Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic
<p> <b>S.V. Zaitseva<sup>1,2</sup>, O.V. Zaitseva<sup>1</sup>, E.E. Lokshina<sup>1</sup></b> </p> <p> <b><sup>1</sup>A.I. Evdokimov Moscow University of Medicine & Dentistry, Moscow, Russian Federation</...
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Format: | Article |
Language: | Russian |
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LCC «Medicine-Inform»
2021-02-01
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Series: | РМЖ. Мать и дитя |
Online Access: | http://wchjournal.com/upload/iblock/e56/e56f9e79798833973e53c3ac9581b4a9.pdf |
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author | S.V. Zaitseva O.V. Zaitseva E.E. Lokshina |
author_facet | S.V. Zaitseva O.V. Zaitseva E.E. Lokshina |
author_sort | S.V. Zaitseva |
collection | DOAJ |
description | <p>
<b>S.V. Zaitseva<sup>1,2</sup>, O.V. Zaitseva<sup>1</sup>, E.E. Lokshina<sup>1</sup></b>
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<b><sup>1</sup>A.I. Evdokimov Moscow University of Medicine & Dentistry, Moscow, Russian Federation</b>
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<b><sup>2</sup>Federal Research Clinical Center for Children and Adolescents of the Federal Medical Biological Agency of Russia, Moscow, Russian Federation</b>
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<i>During the COVID-19 pandemic, the reasonable use of antibiotics became an important issue of practical health care. This fact is accounted for by the heavy burden of COVID-19 on healthcare system, difficulties with interpreting respiratory disorders and verifying community-acquired pneumonia using instrumental and laboratory tests. Therefore, the risk of unnecessary prescription of antibiotics and, as a result, the prevalence of antibiotic resistance significantly increase. This paper addresses current ideas about the role of the most common causative agents of community-acquired pneumonia in children, the milestones of the diagnosis of community-acquired pneumonia, differential diagnosis of viral and bacterial pneumonia, the algorithms of the choice of basic antibacterial treatment in out-patient settings. The authors emphasize that only the use of limited antibiotic spectrum (i.e., amoxicillin, inhibitor-protected aminopenicillins), their rational dosing and course treatment recommended for community-acquired pneumonia will prevent the loss of antibacterial efficacy for infectious diseases.</i>
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<i><b>Keywords</b>: community-acquired pneumonia, children, SARS-CoV-2, antibiotic therapy, antibiotic resistance, inhibitor-protected aminopenicillins.</i>
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<i><b>For citation:</b> Zaitseva S.V., Zaitseva O.V., Lokshina E.E. Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic. Russian Journal of Woman and Child Health. 2021;4(1):70–</i><i>76</i><i>. DOI: 10.32364/2618-8430-2021-4-1-70-</i><i>76</i><i>.</i>
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first_indexed | 2024-03-07T21:39:26Z |
format | Article |
id | doaj.art-592cd1404c5742488881930d8f90d426 |
institution | Directory Open Access Journal |
issn | 2618-8430 2686-7184 |
language | Russian |
last_indexed | 2024-03-07T21:39:26Z |
publishDate | 2021-02-01 |
publisher | LCC «Medicine-Inform» |
record_format | Article |
series | РМЖ. Мать и дитя |
spelling | doaj.art-592cd1404c5742488881930d8f90d4262024-02-26T10:13:32ZrusLCC «Medicine-Inform»РМЖ. Мать и дитя2618-84302686-71842021-02-014133334Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemicS.V. Zaitseva0O.V. Zaitseva1E.E. Lokshina2Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> <b>S.V. Zaitseva<sup>1,2</sup>, O.V. Zaitseva<sup>1</sup>, E.E. Lokshina<sup>1</sup></b> </p> <p> <b><sup>1</sup>A.I. Evdokimov Moscow University of Medicine & Dentistry, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>Federal Research Clinical Center for Children and Adolescents of the Federal Medical Biological Agency of Russia, Moscow, Russian Federation</b> </p> <p> <i>During the COVID-19 pandemic, the reasonable use of antibiotics became an important issue of practical health care. This fact is accounted for by the heavy burden of COVID-19 on healthcare system, difficulties with interpreting respiratory disorders and verifying community-acquired pneumonia using instrumental and laboratory tests. Therefore, the risk of unnecessary prescription of antibiotics and, as a result, the prevalence of antibiotic resistance significantly increase. This paper addresses current ideas about the role of the most common causative agents of community-acquired pneumonia in children, the milestones of the diagnosis of community-acquired pneumonia, differential diagnosis of viral and bacterial pneumonia, the algorithms of the choice of basic antibacterial treatment in out-patient settings. The authors emphasize that only the use of limited antibiotic spectrum (i.e., amoxicillin, inhibitor-protected aminopenicillins), their rational dosing and course treatment recommended for community-acquired pneumonia will prevent the loss of antibacterial efficacy for infectious diseases.</i> </p> <p> <i><b>Keywords</b>: community-acquired pneumonia, children, SARS-CoV-2, antibiotic therapy, antibiotic resistance, inhibitor-protected aminopenicillins.</i> </p> <p> <i><b>For citation:</b> Zaitseva S.V., Zaitseva O.V., Lokshina E.E. Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic. Russian Journal of Woman and Child Health. 2021;4(1):70–</i><i>76</i><i>. DOI: 10.32364/2618-8430-2021-4-1-70-</i><i>76</i><i>.</i> </p> <i><br> </i><br>http://wchjournal.com/upload/iblock/e56/e56f9e79798833973e53c3ac9581b4a9.pdf |
spellingShingle | S.V. Zaitseva O.V. Zaitseva E.E. Lokshina Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic РМЖ. Мать и дитя |
title | Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic |
title_full | Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic |
title_fullStr | Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic |
title_full_unstemmed | Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic |
title_short | Diagnosis and antibacterial treatment for community-acquired pneumonia in children during the COVID-19 pandemic |
title_sort | diagnosis and antibacterial treatment for community acquired pneumonia in children during the covid 19 pandemic |
url | http://wchjournal.com/upload/iblock/e56/e56f9e79798833973e53c3ac9581b4a9.pdf |
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