Bacteremia in children

Bacteremia will occur in people of different age groups. The occurrence of this disease is determined by several factors. The first is because of the infection transmitted by others, which does not rule out congenital transmission of infection. Some patients should choose appropriate methods for treatment according to the actual physical condition. In addition, it should be noted that everyone's physical changes are different, so it is necessary to do a good job in health care in this regard, especially for children.

Treatment of bacteremia

Transient bacteremia associated with surgery or indwelling intravenous or urinary catheters is often undetectable and generally does not require treatment. However, if patients have valvular heart disease, intravascular prostheses, or are receiving immunosuppressants, prophylactic antibiotics should be used to prevent endocarditis.

The prognosis of more serious bacteremia depends on two determining factors: first, it depends on the rapid and thorough identification of the source of infection; second, it depends on the original disease and its accompanying functional disorders.

Traumatic implants, especially intravenous and urinary catheters, should be removed promptly. Antibiotic therapy should be started empirically immediately after obtaining laboratory specimens such as Gram stain and bacterial culture. Some cases (eg, ruptured viscera, myometritis with abscesses, intestinal or gallbladder gangrene) require surgery; large abscesses must be incised and drained, and necrotic tissue removed.

Patients with persistent bacteremia due to pulmonary, biliary, or urinary tract infection are usually successfully treated with antibiotics if there is no obstruction or abscess formation. If multiple organ failure develops, multiple bacteria are often found (polyspecies bacteremia), which has a poor prognosis. The mortality rate increases significantly when antibiotic treatment or surgical treatment is delayed.

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Prevention of bacteremia

If all obvious or hidden purulent lesions can be cleared early, the occurrence of bacteremia can be reduced. Common infectious diseases in children such as measles, influenza, whooping cough, etc. are often prone to secondary severe respiratory bacterial infections, resulting in bacteremia. We must strengthen protection for these children. No matter how minor the skin injury is, it must be taken seriously and treated appropriately as soon as possible. With the continuous improvement of environmental hygiene, personal hygiene, nutritional status and pediatric health care, the incidence of bacteremia will inevitably decrease.