Encouraging rational antibiotic use in childhood pneumonia: a focus on Vietnam and the Western Pacific Region
Identifieur interne : 000414 ( Pmc/Checkpoint ); précédent : 000413; suivant : 000415Encouraging rational antibiotic use in childhood pneumonia: a focus on Vietnam and the Western Pacific Region
Auteurs : Nguyen T. K. Phuong [Viêt Nam, Australie] ; Tran T. Hoang [Viêt Nam] ; Pham H. Van [Viêt Nam] ; Lolyta Tu [Australie] ; Stephen M. Graham [Australie] ; Ben J. Marais [Australie]Source :
- Pneumonia [ 2200-6133 ] ; 2017.
Abstract
Globally, pneumonia is considered to be the biggest killer of infants and young children (aged <5 years) outside the neonatal period, with the greatest disease burden in low- and middle-income countries. Optimal management of childhood pneumonia is challenging in settings where clinicians have limited information regarding the local pathogen and drug resistance profiles. This frequently results in unnecessary and poorly targeted antibiotic use. Restricting antibiotic use is a global priority, particularly in Asia and the Western Pacific Region where excessive use is driving high rates of antimicrobial resistance. The authors conducted a comprehensive literature review to explore the antibiotic resistance profile of bacteria associated with pneumonia in the Western Pacific Region, with a focus on Vietnam. Current management practices were also considered, along with the diagnostic dilemmas faced by doctors and other factors that increase unnecessary antibiotic use. This review offers some suggestions on how these issues may be addressed.
Url:
DOI: 10.1186/s41479-017-0031-4
PubMed: 28702309
PubMed Central: 5471677
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="Par1">Globally, pneumonia is considered to be the biggest killer of infants and young children (aged <5 years) outside the neonatal period, with the greatest disease burden in low- and middle-income countries. Optimal management of childhood pneumonia is challenging in settings where clinicians have limited information regarding the local pathogen and drug resistance profiles. This frequently results in unnecessary and poorly targeted antibiotic use. Restricting antibiotic use is a global priority, particularly in Asia and the Western Pacific Region where excessive use is driving high rates of antimicrobial resistance. The authors conducted a comprehensive literature review to explore the antibiotic resistance profile of bacteria associated with pneumonia in the Western Pacific Region, with a focus on Vietnam. Current management practices were also considered, along with the diagnostic dilemmas faced by doctors and other factors that increase unnecessary antibiotic use. This review offers some suggestions on how these issues may be addressed.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Pneumonia (Nathan)</journal-id>
<journal-id journal-id-type="iso-abbrev">Pneumonia (Nathan)</journal-id>
<journal-title-group><journal-title>Pneumonia</journal-title>
</journal-title-group>
<issn pub-type="epub">2200-6133</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28702309</article-id>
<article-id pub-id-type="pmc">5471677</article-id>
<article-id pub-id-type="publisher-id">31</article-id>
<article-id pub-id-type="doi">10.1186/s41479-017-0031-4</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Encouraging rational antibiotic use in childhood pneumonia: a focus on Vietnam and the Western Pacific Region</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Phuong</surname>
<given-names>Nguyen T. K.</given-names>
</name>
<address><phone>+84 905 561 593</phone>
<phone>+61 414 36 35 38</phone>
<email>phuongty832000@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hoang</surname>
<given-names>Tran T.</given-names>
</name>
<address><email>hoangtrandn@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Van</surname>
<given-names>Pham H.</given-names>
</name>
<address><email>phhvan.nkbiotek@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tu</surname>
<given-names>Lolyta</given-names>
</name>
<address><email>Lolita.tu@health.nsw.gov.au</email>
</address>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Graham</surname>
<given-names>Stephen M.</given-names>
</name>
<address><email>Steve.Graham@rch.org.au</email>
</address>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marais</surname>
<given-names>Ben J.</given-names>
</name>
<address><email>ben.marais@health.nsw.gov.au</email>
</address>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Respiratory Department, Da Nang Hospital for Women and Children, Da Nang, Vietnam</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.459448.0</institution-id>
