Antibiotic treatment of lower respiratory tract infections

Cohen, Robert; Angoulvant, François; Biscardi, Sandra; Madhi, Fouad; Dubos, Francois; Gillet, Yves

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/S0929-693X(17)30513-4

PMID :

29290229

Permalink :

http://hdl.handle.net/20.500.12210/16816

Title :

Antibiotic treatment of lower respiratory tract infections

Author(s) :

Cohen, Robert [Auteur]
Angoulvant, François [Auteur]
Biscardi, Sandra [Auteur]
Madhi, Fouad [Auteur]
Dubos, Francois [Auteur]

Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Gillet, Yves [Auteur]

Journal title :

Archives of pediatrics

Abbreviated title :

Arch Pediatr

Volume number :

Pages :

S17-S21

Publication date :

2017-12-01

ISSN :

1769-664X

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Lower respiratory tract infections, i.e., bronchitis, bronchiolitis, and pneumonia, are the second leading cause of antibiotic prescriptions. The vast majority of these infections are due to viruses and are self-limited ...
Show more >Lower respiratory tract infections, i.e., bronchitis, bronchiolitis, and pneumonia, are the second leading cause of antibiotic prescriptions. The vast majority of these infections are due to viruses and are self-limited diseases: most patients recover spontaneously. These two facts explain that antibiotic prescriptions must be limited to some clinical situations for which the diagnosis has to be done early. The first message of this manuscript is to strengthen non-antibiotic prescriptions in many situations such as bronchitis and bronchiolitis. Implementation of pneumococcal conjugate vaccines (PCVs) has reduced the incidence of pneumonia and empyema, and induced a dramatic decrease in the proportion of pneumococcus in these diseases. However, pneumococcus remains probably the leading cause of bacterial pneumonia and empyema and the main target of antibiotic treatment. Furthermore, the implementation of PCVs has reduced resistance to antibiotics including penicillins and macrolides antibiotics, explaining the de-escalation proposed in the last few years, with the reduction of the use if third generation cephalosporins and vancomycin. The therapeutic choices proposed in this article follow the previous official guidelines in France. Serious infections represented by empyema and severe pneumonia remain therapeutic emergencies, most often warranting hospitalization and IV antibiotics.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T16:49:08Z

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