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引用次数: 0
摘要
本文重点介绍急性血源性骨髓炎诊断技术和药物干预方面取得的进展。诊断需要综合考虑各种因素,包括炎症标志物和影像学检查结果,并在可行的情况下采集标本进行培养。随后,应根据流行病学、抗药性机制和易感性结果进行治疗。对于无并发症的感染,如果临床症状有所改善且 C 反应蛋白水平有所下降,则可采用短暂的静脉注射抗生素疗程,然后口服抗生素。但是,如果是由耐甲氧西林金黄色葡萄球菌引起的复杂感染,则建议长期静脉注射抗生素,必要时进行手术治疗。[2024;53(10):e392-e395.].
Acute Hematogenous Osteomyelitis in Pediatric Patients.
This article focuses on the advancements made in diagnostic techniques and drug interventions of acute hematogenous osteomyelitis. A diagnosis necessitates a combination of factors, including inflammatory markers and imaging findings, as well as the collection of specimens for culture when feasible. Subsequently, treatment should be based on epidemiology, mechanisms of resistance, and susceptibility findings. A brief course of intravenous (IV) antibiotics, followed by oral antibiotics, may be employed for uncomplicated infections if there is improvement in the clinical condition and a decline in C-reactive protein levels. However, for complex infections caused by methicillin-resistant Staphylococcus aureus, prolonged administration of IV antibiotics is recommended, along with surgical intervention if necessary. [Pediatr Ann. 2024;53(10):e392-e395.].
期刊介绍:
Published for more than 40 years, Pediatric Annals is an online-only, monthly medical review journal dedicated to providing pediatricians and other clinicians with the latest practical information on the diagnosis and treatment of pediatric diseases and disorders. Begin to explore the Journal and all of its great benefits such as:
-Single-topic summary reviews of important trends in pediatric medicine
-Access to current articles, as well as several years of archived content
-Columns including Healthy Baby/Healthy Child and Case Challenges