其他
左氧氟沙星滴耳液能用于儿童吗? 看看说明书、指南和药典怎么说
*本文所涉及专业部分,仅供医学专业人士阅读参考
儿童中耳炎发作到底该如何处理?
说明书、指南和药典怎么说?
权威参考众说纷纭,我们该怎么看?
6个月至2岁年幼儿童:①对于急性中耳炎伴耳漏或伴高热≥39℃者,或双侧急性中耳炎不伴耳漏者,应及时予以抗菌药物治疗;②对于单侧急性中耳炎不伴耳漏者或密切随访48-72h 症状无改善者,应给予抗菌药物治疗。
>2岁儿童:①对于急性中耳炎伴耳漏或伴高热≥39℃者,应及时予以抗菌药物治疗;②对于双侧和(或)单侧急性中耳炎不伴耳漏者或随访48-72h症状无改善者,应予以抗菌药物治疗。抗菌药物选择:首选口服阿莫西林,阿莫西林过敏可用大环内酯类、头孢类。有化脓性表现的可使用抗菌药物滴耳液如喹诺酮类滴耳液。
总结
参考文献:
[1]Schilder A G M , Marom T ,Bhutta M F , et al. Proceedings of the 18th International Society of OtitisMedia Meeting, National Harbor, MD, USA. Panel 7, Otitis Media: Treatment andComplications[J]. Otolaryngology Head and Neck Surgery, 2017,156(4_suppl):S88-S105.[2]伍俊妍, 孙树梅. 氟喹诺酮类抗菌药物在儿童应用中的专家共识[J]. 今日药学, 2018, 028(001):1-10.[3]Pauline, Vanneste, Cyril,等. Otitis media with effusion in children:Pathophysiology, diagnosis, and treatment.A review[J]. Journal of Otology,2019.[4]Grainger, Joe, Siddiq. Thediagnosis and management of acute otitis media: American Academy of PediatricsGuidelines 2013[J]. Archives of Disease in Childhood Education & PracticeEdition, 2015.[5]Tsilis NS, Vlastarakos PV,Chalkiadakis VF, et al. Chronic otitis media in children: an evidence-basedguide for diagnosis and management. Clin Pediatr (Phila). 2013;52(9):795-802.[6]van Dongen TMA, DamoiseauxRAMJ, Schilder AGM. Tympanostomy tube otorrhea in children: prevention andtreatment. Curr Opin Otolaryngol Head Neck Surg. 2018;26(6):437-440本文首发:医学界临床药学频道
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