Antimicrobial defined daily dose adjusted by weight: a proposal for antibiotic consumption measurement in children.

Abstract:

INTRODUCTION:Antimicrobial defined daily dose (DDD), has limitations for antimicrobial consumption measurement in paediatrics. An alternative DDD design applicable for children is proposed. METHODS:Children (<16 years-old) from 10 Spanish hospitals during a 12-months period were included. Weight for age (50th percentile) was calculated for the median age of the cohort using standardized World Health Organization tables. DDD (g) for each antimicrobial was calculated by multiplying the obtained weight times the recommended dose (mg/kg) of the antimicrobial for the most common infectious indication. RESULTS:A total of 40,575 children were included. Median age was 4.17 (IQR: 1.36-8.98) and 4.81 (IQR: 1.42-9.60) years for boys and girls, respectively. Mean weight for this age was 17.08kg. Standardized DDD for representative antimicrobials were calculated. CONCLUSIONS:A useful method for antimicrobial DDD measurement in paediatrics has been proposed and should be validated in future studies for its use in paediatric antimicrobial stewardship programmes.

authors

Montecatine-Alonso E,Gil-Navarro MV,Fernández-Llamazares CM,Fernández-Polo A,Soler-Palacín P,Llorente-Gutiérrez J,Gómez-Travecedo Calvo MT,Esquivel-Mora MD,Pérez-Rodrigo I,Cisneros JM,Goycochea-Valdivia WA,Neth O,Paediatric Antim

doi

10.1016/j.eimc.2018.07.011

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

301-306

issue

5

eissn

0213-005X

issn

1578-1852

pii

S0213-005X(18)30255-6

journal_volume

37

pub_type

杂志文章,多中心研究
  • [Patient characteristics and health care burden during the influenza A (H1N1) 2009 pandemic in the university Hospital Vall d'Hebron of Barcelona].

    abstract:BACKGROUND AND OBJECTIVE:The influenza A (H1N1) 2009 pandemic initially had a mild impact in Catalonian hospitals, but in the autumn there was an important pandemic wave. We describe the main characteristics of patients seen in the Vall d'Hebron University Hospital in Barcelona (HUVH) during this pandemic, the risk fac...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2011.05.005

    authors: González R,Balasso V,Uriona S,Rodrigo JÁ,Vaqué J,Campins M,Tórtola MT,Cebrián R,Jiménez J,Figueras C,Almirante B,Pérez-Hoyos S

    更新日期:2011-10-01 00:00:00

  • [Pharmacology, pharmacokinetic features and interactions of atazanavir].

    abstract::Atazanavir (ATV) is an HIV protease inhibitor (IP) with a high in vitro activity against HIV-1, that demonstrates a high additive activity in the presence of other antiretrovirals and a synergic activity with other PI. Oral absorption is greater than 68%, maximum concentration (C(max)) being reached approximately 2 to...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/S0213-005X(08)76613-8

    authors: López-Cortés LF

    更新日期:2008-12-01 00:00:00

  • [HIV infection and other sexually-transmitted infections among immigrants in Barcelona].

    abstract:BACKGROUND:Immigration is a recent phenomenon in Spain. Certain subgroups of the immigrant population may be vulnerable to acquiring sexually transmitted infections (STI). MATERIAL AND METHODS:Descriptive study of the seroprevalenceof certain STI (HIV, hepatitis B and syphilis) and the general characteristicsn of pers...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/s0213-005x(02)72777-8

    authors: Vall Mayans M,Arellano E,Armengol P,Escribà JM,Loureiro E,Saladié P,Sanz B,Saravanya M,Vall M,Villena MJ

    更新日期:2002-04-01 00:00:00

  • [Viral infections associated with intestinal invagination].

    abstract::Intestinal invagination is rather frequently associated with local tumors, adenovirus infections, and occasionally with Yersinia enterocolitica. However, in many cases the etiology is not known. We have studied 88 children with intestinal invagination in whom cellular cultures of Hep 2 and pulmonary fibroblasts of hum...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:

    authors: Calicó I,Bertrán Sangués JM,Elcuaz Romano RI,Casal J,Suñé Gracia MJ

    更新日期:1990-08-01 00:00:00

  • Prevention and treatment of sexually transmitted infections in high-risk individuals, including patients with HIV infection.

    abstract::Sexually transmitted infections are a global public health problem both due to their high prevalence and due to their morbidity. A rapid and precise diagnosis is key to establishing appropriate targeted treatment and also to decreasing dissemination of these diseases among the high-risk population. To perform adequate...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.eimc.2018.11.008

    authors: Del Romero J,García-Pérez JN,Espasa-Soley M

    更新日期:2019-02-01 00:00:00

  • [Community-onset and nosocomial bacteremia due to methicillin-resistant Staphylococcus aureus in Spanish hospitals].

    abstract:INTRODUCTION:Community-onset infections caused by methicillin-resistant Staphylococcus aureus (MRSA) are increasing. However, there is little information about community-onset bacteremia (CB) due to MRSA in Spain. The objectives of this study were to evaluate the prevalence, clinical and molecular epidemiology, clinica...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.eimc.2009.07.004

    authors: Millan AB,Domínguez MA,Borraz C,González MP,Almirante B,Cercenado E,Padilla B,Pujol M,Rodríguez-Baño J,GEIH\/GEMARA\/REIPI.

