Prescrizione ambulatoriale degli antibiotici nelle infezioni respiratorie

Translated title of the contribution: Guidelines on antibiotic treatment of common respiratory diseases in children

C. Alonge, D. Cherubini, G. Giovannini, B. Di Pede, M. Magnani, E. Pasi, R. A. Palumbo, P. Rampin, A. Scandola, P. Stancari, A. Tomesani, T. Dall'Osso, M. L. Marcaccio, S. Alboresi, M. Mignani, C. Bergonzoni, F. Marchetta, F. Bernardi, S. Cazzato, A. Di Comite & 5 others A. Nanetti, M. G. Puglia, A. Trogu, A. Cartabellotta, M. P. Fantini

Research output: Contribution to journalShort survey

6 Citations (Scopus)

Abstract

Guidelines on antibiotic treatment of common respiratory infections were developed by an interdisciplinary group including family paediatricians, hospital paediatricians, community paediatricians, microbiologists and epidemiologists. Systematic literature review, analysis of antibiotic susceptibility patterns and features of the child care system in Italy were taken into account to develop evidence-based and appropriate, feasible guidelines. The main recommendations are the following: Pneumonia: X-ray is not necessary for diagnosis unless complications are suspected or present; antibiotic treatment should be chosen taking into account mainly the age of the patient and the clinical features; amoxycillin is the first choice drug, amoxycillin-clavulanic or third generation cephalosporins must be used if a pyogenic infection is likely. Macrolides must be used if Mycoplasma or Chlamydia infections are suspected. In severe cases, the patient should be admitted to hospital and a combined antibiotic treatment (parenteral cephalosporin and macrolides) should be administered. Pharyngitis: diagnosis must be based on culture from pharyngeal swab. If positive for group A beta-haemolytic Streptococcus, oral penicillin should be given. Otitis: diagnosis must be based on otoscopy. First choice antibiotic is amoxycillin, or amoxycillin-clavulanic if previous antibiotic failure. In children older than 2 years, only paracetamol is needed, with follow-up after 48-72 hours. Sinusitis: diagnosis is clinical (rhinoscopy, signs and symptoms). X-ray are not necessary (low sensitivity and specificity). Antibiotic treatment should be as for otitis. Antimicrobial susceptibility patterns are also included.

Original languageItalian
Pages (from-to)431-447
Number of pages17
JournalMedico e Bambino
Volume19
Issue number7
Publication statusPublished - Sep 30 2000

Fingerprint

Guidelines
Anti-Bacterial Agents
Amoxicillin
Otitis
Macrolides
Cephalosporins
Therapeutics
Otoscopy
X-Rays
Mycoplasma Infections
Chlamydia Infections
Pharyngitis
Sinusitis
Acetaminophen
Child Care
Streptococcus
Respiratory Tract Infections
Penicillins
Italy
Signs and Symptoms

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Alonge, C., Cherubini, D., Giovannini, G., Di Pede, B., Magnani, M., Pasi, E., ... Fantini, M. P. (2000). Prescrizione ambulatoriale degli antibiotici nelle infezioni respiratorie. Medico e Bambino, 19(7), 431-447.

Prescrizione ambulatoriale degli antibiotici nelle infezioni respiratorie. / Alonge, C.; Cherubini, D.; Giovannini, G.; Di Pede, B.; Magnani, M.; Pasi, E.; Palumbo, R. A.; Rampin, P.; Scandola, A.; Stancari, P.; Tomesani, A.; Dall'Osso, T.; Marcaccio, M. L.; Alboresi, S.; Mignani, M.; Bergonzoni, C.; Marchetta, F.; Bernardi, F.; Cazzato, S.; Di Comite, A.; Nanetti, A.; Puglia, M. G.; Trogu, A.; Cartabellotta, A.; Fantini, M. P.

In: Medico e Bambino, Vol. 19, No. 7, 30.09.2000, p. 431-447.

Research output: Contribution to journalShort survey

Alonge, C, Cherubini, D, Giovannini, G, Di Pede, B, Magnani, M, Pasi, E, Palumbo, RA, Rampin, P, Scandola, A, Stancari, P, Tomesani, A, Dall'Osso, T, Marcaccio, ML, Alboresi, S, Mignani, M, Bergonzoni, C, Marchetta, F, Bernardi, F, Cazzato, S, Di Comite, A, Nanetti, A, Puglia, MG, Trogu, A, Cartabellotta, A & Fantini, MP 2000, 'Prescrizione ambulatoriale degli antibiotici nelle infezioni respiratorie', Medico e Bambino, vol. 19, no. 7, pp. 431-447.
Alonge C, Cherubini D, Giovannini G, Di Pede B, Magnani M, Pasi E et al. Prescrizione ambulatoriale degli antibiotici nelle infezioni respiratorie. Medico e Bambino. 2000 Sep 30;19(7):431-447.
Alonge, C. ; Cherubini, D. ; Giovannini, G. ; Di Pede, B. ; Magnani, M. ; Pasi, E. ; Palumbo, R. A. ; Rampin, P. ; Scandola, A. ; Stancari, P. ; Tomesani, A. ; Dall'Osso, T. ; Marcaccio, M. L. ; Alboresi, S. ; Mignani, M. ; Bergonzoni, C. ; Marchetta, F. ; Bernardi, F. ; Cazzato, S. ; Di Comite, A. ; Nanetti, A. ; Puglia, M. G. ; Trogu, A. ; Cartabellotta, A. ; Fantini, M. P. / Prescrizione ambulatoriale degli antibiotici nelle infezioni respiratorie. In: Medico e Bambino. 2000 ; Vol. 19, No. 7. pp. 431-447.
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