AI Article Synopsis
- * A group of infectious disease experts identified 7 crucial clinical questions regarding the management of pediatric SAB, highlighting a lack of high-quality evidence to guide treatment decisions.
- * Current management practices for SAB in children mainly rely on clinical experience and data from adult studies, and the best treatment strategies will only be determined through future clinical trials and observational studies involving children.
Article Abstract
is a common cause of community and health care-associated bacteremia, with authors of recent studies estimating the incidence of bacteremia (SAB) in high-income countries between 8 and 26 per 100 000 children per year. Despite this, <300 children worldwide have ever been randomly assigned into clinical trials to assess the efficacy of treatment of SAB. A panel of infectious diseases physicians with clinical and research interests in pediatric SAB identified 7 key clinical questions. The available literature is systematically appraised, summarizing SAB management in children in relation to these priority clinical questions. The management of neonates, children, and adolescents with SAB is predominantly based on clinical experience and trial data extrapolated from adult studies, with limited high-quality evidence available to guide management. The optimal, comprehensive management strategies for SAB in children will remain unknown until the questions outlined are answered through prospective observational cohorts and inclusion of children with SAB in clinical trials.
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| http://dx.doi.org/10.1542/peds.2020-0134 | DOI Listing |
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