    更新日期:2010-06-01 00:00:00

  • [Detection of pathogenicity factors in strains of classical enteropathogenic Escherichia coli].

    abstract:OBJECTIVE:To determine the number of strains of classic enteropathogenic E. coli (EPEC) that have the eae gene, that is considered a pathogenicity factor. MATERIAL AND METHODS:The presence of the eae gene has been evaluated on 62 EPEC strains of ten different serogroups, isolated from children with gastroenteritis. R...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:

    authors: Frías C,Margall N,Mirelis B,Prats G

    更新日期:1998-06-01 00:00:00

  • [A historical view of the specialty of clinical microbiology].

    abstract::Clinical microbiology today is a well established specialty in Spain whose development has necessarily been linked to improvements in the diagnosis, treatment and prevention of infectious diseases. Over time, clinical, teaching, and research structures have been organized around these diseases. In addition, a scientif...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 历史文章,杂志文章

    doi:10.1016/S0213-005X(10)70013-6

    authors: Pérez EP,Álvarez RM

    更新日期:2010-10-01 00:00:00

  • Phlebovirus-associated diseases transmitted by phlebotominae in Spain: Are we at risk?

    abstract::The genera Phlebovirus transmitted by Diptera belonging to the Psychodidae family are a cause of self-limited febrile syndrome in the Mediterranean basin in summer and autumn. Toscana virus can also cause meningitis and meningoencephalitis. In Spain, Toscana, Granada, Naples, Sicily, Arbia and Arrabida-like viruses ha...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.eimc.2020.02.026

    authors: García San Miguel L,Sierra MJ,Vazquez A,Fernandez-Martínez B,Molina R,Sanchez-Seco MP,Lucientes J,Figuerola J,de Ory F,Monge S,Suarez B,Simón F

    更新日期:2020-04-25 00:00:00

  • [Infection by Mucorales fungi].

    abstract::Mucormycosis is a rare opportunistic fungal infection of immunosuppressed patients. We describe here 5 cases of mucormycosis: three with facial and eye involvement, one with lung involvement and one affecting skin and joints. All five patients had underlying diseases: diabetes, leukemia, lymphoma, neoplasia and AIDS. ...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:

    authors: Pintado V,Valencia E,López-Dupla JM,Lavilla P,González A,Gil A

    更新日期:1991-10-01 00:00:00

  • [Automatic detection of bacterial and fungal infections in blood].

    abstract::Sepsis is one of the main causes of mortality and morbidity in hospitals. Early detection of pathogens using nucleic acid-based techniques speeds diagnosis of bacteremia and/or fungemia, aids the rapid application of appropriate antibiotics, reduces the use of unnecessary antibiotics, and lowers mortality. Two commerc...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/s0213-005x(08)76544-3

    authors: Molina JM,Córdoba J,Ramírez P,Gobernado M

    更新日期:2008-07-01 00:00:00

  • [Type 1 fimbriae and P fimbriae in E. coli producing chronic prostatitis].

    abstract::The fimbriated adhesines constitute a factor of virulence of E. coli in the urinary tract infections. The presence of type 1 fimbriae and fimbriae P was evaluated in 23 E. coli strains isolated with patients with chronic bacterial prostatitis. For the diagnosis of prostatitis the Stamey test was used. The detection of...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:

    authors: Andreu A,Fernández F,Banus JM

    更新日期:1989-03-01 00:00:00

  • [The relevance of correct identification and interpretation of susceptibility testing of Aeromonas spp. bacteremia isolates].

    abstract:OBJECTIVE:To assess the relevance of correct identification and interpretation of susceptibility testing of Aeromonas spp. bacteremia isolates using newly developed molecular methods in comparison to previous conventional methods. MATERIAL AND METHODS:The study included 22 patients with bacteremia due to Aeromonas hyd...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2015.02.020

    authors: Ruiz-Castillo A,Lepe-Jiménez JA,Torres-Sánchez MJ,Artacho-Reinoso MJ,Aznar-Martín J

    更新日期:2016-02-01 00:00:00

  • [Evaluation of a new method (Filtrachek-UTI) for the detection of bacteriuria].

