Pediatric rational application of the basic principles of antimicrobial drugs.doc

 PAGE \* MERGEFORMAT 18 Pediatric rational application of the basic principles of antimicrobial drugs [Keywords:] antibacterial drugs According to the Ministry of Health promulgated the ‘guiding principles for clinical application of antibacterial drugs’ (hereinafter referred to as ‘guiding principles’) highlighted the basic principles for the pediatric field should focus on the following [1]. A strictly therapeutic and preventive medication indications For the treatment of drug-taking, ‘guiding principles’ stressed:’ diagnosis of bacterial infection ‘or’ by the fungi, Mycobacterium tuberculosis, non-tuberculosis mycobacteria, mycoplasma, chlamydia, spirochetes, rickettsia and some protozoa of infection caused by pathogenic microorganisms such as’ side for the application of antibacterial drugs indication. The ‘diagnosis of those who can not be established, as well as viral infection’, no indication. This is made clear pediatric clinical medication requirements, end, clinicians faced with fever in children, first and foremost difference is that infectious or non-infectious fever. In the case of infectious fever, must also be ruled out simple infection. Therefore, we must: ① carefully asked about the history, including the degree of fever, hot process and thermal type, general condition of the body, such as epidemiological history of infectious diseases; ② a comprehensive physical examination, a clear site of infection, type and degree; ③ to the basic, necessary, routine tests and ancillary inspection. The authors proposed pediatric infections should strive to retain an appropriate clinical specimens for infection of the original bacteria and other pathogenic microorganisms of the culture and sensitivity test. Resulting heat stroke should also be excluded, extensive dermatitis, vaccination reactions, drug fever and other non-infectious diseases, in particular, can not miss identify a variety of tumors, leukemia, lymphoma and other malignant diseases and c