一个意大利多学科的德尔菲共识,关于治疗患有急性发烧的儿童和青少年使用酸盐的治疗方法
Gianluigi Marseglia1,2, Michele Miraglia Del Giudice3, Francesco Scaglione4
1Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Minerva pediatrics
|July 17, 2025
概括
胺溶盐 (KLS) 有效降低儿科发烧,其疗效和安全性与乙胺和布洛芬相比较. 建议进行进一步的研究,以巩固其在儿童和青少年发烧管理中的作用.
科学领域:
- 儿科 儿科 儿科
- 药理学 药理学是指药理学的学科.
- 临床免疫学临床免疫学
背景情况:
- 发烧是儿童和青少年常见的症状.
- 意大利指南建议在出现不适时治疗发烧.
- 乙氨基和布洛芬是首选的抗发烧药,而氨基酸盐 (KLS) 也适用于6岁以上的儿童.
研究的目的:
- 提出关于儿科发烧管理的实用陈述.
- 评估氨酸盐 (KLS) 对急性儿科发烧的潜在使用.
- 在KLS专家之间达成共识,以缓解发烧.
主要方法:
- 一个多学科的德尔菲共识,涉及33名专家.
- 对指导委员会起草的陈述进行匿名投票.
- 讨论和达成共识,关于发烧管理和KLS的使用.
主要成果:
- 关于发烧的生理作用和避免随意降低发烧的必要性.
- 达成共识,KLS在控制发烧方面表现出与布洛芬和乙氨基相匹配的疗效和安全性.
- 关于发烧缓解的速度和特定安全方面的一些专家意见分歧.
结论:
- 氨酸酸盐 (KLS) 是治疗儿科患者发烧的可行选择.
- 为了提供更强有力的证据,需要进一步进行方法学上稳健的比较试验.
- 在儿童中,KLS的疗效和安全性概况需要继续调查.
相关概念视频
Methods of reducing fever
767
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
767
Acute Pyelonephritis II: Diagnostic Studies and Management
44
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
44
Acute Kidney Injury V: Interprofessional Care
46
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
46
Tonsillitis II: Management
178
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
178
Acute Kidney Injury IV: Diagnostic Studies and Prevention
58
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
58
Increased Body Temperature
2.2K
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
2.2K


