
- 在儿科ED环境中,口服抗生素配方偏好存在与年龄相关的显著差异.
- 这些发现可以指导处方实践,以提高药物坚持和治疗结果.
- 了解配方分布对于临床决策支持,共享决策和管理药物短缺至关重要.
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