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Microbiology and management of respiratory infections in children with tracheostomy
Paediatric Respiratory Reviews ( IF 5.8 ) Pub Date : 2023-05-26 , DOI: 10.1016/j.prrv.2023.05.006
F Birru 1 , C A Gerdung 1 , M Castro-Codesal 1
Affiliation  

Tracheostomy-related respiratory infections are common, though the diagnosis and management can be challenging in children. The goal of this review article was to provide an overview of the current knowledge known about recognizing and treating respiratory infections in this population and to emphasize future areas for further research. While several small and retrospective papers attempt to provide information, there remain more questions than answers. We have reviewed ten published articles to understand this topic, bringing to light significant variation in clinical practices across institutions. While identifying the microbiology is important, it is also crucial to recognize when to treat. Differentiating acute infection, chronic infection, and colonization are important features that influence the treatment of lower respiratory tract infection in children with a tracheostomy.



中文翻译:

气管切开儿童呼吸道感染的微生物学和治疗

气管造口相关的呼吸道感染很常见,但儿童的诊断和治疗可能具有挑战性。这篇综述文章的目的是概述目前已知的有关识别和治疗该人群呼吸道感染的知识,并强调未来进一步研究的领域。虽然几篇小型回顾性论文试图提供信息,但问题仍然多于答案。我们回顾了十篇已发表的文章来了解这个主题,揭示了不同机构临床实践的显着差异。虽然识别微生物很重要,但识别何时进行治疗也很重要。区分急性感染、慢性感染和定植是影响气管造口儿童下呼吸道感染治疗的重要特征。

更新日期:2023-05-26
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