儿童和青少年非囊性纤维化支气管扩张症循证管理指南。

IF 3.2 Q1 PEDIATRICS Clinical and Experimental Pediatrics Pub Date : 2024-09-01 Epub Date: 2024-01-23 DOI:10.3345/cep.2023.00871
Eun Lee, Kyunghoon Kim, You Hoon Jeon, In Suk Sol, Jong Deok Kim, Taek Ki Min, Yoon Ha Hwang, Hyun-Ju Cho, Dong In Suh, Hwan Soo Kim, Yoon Hee Kim, Sung-Il Woo, Yong Ju Lee, Sungsu Jung, Hyeon-Jong Yang, Gwang Cheon Jang
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引用次数: 0

摘要

非囊性纤维化支气管扩张症是一种由多种呼吸道疾病引起的慢性呼吸道疾病,给社会经济和医疗带来沉重负担。为了改善临床疗效,早期识别、积极治疗病情加重和预防进一步加重至关重要。然而,目前尚缺乏治疗和预防非囊性纤维化支气管扩张症急性加重的证据,尤其是在儿童中。因此,韩国儿科过敏与呼吸疾病学会采用建议分级评估、开发和评价工作组推荐的方法,根据截至 2020 年 7 月 2 日发表的证据,制定了基于证据和共识的儿童和青少年非囊性纤维化支气管扩张症药物和非药物治疗策略指南。本指南包括循证治疗建议和专家意见,涉及儿童非囊性纤维化支气管扩张症治疗和管理的关键方面。其中包括对抗生素和气道清除策略的考虑,尤其是在证据可能有限的领域。为进一步积累儿童和青少年非囊性纤维化支气管扩张症治疗策略的证据,需要进行大规模、设计良好的对照研究。
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Evidence-based management guidelines for noncystic fibrosis bronchiectasis in children and adolescents.

Noncystic fibrosis bronchiectasis is a chronic respiratory disease that carries high socioeconomic and medical burdens and is caused by diverse respiratory illnesses. To improve clinical outcomes, early recognition, active treatment of exacerbations, and prevention of further exacerbations are essential. However, evidence for the treatment and prevention of acute exacerbation of noncystic fibrosis bronchiectasis, especially in children, is lacking. Therefore, the evidence- and consensus-based guidelines for medical and nonmedical treatment strategies for noncystic fibrosis bronchiectasis in children and adolescents were developed by the Korean Academy of Pediatric Allergy and Respiratory Disease using the methods recommended by the Grading of Recommendations Assessment, Development, and Evaluation working group with evidence published through July 2, 2020. This guideline encompasses evidence-based treatment recommendations as well as expert opinions, addressing crucial aspects of the treatment and management of non-cystic fibrosis bronchiectasis in children. This includes considerations for antibiotics and airway clearance strategies, particularly in areas where evidence may be limited. Large, well-designed, and controlled studies are required to accumulate further evidence of management strategies for noncystic fibrosis bronchiectasis in children and adolescents.

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来源期刊
CiteScore
8.00
自引率
2.40%
发文量
88
审稿时长
60 weeks
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