Dieses Ergebnis aus BASE kann Gästen nicht angezeigt werden. Login für vollen Zugriff.

Nationwide survey on the management of pediatric pharyngitis in Italian emergency units

Title:	Nationwide survey on the management of pediatric pharyngitis in Italian emergency units
Authors:	Milani, Gregorio P.; Rosa, Claudio; Tuzger, Naz; Alberti, Ilaria; Ghizzi, Chiara; Zampogna, Stefania; Amigoni, Angela; Agostoni, Carlo; Peroni, Diego; Marchisio, Paola; Chiappini, Elena; Tappi, Eleonora; Rabbone, Ivana; Salvini, Filippo M.; Cozzi, Giorgio; Silvagni, Davide; Pitea, Marco; Manieri, Sergio; Crisalfi, Antonella; Vaccaro, Angelina; Plebani, Anna M.; Falorni, Susanna; Martelli, Laura; Lanari, Marcello; Di Stefano, Giuseppe; De Martinis, Mauro; Bulciolu, Pasquale; Iughetti, Lorenzo; Fabiani, Elisabetta; Greco, Rita; Cardinale, Fabio; Boera, Riccardo; Arrighini, Alberto; Chiaretti, Antonio; Nunziata, Felice; Salvo, Rosario; Banderali, Giuseppe; Fasoli, Silvia; Baracchia, Gabriella; Antonucci, Roberto; Biondi, Andrea; Tenci, Andrea; Mirri, Gianpaolo; Battisti, Laura; Bellettato, Massimo; Ruffini, Ermanno; Cogo, Paola; Dragovic, Danica; Da Dalt, Liviana; Bruni, Paola; Caloiero, Mimma; Varisco, Tiziana; Palmieri, Marcello; Picciotti, Emanuela; Cualbu, Antonio; Pradal, Ugo; Grosso, Salvatore; Pogliani, Laura Maria; Selicorni, Angelo; Soffiati, Massimo; Bene, Pietra; Guala, Andrea; Bertolozzi, Giuseppe; Tommasi, Paola; Campanozzi, Angelo; Cella, Andrea; Ghitti, Cesare; Groff, Paolo; Bondone, Claudia; Vitale, Antonio; Capalbo, Pina Teresa; Dall’Amico, Roberto; Sisto, Antonio; Livio, Ecclesio L.; Tatò, Emanuele; Flora, Marina; Raiola, Giuseppe; Suppiej, Agnese; Clemente, Ciro; Lizzoli, Francesca; Chiarelli, Francesco; Podestà, Alberto; Forte, Fabio R.; Vasarri, Pierluigi; Pennoni, Guido; Parrinello, Flavia; Fornaro, Martina; Casa, Roberto della; Zaglia, Federico; Tipo, Vincenzo; Morandi, Francesco; Cecinati, Valerio; Calabrò, Giuseppe; Messini, Beatrice; Marseglia, Gian Luigi; Arrigoni, Sergio; Gaggiano, Santina; Cavalli, Claudio; Gramaglia, Giuseppe; Serra, Laura; Valletta, Enrico; Militerno, Gaia; Chiossi, Massimo; Camellino, Gino; Masi, Stefano; Marchetti, Federico; Traina, Giovanni; Maccarrone, Rosa Maria
Contributors:	Milani, Gregorio P.; Rosa, Claudio; Tuzger, Naz; Alberti, Ilaria; Ghizzi, Chiara; Zampogna, Stefania; Amigoni, Angela; Agostoni, Carlo; Peroni, Diego; Marchisio, Paola; Chiappini, Elena; Tappi, Eleonora; Rabbone, Ivana; Salvini, Filippo M.; Cozzi, Giorgio; Silvagni, Davide; Pitea, Marco; Manieri, Sergio; Crisalfi, Antonella; Vaccaro, Angelina; Plebani, Anna M.; Falorni, Susanna; Martelli, Laura; Lanari, Marcello; Di Stefano, Giuseppe; De Martinis, Mauro; Bulciolu, Pasquale; Iughetti, Lorenzo; Fabiani, Elisabetta; Greco, Rita; Cardinale, Fabio; Boera, Riccardo; Arrighini, Alberto; Chiaretti, Antonio; Nunziata, Felice; Salvo, Rosario; Banderali, Giuseppe; Fasoli, Silvia; Baracchia, Gabriella; Antonucci, Roberto; Biondi, Andrea; Tenci, Andrea; Mirri, Gianpaolo; Battisti, Laura; Bellettato, Massimo; Ruffini, Ermanno; Cogo, Paola; Dragovic, Danica; Da Dalt, Liviana; Bruni, Paola; Caloiero, Mimma; Varisco, Tiziana; Palmieri, Marcello; Picciotti, Emanuela; Cualbu, Antonio; Pradal, Ugo; Grosso, Salvatore; Pogliani, Laura