ITEMS IN AFP WITH KEYWORD:
Upper Respiratory Infections
Mar 15, 2021 Issue
Helping Ambivalent Patients Make Healthy Decision About COVID-19 [Lown Right Care: Reducing Overuse and Underuse]
A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
For adults, regular exercise may reduce the overall severity of acute respiratory tract infections and the number of days with symptoms, but there is no evidence that exercise reduces the overall occurrence or duration of these infections.
Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.
Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).
Find out how to distinguish the common cold from other conditions, get tips for managing patients’ expectations and preventing unnecessary antibiotic prescriptions, and get the latest evidence on which treatments are effective for children and adults.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Jul 1, 2018 Issue
Procalcitonin to Guide Antibiotic Therapy in Acute Respiratory Infections [Cochrane for Clinicians]
Procalcitonin-guided antibiotic therapy, when compared with routine treatments, results in decreased mortality in patients with acute respiratory infections (absolute risk reduction [ARR] = 1.4%; number needed to treat [NNT] = 71).
Croup is primarily a clinical diagnosis, with typical findings of abrupt onset of a barking cough, inspiratory stridor, and hoarseness in children six months to three years of age. Differentiating croup from other acute illnesses can be challenging. Find out which clinical signs and symptoms are most accurate for diagnosing croup, and which treatments have the strongest evidence.
Broad-spectrum antibiotics are no more effective than narrow-spectrum antibiotics for treating acute respiratory tract infections in infants and children, and adverse events are significantly more common in children treated with broad-spectrum antibiotics.
Interventions to facilitate shared decision making reduce the prescribing of antibiotics for acute respiratory tract infections in the short term (within six weeks of the consultation) without increasing return visits or decreasing patient satisfaction (number needed to treat [NNT] = 6).