    abstract::The diagnostic effectiveness of a new test for the detection of bacteriuria (Filtrachek-UTI) was compared with Gram stain and semiquantitative culture in 955 urine samples. 276 of these were from inpatients (108 males and 168 females), and 677 from outpatients (206 males and 471 females). Overall 229 positive cultures...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:

    authors: Conejo MC,Pérez MJ,Palomares JC

    更新日期:1989-08-01 00:00:00

  • [Infection by Coxiella burnetii (Q fever)].

    abstract::In spite of being described over 60 years, Q fever is still a little known disease. The exact prevalence is also unknown, but probably the number of cases of Q fever is underestimated. There is much variation in the clinical presentation, including severe forms with a poor prognosis. Acute cases often present as an as...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/S0213-005X(10)70005-7

    authors: Fariñas MT,Collado CM

    更新日期:2010-01-01 00:00:00

  • [Epidemiologic and therapeutic aspects of bacteremic infections of the urinary tract].

    abstract::A survey was carried out of all urinary tract infections which developed bacteremia during an 18 month period. The number of episodes of bacteremia of urinary origin (BUO) detected in our institution during that period was 108. The urinary tract was the most common origin of the cases of community acquired (CA) bacter...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:

    authors: Tomás S,Torné J,Soriano JC,García-Flores A,Garcés JM,Drobnic L,Morta M,Torres JM

    更新日期:1989-02-01 00:00:00

  • [Mycobacterium fortuitum in patients with chronic renal insufficiency: apropos of 2 cases].

    abstract::Mycobacterium fortuitum is a rapidly growing mycobacteria recovered from human infections such as skin, soft tissue, skeletal and pulmonary infectious diseases. We report 2 cases of M. fortuitum isolation from clinical samples from two patients placed on dialysis program. Our clinical findings were: The first, the pre...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:

    authors: Viguera J,Oliva JA,Pascual R,Lens XM,Carrió J,Mallafré JM

    更新日期:1990-05-01 00:00:00

  • [Primary care doctors attitudes and practices in the diagnosis of HIV infection].

    abstract:OBJECTIVE:To explore the attitudes and practices of Primary Health Care professionals in the diagnosis of HIV infection according to current protocols and the degree of acceptance of simplified HIV testing (without a separate written consent and without asking about risk practices). MATERIAL AND METHODS:An observation...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2011.02.014

    authors: Busto MJ,García San Miguel L,Castelao ME,Bermúdez E

    更新日期:2011-08-01 00:00:00

  • Fosamprenavir (GW433908)/ritonavir in HIV-infected patients: efficacy and safety results from the Spanish Expanded Access Program.

    abstract:INTRODUCTION:The use of protease inhibitors (PI) has led to a decrease in HIV-1-related mortality and morbidity. The objective of this study was to collect safety data on treatment with fosamprenavir/ritonavir (FPV/r) 700/100mg BID in HIV-infected patients through an expanded access program. PATIENTS AND METHODS:Prosp...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.eimc.2008.05.002

    authors: Pérez-Elias MJ,Sánchez-Conde M,Soriano V,Mallolas J,Luque I,Rodríguez-Alcántara F,Fosamprenavir Expanded Access Program Group.

    更新日期:2009-01-01 00:00:00

  • Prevalence of polypharmacy and associated factors among patients living with HIV infection in Spain: The POINT study.

    abstract:PURPOSE:Survival in people living with HIV (PLWH) has increased and thus people are aging with HIV, increasing the frequency of multimorbidity and polypharmacy. This cross-sectional study was conducted to evaluate the prevalence of polypharmacy among PLWH who were on antiretroviral treatment and were followed in an out...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2020.09.020

    authors: Morillo-Verdugo R,Sánchez-Rubio-Ferrández J,Gimeno-Gracia M,Robustillo-Cortés MLA,Almeida-González CV,POINT study group.

    更新日期:2020-11-20 00:00:00

  • [Polio, the long walk to the endgame].

    abstract::Although the WHO original target date for the global eradication of poliomyelitis was the year 2000 -thanks to vaccination and institutional, public and private, resources for that purpose-, in 2013 the disease remained endemic in three countries, Afghanistan, Pakistan and Nigeria, and some cases were described in fiv...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.eimc.2014.10.005

    authors: García-Sánchez JE,García-Sánchez E,García-Merino E,Fresnadillo-Martínez MJ

    更新日期:2015-12-01 00:00:00

  • [Analysis of the results of the SEIMC External Quality Control Program, 2007].

    abstract::The External Quality Control Program of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC) includes controls for bacteriology, serology, mycology, parasitology, mycobacteria, virology and molecular microbiology. This article presents the most important conclusions and lessons drawn from the 2...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type:

    doi:

    authors: Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC).,Guna Serrano Mdel R,Orta Mira N,Ovies M,Gimeno Cardona C,Pérez JL

