Upper Respiratory Infections

Jul 15, 2014 Issue
Delayed Prescription Strategies Decrease Antibiotic Use [POEMs]

A delayed prescription approach in children and adults with acute respiratory tract infections, combined with explicit instructions for symptom control, is effective in decreasing antibiotic use, while not adversely affecting patient satisfaction or symptom duration or severity.

Feb 1, 2014 Issue
Amoxicillin/Clavulanate or Ibuprofen No Better Than Placebo for Acute Bronchitis [POEMs]

Treating acute bronchitis with amoxicillin/clavulanate or the nonsteroidal anti-inflammatory drug ibuprofen is no more effective than placebo in decreasing symptoms in general or duration of frequent cough. Treatment does, however, produce adverse effects in one in eight patients.

Feb 15, 2013 Issue
Vitamin D Does Not Reduce the Incidence or Severity of URIs in Healthy Adults [POEMs]

Vitamin D supplementation, at a dosage of 100,000 IU per month for 18 months, did not reduce the incidence or severity of URIs in healthy adults. This is the third randomized controlled trial that showed no relationship between vitamin D levels and acute URIs.

Nov 1, 2012 Issue
Antibiotic Use in Acute Upper Respiratory Tract Infections [Article]

Upper respiratory tract infections account for millions of visits to family physicians each year in the United States. Although warranted in some cases, antibiotics are greatly overused. This article outlines the guidelines and indications for appropriate antibiotic use for common upper respiratory ...

Jul 15, 2012 Issue
Treatment of the Common Cold in Children and Adults [Article]

The common cold, or upper respiratory tract infection, is one of the leading reasons for physician visits. Generally caused by viruses, the common cold is treated symptomatically. Antibiotics are not effective in children or adults. In children, there is a potential for harm and no benefits with ove...

Dec 15, 2011 Issue
Common Cold [Clinical Evidence Handbook]

What are the effects of treatments for common cold?

Nov 15, 2011 Issue
CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis [Practice Guidelines]

Diagnosing pertussis in the early stages can be difficult, because early signs and symptoms are often nonspecific. Polymerase chain reaction (PCR) testing, a technique used to detect DNA sequences specific for Bordetella pertussis, is used for diagnosis; however, results should be cautiously interpr...

Jul 15, 2011 Issue
Community-Acquired Pneumonia [Clinical Evidence Handbook]

What are the effects of interventions to prevent community-acquired pneumonia? What are the effects of treatments for community-acquired pneumonia in outpatient settings and in persons admitted to a hospital or receiving instensive care?

May 1, 2011 Issue
Croup: An Overview [Article]

Croup is a common illness responsible for up to 15 percent of emergency department visits due to respiratory disease in children in the United States. Croup symptoms usually start like an upper respiratory tract infection, with low-grade fever and coryza followed by a barking cough and various degre...

Mar 15, 2011 Issue
Antibiotics for Viral Upper Respiratory Tract Infections in Children [FPIN's Clinical Inquiries]

Antibiotic therapy does not benefit children with bronchiolitis, the common cold, or nonstreptococcal pharyngitis. If purulent rhinitis is present for more than 10 days, antibiotics shorten the duration of runny nose symptoms.

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