Consensus guidelines for the management of upper respiratory tract infections
Upper respiratory tract infections are the most common source of antibiotic prescriptions. Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Tr...
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| Veröffentlicht in: | Medicina (Buenos Aires) 2012, Vol.72 (6), p.484-494 |
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| creator | Lopardo, Gustavo Calmaggi, Aníbal Clara, Liliana Levy Hara, Gabriel Mykietiuk, Analía Pryluka, Daniel Ruvinsky, Silvina Vujacich, Claudia Yahni, Diego Bogdanowicz, Elizabeth Klein, Manuel López Furst, María J Pensotti, Claudia Rial, María J Scapellato, Pablo |
| description | Upper respiratory tract infections are the most common source of antibiotic prescriptions. Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Treatment of choice for streptococcal infection is penicillin V given in two daily doses. In children, acute otitis media (AOM) is the infection for which antibiotics are most often prescribed. Predominant causative pathogens include Streptococcus pneumoniae, Haemophilus influenzae non-type b and Moraxella catarrhalis. Diagnosis is based on history, physical examination and otoscopic exam. Antibiotic treatment should be initiated promptly in all children |
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Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Treatment of choice for streptococcal infection is penicillin V given in two daily doses. In children, acute otitis media (AOM) is the infection for which antibiotics are most often prescribed. Predominant causative pathogens include Streptococcus pneumoniae, Haemophilus influenzae non-type b and Moraxella catarrhalis. Diagnosis is based on history, physical examination and otoscopic exam. Antibiotic treatment should be initiated promptly in all children<2 years of age, and in older children presenting bilateral AOM, otorrhoea, co-morbidities or severe illness. In Argentina, amoxicillin is the drug of choice given the low penicillin resistance rates for S. pneumoniae. In children who fail amoxicillin therapy, amoxicillin/clavulanate provides better coverage against beta-lactamase producing H. influenzae and M. catarrhalis. Rhinosinusitis is caused mainly by viruses, secondary bacterial complication occurs in less than 5% of cases. Diagnosis is based on physical examination and additional studies are not usually required. Acute bacterial sinusitis is caused by the same pathogens that cause AOM and amoxicillin is the drug of choice.</description><identifier>ISSN: 0025-7680</identifier><identifier>PMID: 23241293</identifier><language>spa</language><publisher>Argentina</publisher><subject>Acute Disease ; Anti-Bacterial Agents - therapeutic use ; Argentina ; Evidence-Based Medicine ; Humans ; Otitis Media - drug therapy ; Pharyngitis - drug therapy ; Rhinitis - drug therapy ; Sinusitis - drug therapy</subject><ispartof>Medicina (Buenos Aires), 2012, Vol.72 (6), p.484-494</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23241293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lopardo, Gustavo</creatorcontrib><creatorcontrib>Calmaggi, Aníbal</creatorcontrib><creatorcontrib>Clara, Liliana</creatorcontrib><creatorcontrib>Levy Hara, Gabriel</creatorcontrib><creatorcontrib>Mykietiuk, Analía</creatorcontrib><creatorcontrib>Pryluka, Daniel</creatorcontrib><creatorcontrib>Ruvinsky, Silvina</creatorcontrib><creatorcontrib>Vujacich, Claudia</creatorcontrib><creatorcontrib>Yahni, Diego</creatorcontrib><creatorcontrib>Bogdanowicz, Elizabeth</creatorcontrib><creatorcontrib>Klein, Manuel</creatorcontrib><creatorcontrib>López Furst, María J</creatorcontrib><creatorcontrib>Pensotti, Claudia</creatorcontrib><creatorcontrib>Rial, María J</creatorcontrib><creatorcontrib>Scapellato, Pablo</creatorcontrib><creatorcontrib>Sociedad Argentina de Infectología</creatorcontrib><creatorcontrib>Sociedad Argentina de Pediatría</creatorcontrib><creatorcontrib>Sociedad Argentina de Medicina</creatorcontrib><creatorcontrib>Sociedad Argentina de Bacteriología, Micología y Parasitología Clínica</creatorcontrib><title>Consensus guidelines for the management of upper respiratory tract infections</title><title>Medicina (Buenos Aires)</title><addtitle>Medicina (B Aires)</addtitle><description>Upper respiratory tract infections are the most common source of antibiotic prescriptions. Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Treatment of choice for streptococcal infection is penicillin V given in two daily doses. In children, acute otitis media (AOM) is the infection for which antibiotics are most often prescribed. Predominant causative pathogens include Streptococcus pneumoniae, Haemophilus influenzae non-type b and Moraxella catarrhalis. Diagnosis is based on history, physical examination and otoscopic exam. Antibiotic treatment should be initiated promptly in all children<2 years of age, and in older children presenting bilateral AOM, otorrhoea, co-morbidities or severe illness. In Argentina, amoxicillin is the drug of choice given the low penicillin resistance rates for S. pneumoniae. In children who fail amoxicillin therapy, amoxicillin/clavulanate provides better coverage against beta-lactamase producing H. influenzae and M. catarrhalis. Rhinosinusitis is caused mainly by viruses, secondary bacterial complication occurs in less than 5% of cases. Diagnosis is based on physical examination and additional studies are not usually required. Acute bacterial sinusitis is caused by the same pathogens that cause AOM and amoxicillin is the drug of choice.</description><subject>Acute Disease</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Argentina</subject><subject>Evidence-Based Medicine</subject><subject>Humans</subject><subject>Otitis Media - drug therapy</subject><subject>Pharyngitis - drug therapy</subject><subject>Rhinitis - drug therapy</subject><subject>Sinusitis - drug therapy</subject><issn>0025-7680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kDtPwzAURj2AaCn8BeSRJZJfieMRRbykIhaYo-vkuhglTvBj6L-nEmX6lqMjne-CbBkTdaWblm3IdUrfjEmjTXNFNkIKxYWRW_LWLSFhSCXRQ_EjTj5gom6JNH8hnSHAAWcMmS6OlnXFSCOm1UfISzzSHGHI1AeHQ_Yn0Q25dDAlvD3vjnw-PX50L9X-_fm1e9hXK1c8V3ZodcNV7VDxEZQdrDVCC4e85kwJ4I1VUoBwstHGWslqGDmAHI3VbXvK2JH7P-8al5-CKfezTwNOEwRcSuq5UExwWdfqhN6d0WJnHPs1-hnisf-_QP4CBy1XfQ</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Lopardo, Gustavo</creator><creator>Calmaggi, Aníbal</creator><creator>Clara, Liliana</creator><creator>Levy Hara, Gabriel</creator><creator>Mykietiuk, Analía</creator><creator>Pryluka, Daniel</creator><creator>Ruvinsky, Silvina</creator><creator>Vujacich, Claudia</creator><creator>Yahni, Diego</creator><creator>Bogdanowicz, Elizabeth</creator><creator>Klein, Manuel</creator><creator>López Furst, María J</creator><creator>Pensotti, Claudia</creator><creator>Rial, María J</creator><creator>Scapellato, Pablo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Consensus guidelines for the management of upper respiratory tract infections</title><author>Lopardo, Gustavo ; 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Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Treatment of choice for streptococcal infection is penicillin V given in two daily doses. In children, acute otitis media (AOM) is the infection for which antibiotics are most often prescribed. Predominant causative pathogens include Streptococcus pneumoniae, Haemophilus influenzae non-type b and Moraxella catarrhalis. Diagnosis is based on history, physical examination and otoscopic exam. Antibiotic treatment should be initiated promptly in all children<2 years of age, and in older children presenting bilateral AOM, otorrhoea, co-morbidities or severe illness. In Argentina, amoxicillin is the drug of choice given the low penicillin resistance rates for S. pneumoniae. In children who fail amoxicillin therapy, amoxicillin/clavulanate provides better coverage against beta-lactamase producing H. influenzae and M. catarrhalis. Rhinosinusitis is caused mainly by viruses, secondary bacterial complication occurs in less than 5% of cases. Diagnosis is based on physical examination and additional studies are not usually required. Acute bacterial sinusitis is caused by the same pathogens that cause AOM and amoxicillin is the drug of choice.</abstract><cop>Argentina</cop><pmid>23241293</pmid><tpages>11</tpages></addata></record> |
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| subjects | Acute Disease Anti-Bacterial Agents - therapeutic use Argentina Evidence-Based Medicine Humans Otitis Media - drug therapy Pharyngitis - drug therapy Rhinitis - drug therapy Sinusitis - drug therapy |
| title | Consensus guidelines for the management of upper respiratory tract infections |
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