    更新日期:2008-11-01 00:00:00

  • Molecular characteristics of drug-resistance Mycobacterium tuberculosis strains isolated from extra pulmonary tuberculosis sites.

    abstract:OBJECTIVES:China is the second high tuberculosis (TB) burden country in the world. This article was to determinate the molecular characteristic of drug resistance Mycobacterium tuberculosis (DRTB) strains from extra pulmonary tuberculosis (EPTB). METHODS:The medical records of patients with EPTB were reviewed and coll...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2020.04.007

    authors: Li T,Shi T,Sun Y,Chen F,Jiang W,Chen Y

    更新日期:2020-06-27 00:00:00

  • [Pharmacokinetics and pharmacodynamics: interactions and adverse effects. Comparison with other echinocandins].

    abstract::New drugs will soon be incorporated into the echinocandin class of antifungals. The first to be released on to the market will be anidulafungin. The pharmacokinetic characteristics of this drug clearly distinguish it from the only representative of this family of antifungal agents available to date: caspofungin. Speci...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/s0213-005x(08)76588-1

    authors: Azanza JR,Montejo M

    更新日期:2008-12-01 00:00:00

  • Current situation in the development of a preventive HIV vaccine.

    abstract::The uncontrolled progression of the AIDS epidemic has made the development of an efficacious human immunodeficiency virus (HIV) vaccine a major objective of scientific research. No effective preventive vaccine against HIV is currently available and sterilizing immunity has not yet been achieved in animal models. This ...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:

    authors: Alcamí J,Joseph Munné J,Muñoz-Fernández MA,Esteban M

    更新日期:2005-07-01 00:00:00

  • [Candida: epidemiology and risk factors for non-albicans species].

    abstract:INTRODUCTION:Nosocomial fungal infections have increased significantly in the last decade. Candida detection in clinical specimens can mean either colonization or an infection which can be local (muguet) or invasive. Knowledge of the species helps in choosing the best treatment. The aims of this study were to determine...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2012.09.011

    authors: Cornistein W,Mora A,Orellana N,Capparelli FJ,del Castillo M

    更新日期:2013-06-01 00:00:00

  • Sustained virological response at week 12 after interferon-free therapy as criterion for HCV cure definition: Validation in a real-life cohort of HIV-coinfected patients.

    abstract:INTRODUCTION:Sustained virological response (SVR) 12 weeks after the end-of-therapy (EOT) has been correlated with SVR24 for HCV-monoinfection. We aim to validate SVR12 as criterion for definition of HCV cure in HIV-coinfected patients treated with all-oral direct-acting antivirals (DAA). METHODS:Prospectively observa...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2019.07.009

    authors: Domínguez-Domínguez L,Lagarde M,Bisbal O,Matarranz M,Rubio R,Pulido F

    更新日期:2020-01-01 00:00:00

  • First national survey of the diagnosis of Helicobacter pylori infection in Clinical Microbiology Laboratories in Spain.

    abstract:INTRODUCTION:The aim of this study was to know, through a national survey, the methods and techniques used for the diagnosis of Helicobacter pylori (Hp) in the different Clinical Microbiology Services/Laboratories in Spain, as well as antibiotic resistance data. METHODS:The survey requested information about the diagn...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2019.11.008

    authors: Miqueleiz-Zapatero A,Alba-Rubio C,Domingo-García D,Cantón R,Gómez-García de la Pedrosa E,Aznar-Cano E,Leiva J,Montes M,Sánchez-Romero I,Rodríguez-Díaz JC,Alarcón-Cavero T,Grupo de Trabajo de Diagnóstico Microbiológico de Helicobact

    更新日期:2020-11-01 00:00:00

  • [Multiresistant Gram-negative bacterial infections: Enterobacteria, Pseudomonas aeruginosa, Acinetobacter baumannii and other non-fermenting Gram-negative bacilli].

    abstract::Multiresistant Gram-negative bacteria represent a major health problem worldwide. This is related to the severity of the infections they cause, the difficulties for empiric (even directed) treatment, the ease of multiresistance spread, and the absence of new antimicrobial agents active against this group of pathogens....

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.eimc.2013.03.016

    authors: Fariñas MC,Martínez-Martínez L

    更新日期:2013-06-01 00:00:00

  • Epidemiology of tuberculosis in Spain. Results obtained by the National Epidemiological Surveillance Network in 2015.

    abstract::The epidemiological surveillance data for tuberculosis in Spain in 2015 is analysed in this report. This information was gathered through cases reported to the Red Nacional de Vigilancia Epidemiológica [National Epidemiological Surveillance Network]. In addition, the update of the treatment of the cases reported in 20...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章

    doi:10.1016/j.eimc.2017.11.013

    authors: Cano-Portero R,Amillategui-Dos Santos R,Boix-Martínez R,Larrauri-Cámara A

    更新日期:2018-03-01 00:00:00