Emergências e UTI Pediátrica

Estudo randomizado confirma que antibióticos são desnecessários para a maioria das crianças com infecção não complicada de trato respiratório baixo caso não haja suspeita clínica de pneumonia.

27 Set, 2021 | 12:37h

Antibiotics for lower respiratory tract infection in children presenting in primary care in England (ARTIC PC): a double-blind, randomised, placebo-controlled trial – The Lancet

Comentário no Twitter

#Antibiotic resistance is a global public health threat.

New trial indicates, unless pneumonia is suspected, clinicians should provide safety-netting advice but not prescribe antibiotics for most children presenting with chest infections. https://t.co/mOwLG5rZd1 #AMR pic.twitter.com/b0c7Z5flQk

— The Lancet (@TheLancet) September 23, 2021

Podcast | Bebês febris (baseado na nova Diretriz AAP).

7 Set, 2021 | 21:54h

#33: Febrile Infants – When Babies Are Too Hot – The Cribsiders

Diretriz original: AAP Guideline: Evaluation and management of well-appearing febrile infants 8 to 60 days old.

Comentários:

Landmark Febrile Neonate, Febrile Infant Guideline from the AAP – JournalFeed

Small Talk – Hot Off The Presses: The Latest AAP Guidelines for the Febrile Neonate – emDocs

Conteúdos relacionados:

M-A: Low prevalence of bacterial meningitis among well-appearing febrile infants aged 29-60 days with positive urinalysis results – “These results suggest that for these infants, the decision to use lumbar puncture should not be guided by urinalysis results alone”.

Things We Do for No Reason: Lumbar Punctures in Low-Risk Febrile Infants with Bronchiolitis

[Abstract Only] Observational Study Suggests Testing for Meningitis May Not be Necessary for Febrile Well-Appearing Young Infants with Positive Urinalysis

Study: Clinical Prediction Rule to Identify Febrile Infants at Low Risk for Serious Bacterial Infections

Cohort Study: Accuracy of Complete Blood Cell Counts to Identify Febrile Infants 60 Days or Younger With Invasive Bacterial Infections

Posicionamento científico sobre diagnóstico e tratamento da insuficiência hepática aguda pediátrica.

6 Set, 2021 | 16:04h

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure – Journal of Pediatric Gastroenterology and Nutrition

O papel da ultrassonografia pulmonar no tratamento do neonato criticamente doente – Uma revisão narrativa e um guia prático.

3 Set, 2021 | 12:34h

The Role of Lung Ultrasound in the Management of the Critically Ill Neonate—A Narrative Review and Practical Guide – Children

Estudo lança dúvidas sobre a diretriz da OMS quanto ao uso de antibióticos na sepse neonatal.

3 Set, 2021 | 12:33h

Study casts doubt on WHO guidance on antibiotics for neonatal sepsis – CIDRAP

Estudo original: Effects of antibiotic resistance, drug target attainment, bacterial pathogenicity and virulence, and antibiotic access and affordability on outcomes in neonatal sepsis: an international microbiology and drug evaluation prospective substudy (BARNARDS) – The Lancet Infectious Diseases

Comentário convidado: Antibiotics for neonatal sepsis in low-income and middle-income countries—where to go from here? (necessário cadastro gratuito)

Comentário no Twitter

"WHO recommends ampicillin in combination with gentamicin for the management of clinical neonatal sepsis; however, there are persistent concerns regarding antimicrobial resistance and therapeutic failures with this treatment" #PIDTwitter #IDTwitter #medtwitter #TwitteRx https://t.co/FDlXwugouU

— Antibiotic Steward 🆔🇵🇸 Bassam Ghanem (@ABsteward) August 9, 2021