Polypharmacy in Infectious Mononucleosis Management: Case Series
Background. Infectious mononucleosis is acute viral disease that often forces pediatricians, especially in outpatient departments, to prescribe antibiotics. However, viral infections even with prolonged fever and marked intoxication symptoms do not require antibacterial therapy. Unreasonable antibio...
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| Format: | Article |
| Language: | Russian |
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Union of pediatricians of Russia
2023-01-01
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| Series: | Педиатрическая фармакология |
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| Online Access: | https://www.pedpharma.ru/jour/article/view/2214 |
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| _version_ | 1849695782855245824 |
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| author | Artem A. Ivanov Tatiana V. Kulichenko |
| author_facet | Artem A. Ivanov Tatiana V. Kulichenko |
| author_sort | Artem A. Ivanov |
| collection | DOAJ |
| description | Background. Infectious mononucleosis is acute viral disease that often forces pediatricians, especially in outpatient departments, to prescribe antibiotics. However, viral infections even with prolonged fever and marked intoxication symptoms do not require antibacterial therapy. Unreasonable antibiotics’ administration leads to increase in antibiotic resistance, increase of treatment cost, and development of incorrect therapy understanding in patients. Clinical case description. The authors presented 3 clinical cases of infectious mononucleosis with typical course in children. All patients were unreasonably administered antibacterial therapy with three or more drugs in absence of any clinical and laboratory signs of bacterial infection. Conclusion. Patients with infectious mononucleosis do not require antibacterial therapy due to viral origin of the disease, regardless disease course duration and severity, except the cases with confirmed comorbid bacterial infection. |
| format | Article |
| id | doaj-art-cab2f7db071e420f995569f01adebc84 |
| institution | DOAJ |
| issn | 1727-5776 2500-3089 |
| language | Russian |
| publishDate | 2023-01-01 |
| publisher | Union of pediatricians of Russia |
| record_format | Article |
| series | Педиатрическая фармакология |
| spelling | doaj-art-cab2f7db071e420f995569f01adebc842025-08-20T03:19:39ZrusUnion of pediatricians of RussiaПедиатрическая фармакология1727-57762500-30892023-01-0119541241610.15690/pf.v19i5.24621930Polypharmacy in Infectious Mononucleosis Management: Case SeriesArtem A. Ivanov0Tatiana V. Kulichenko1Morozov Children’s City HospitalPirogov Russian National Research Medical UniversityBackground. Infectious mononucleosis is acute viral disease that often forces pediatricians, especially in outpatient departments, to prescribe antibiotics. However, viral infections even with prolonged fever and marked intoxication symptoms do not require antibacterial therapy. Unreasonable antibiotics’ administration leads to increase in antibiotic resistance, increase of treatment cost, and development of incorrect therapy understanding in patients. Clinical case description. The authors presented 3 clinical cases of infectious mononucleosis with typical course in children. All patients were unreasonably administered antibacterial therapy with three or more drugs in absence of any clinical and laboratory signs of bacterial infection. Conclusion. Patients with infectious mononucleosis do not require antibacterial therapy due to viral origin of the disease, regardless disease course duration and severity, except the cases with confirmed comorbid bacterial infection.https://www.pedpharma.ru/jour/article/view/2214evidence-based medicinemanagementinfectious mononucleosisclinical caseantibioticspolypharmacyantibiotic resistance |
| spellingShingle | Artem A. Ivanov Tatiana V. Kulichenko Polypharmacy in Infectious Mononucleosis Management: Case Series Педиатрическая фармакология evidence-based medicine management infectious mononucleosis clinical case antibiotics polypharmacy antibiotic resistance |
| title | Polypharmacy in Infectious Mononucleosis Management: Case Series |
| title_full | Polypharmacy in Infectious Mononucleosis Management: Case Series |
| title_fullStr | Polypharmacy in Infectious Mononucleosis Management: Case Series |
| title_full_unstemmed | Polypharmacy in Infectious Mononucleosis Management: Case Series |
| title_short | Polypharmacy in Infectious Mononucleosis Management: Case Series |
| title_sort | polypharmacy in infectious mononucleosis management case series |
| topic | evidence-based medicine management infectious mononucleosis clinical case antibiotics polypharmacy antibiotic resistance |
| url | https://www.pedpharma.ru/jour/article/view/2214 |
| work_keys_str_mv | AT artemaivanov polypharmacyininfectiousmononucleosismanagementcaseseries AT tatianavkulichenko polypharmacyininfectiousmononucleosismanagementcaseseries |