| Autor: |
Erdem, G., Watson, J. R., Tomatis, C., Ceyhan, K., Barson, W. |
| Předmět: |
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| Zdroj: |
Acta Paediatrica; Jan2025, Vol. 114 Issue 1, p116-121, 6p |
| Abstrakt: |
Aim: To assess the duration of antimicrobial treatment; hospital length of stay; and invasive bacterial infections rates in hospitalised infants following the adoption of a management guideline. Methods: Faculty agreed to a standard of 24 h of antibiotic treatment for well‐appearing febrile infants with proven viral infection and no growth on bacterial cultures. The outcomes were the duration of hospitalisation and antibiotic treatment of febrile infants less than 8 weeks of age who have enterovirus, parechovirus, respiratory viruses detected. We monitored re‐admissions and missed invasive infections. Results: Of the total 1696 infants studied, the median antibiotic treatment duration decreased from 31.5 to 24.8 h in virus‐infected infants ≤21 days of age (p = 0.02) and from 26 to 19.7 h in infants 22–56 days of age (p < 0.001). The decrease was less in infants not infected with a virus. No patient had an invasive infection identified after discharge. Conclusion: The implementation of our care standard resulted in reduction in antibiotic treatment duration without known delayed diagnosis of bacterial infections. Infants without a proven viral aetiology may need further study to inform management decisions. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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