Maria; Selicorni, Angelo; Soffiati, Massimo; Bene, Pietra; Guala, Andrea; Bertolozzi, Giuseppe; Tommasi, Paola; Campanozzi, Angelo; Cella, Andrea; Ghitti, Cesare; Groff, Paolo; Bondone, Claudia; Vitale, Antonio; Capalbo, Pina Teresa; Dall’Amico, Roberto; Sisto, Antonio; Livio, Ecclesio L.; Tatò, Emanuele; Flora, Marina; Raiola, Giuseppe; Suppiej, Agnese; Clemente, Ciro; Lizzoli, Francesca; Chiarelli, Francesco; Podestà, Alberto; Forte, Fabio R.; Vasarri, Pierluigi; Pennoni, Guido; Parrinello, Flavia; Fornaro, Martina; Casa, Roberto della; Zaglia, Federico; Tipo, Vincenzo; Morandi, Francesco; Cecinati, Valerio; Calabrò, Giuseppe; Messini, Beatrice; Marseglia, Gian Luigi; Arrigoni, Sergio; Gaggiano, Santina; Cavalli, Claudio; Gramaglia, Giuseppe
Publication Year:	2023
Collection:	Università degli Studi di Ferrara: CINECA IRIS
Subject Terms:	Group A β-hemolytic streptococcus. Management; Antibiotic stewardship; Over prescription; Test
Description:	Background Acute pharyngitis is a frequent reason for primary care or emergency unit visits in children. Most available data on pharyngitis management come from primary care studies that demonstrate an underuse of microbiological tests, a tendency to over-prescribe antibiotics and a risk of antimicrobial resistance increase. However, a comprehensive understanding of acute pharyngitis management in emergency units is lacking. This study aimed to investigate the frequency of rapid antigen test use to diagnose acute pharyngitis, as well as other diagnostic approaches, the therapeutic attitude, and follow-up of children with this condition in the emergency units.Methods A multicentric national study was conducted in Italian emergency departments between April and June 2022.Results A total of 107 out of 131 invited units (response rate 82%), participated in the survey. The results showed that half of the units use a scoring system to diagnose pharyngitis, with the McIsaac score being the most commonly used. Most emergency units (56%) were not provided with a rapid antigen diagnostic test by their hospital, but the test was more frequently available in units visiting more than 10,000 children yearly (57% vs 33%, respectively, p = 0.02). Almost half (47%) of the units prescribe antibiotics in children with pharyngitis despite the lack of microbiologically confirmed cases of Group A beta-hemolytic streptococcus. Finally, about 25% of units prescribe amoxicillin-clavulanic acid to treat Group A beta-hemolytic streptococcus pharyngitis.Conclusions The study sheds light on the approach to pharyngitis in emergency units, providing valuable information to improve the appropriate management of acute pharyngitis in this setting. The routinary provision of rapid antigen tests in the hospitals could enhance the diagnostic and therapeutic approach to pharyngitis.
Document Type:	article in journal/newspaper
File Description:	STAMPA
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/37670391; info:eu-repo/semantics/altIdentifier/wos/WOS:001062785900002; volume:49; issue:1; firstpage:114-1; lastpage:114-7; numberofpages:7; journal:THE ITALIAN JOURNAL OF PEDIATRICS; https://hdl.handle.net/11392/2544013
DOI:	10.1186/s13052-023-01514-8
Availability:	https://hdl.handle.net/11392/2544013; https://doi.org/10.1186/s13052-023-01514-8; https://ijponline.biomedcentral.com/articles/10.1186/s13052-023-01514-8
Rights:	info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number:	edsbas.1730D5F0
Database:	BASE