<institution>Neonatal Department,</institution>
<institution>Da Nang Hospital for Women and Children,</institution>
</institution-wrap>
Da Nang, Vietnam</aff>
<aff id="Aff3"><label>3</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.413054.7</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0468 9247</institution-id>
<institution>Microbiology Department,</institution>
<institution>The University of Medicine and Pharmacy,</institution>
</institution-wrap>
Ho Chi Minh, Vietnam</aff>
<aff id="Aff4"><label>4</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.413973.b</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9690 854X</institution-id>
<institution>Antimicrobial Stewardship Team,</institution>
<institution>The Children’s Hospital at Westmead,</institution>
</institution-wrap>
Sydney, Australia</aff>
<aff id="Aff5"><label>5</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.1058.c</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9442 535X</institution-id>
<institution>Centre for International Child Health, University of Melbourne and Murdoch Children’s Research Institute,</institution>
</institution-wrap>
Melbourne, Australia</aff>
<aff id="Aff6"><label>6</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.1013.3</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1936 834X</institution-id>
<institution>Infectious Disease Team, The Children’s Hospital at Westmead and Discipline of Paediatrics and Adolescent Medicine, University of Sydney,</institution>
</institution-wrap>
Sydney, NSW Australia</aff>
</contrib-group>
<pub-date pub-type="epub"><day>25</day>
<month>4</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>25</day>
<month>4</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection"><year>2017</year>
</pub-date>
<volume>9</volume>
<elocation-id>7</elocation-id>
<history><date date-type="received"><day>21</day>
<month>11</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>3</day>
<month>4</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2017</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><p id="Par1">Globally, pneumonia is considered to be the biggest killer of infants and young children (aged <5 years) outside the neonatal period, with the greatest disease burden in low- and middle-income countries. Optimal management of childhood pneumonia is challenging in settings where clinicians have limited information regarding the local pathogen and drug resistance profiles. This frequently results in unnecessary and poorly targeted antibiotic use. Restricting antibiotic use is a global priority, particularly in Asia and the Western Pacific Region where excessive use is driving high rates of antimicrobial resistance. The authors conducted a comprehensive literature review to explore the antibiotic resistance profile of bacteria associated with pneumonia in the Western Pacific Region, with a focus on Vietnam. Current management practices were also considered, along with the diagnostic dilemmas faced by doctors and other factors that increase unnecessary antibiotic use. This review offers some suggestions on how these issues may be addressed.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Antibiotic Prescription</kwd>
<kwd>Cefaclor</kwd>
<kwd>Pneumococcal Conjugate Vaccine</kwd>
<kwd>Vaccine Uptake</kwd>
<kwd>Macrolide Resistance</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Australie</li>
<li>Viêt Nam</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
</region>
</list>
<tree><country name="Viêt Nam"><noRegion><name sortKey="Phuong, Nguyen T K" sort="Phuong, Nguyen T K" uniqKey="Phuong N" first="Nguyen T. K." last="Phuong">Nguyen T. K. Phuong</name>
</noRegion>
<name sortKey="Hoang, Tran T" sort="Hoang, Tran T" uniqKey="Hoang T" first="Tran T." last="Hoang">Tran T. Hoang</name>
<name sortKey="Van, Pham H" sort="Van, Pham H" uniqKey="Van P" first="Pham H." last="Van">Pham H. Van</name>
</country>
<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Phuong, Nguyen T K" sort="Phuong, Nguyen T K" uniqKey="Phuong N" first="Nguyen T. K." last="Phuong">Nguyen T. K. Phuong</name>
</region>
<name sortKey="Graham, Stephen M" sort="Graham, Stephen M" uniqKey="Graham S" first="Stephen M." last="Graham">Stephen M. Graham</name>
<name sortKey="Marais, Ben J" sort="Marais, Ben J" uniqKey="Marais B" first="Ben J." last="Marais">Ben J. Marais</name>
<name sortKey="Tu, Lolyta" sort="Tu, Lolyta" uniqKey="Tu L" first="Lolyta" last="Tu">Lolyta Tu</name>
</country>
</tree>
</affiliations>
</record>
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