Upper Respiratory Infections

Jan 1, 2017 Issue
Interventions to Facilitate Shared Decision Making to Address Antibiotic Use for Acute Respiratory Tract Infections in Primary Care [Cochrane for Clinicians]

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).

Dec 15, 2016 Issue
ACP/CDC Provide Guidelines on the Use of Antibiotics for Acute Respiratory Tract Infection [Practice Guidelines]

The American College of Physicians (ACP) and Centers for Disease Control and Prevention (CDC) guideline on appropriate antibiotic use in the treatment of healthy adults with acute respiratory tract infection outlines one of the medical community's top priorities.

Dec 1, 2016 Issue
Interventions to Improve Antibiotic Prescribing for Uncomplicated Acute RTIs [Implementing AHRQ Effective Health Care Reviews]

What are the effectiveness and adverse consequences of strategies for reducing antibiotic use in adults and children with uncomplicated acute respiratory tract infections (RTIs)?

Oct 1, 2016 Issue
Acute Bronchitis [Article]

Learn how to differentiate acute bronchitis from other more serious conditions, such as pneumonia, and how to avoid unnecessary antibiotic treatment.

Jul 1, 2016 Issue
Procalcitonin-Guided Antibiotic Therapy for Acute Respiratory Infections [FPIN's Clinical Inquiries]

A procalcitonin-guided antibiotic therapy algorithm should be used to decrease antibiotic use in adults with acute respiratory infections. The use of a procalcitonin-guided therapy algorithm reduces antibiotic use by 3.47 days without increasing morbidity or mortality in adults with acute respiratory infections.

May 1, 2016 Issue
Delayed Prescription for Respiratory Infections Produces Similar Results and Satisfaction as Immediate Treatment [POEMs]

In almost 400 Spanish primary care patients with mild to moderate symptoms of respiratory infection of less than one week's duration, both a “take-and-hold” prescription and a “come back and pick up, if necessary” prescription produced a similar clinical response—and similar patient satisfaction sco...

Oct 1, 2015 Issue
High-Risk Subgroups Have Little, if Any, Net Benefit from Antibiotics for Acute LRTI [POEMs]

Patients with acute LRTI and green sputum or cardiopulmonary comorbidities experience a slightly greater benefit with amoxicillin treatment. That outcome must be balanced against the harms of antibiotics on the individual and population level.

Oct 1, 2015 Issue
Point-of-Care C-Reactive Protein Testing to Help Guide Treatment of Acute Respiratory Infections [Cochrane for Clinicians]

Point-of-care C-reactive protein (CRP) testing used as an adjunct to a physician's clinical examination can modestly reduce antibiotic use. Measurement of CRP to guide antibiotic prescription does not appear to affect the duration of illness or recovery, although one study suggests that it increases the risk of hospitalization.

Oct 1, 2015 Issue
Probiotics for the Prevention of Upper Respiratory Tract Infections [Medicine by the Numbers]

Studies show that probiotics prevented 1 in 8 upper respiratory tract infections and caused no harms. Find out more.

May 15, 2015 Issue
Acute Infective Sore Throat [Clinical Evidence Handbook]

What are the effects of interventions to reduce symptoms of acute infective sore throat?

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