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451 results

A Europe-wide appraisal of national guidelines for AOM

01-06-2021

National guidelines for the management of acute otitis media (AOM) play a vital role in antibiotic stewardship (ABS). This review evaluates European guidelines for AOM in children based on methodological quality, Strength of Recommendations and consideration of ABS. While major similarities were found, the authors encourage development of centrally produced, locally adapted AOM guidelines to reduce unnecessary administration of antibiotics.

When are antibiotics appropriate in ARS?

01-06-2021

In North America, acute rhinosinusitis (ARS) is a major driver of antibiotic consumption. Prescribers are encouraged to revisit diagnostic criteria for acute bacterial rhinosinusitis (ABRS) when evaluating patients with ARS, to help identify those who require antibiotics, and prescribe the most appropriate antibiotic treatment.

Developing quality indicators to improve quality of care in ABRS

01-06-2021

Quality indicators (QIs) are an initial step toward improving the quality of care provided to patients. Acute bacterial rhinosinusitis (ABRS), a complication of upper respiratory tract infections (URTIs), lacks specifi c QIs. This study proposes 7 ABRS specific QIs to evaluate the diagnosis and management that reduces symptoms, improves quality of life, and prevents complications.

Evaluating Antibiotics commonly prescribed in paediatric CA-RTIs

01-06-2021

Acute otitis media (AOM), acute bacterial rhinosinusitis (ABRS) and the lower respiratory tract infection, community-acquired pneumonia (CAP), are often treated with antibiotics. This paper evaluates the pharmacological properties of the preferred agents, amoxicillin and amoxicillin + clavulanic acid, compared with oral cephalosporins also prescribed in AOM, ABRS, and CAP. The analysis revealed that oral cephalosporins provide unnecessarily broad spectra of activity.

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