Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ...
Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0115/od2.html
Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ...
Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2021/0101/p53.html
Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ...
Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1115/od2.html
Watch-and-Wait Strategy Is an Option for Primary Spontaneous Pneumothorax - POEMs - ...
Nov 15, 2020 - Conservative observation of patients presenting with a first primary spontaneous pneumothorax is as effective as immediate chest tube insertion in achieving full lung re-expansion at eight weeks.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1115/od3.html
Antibiotics for Acute Bronchitis - Medicine by the Numbers - American Family Physician
Nov 1, 2020 - 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.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1101/od2.html
Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma - ...
Oct 1, 2020 - Inhaled fluticasone (Flovent; 200 mcg per day) is associated with a greater linear growth velocity when compared with beclomethasone (400 mcg per day; an equivalent dose).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/1001/p404.html
Lefamulin (Xenleta) for the Treatment of Community-Acquired Bacterial Pneumonia - STEPS...
Sep 15, 2020 - Lefamulin may be considered for patients hospitalized with community-acquired bacterial pneumonia.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0915/p373.html
Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ...
Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0901/p272.html
VTE in Patients with Cancer: Guidelines from the American Society of Clinical Oncology ...
Aug 1, 2020 - The American Society of Clinical Oncology has updated recommendations for the prevention and treatment of venous thromboembolism (VTE) in patients with cancer.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0801/p188.html
Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American...
Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0701/p17.html
Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD - Cochrane for ...
Jul 1, 2020 - Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0701/p16.html
Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ...
Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0615/p762.html
Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ...
Jun 1, 2020 - Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of COPD.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0601/od1.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.html
Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness...
Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0415/p505.html
Fewer Severe Exacerbations in Patients with Mild to Moderate Asthma Treated with ...
Mar 1, 2020 - Patients with mild to moderate asthma only need relief treatment. In this study, patients taking the combination of budesonide/formoterol (Symbicort) as needed had slightly fewer severe exacerbations than patients treated with twice daily budesonide (Pulmicort).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p310.html
Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician
Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0215/p244.html
Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ...
Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0201/od1.html
Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease - ...
Jan 15, 2020 - Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use should be ...
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0115/p121.html
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.html
C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...
Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p54.html
Addition of Steroids Improves Outcomes in Children and Adults with CAP - POEMs - ...
Jan 1, 2020 - Adding corticosteroid treatment to the management of CAP is beneficial for children and adults. Treatment decreases clinical failures, time in the hospital, and the risk of death in adults with severe pneumonia.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p55.html
As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...
Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646a.html
More Evidence Against Antibiotics for Acute Asthma Exacerbations - POEMs - American ...
Aug 1, 2019 - Antibiotics do not benefit patients hospitalized with an asthma exacerbation. Evidence from this study suggests worse outcomes with antibiotic use, including a longer hospital stay, higher costs, and greater risk of diarrhea.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0801/p185.html
Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...
Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0615/p768.html
Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...
Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0601/od1.html
Glycopyrrolate (Lonhala Magnair) for Treatment of Chronic Obstructive Pulmonary Disease...
May 15, 2019 - Glycopyrrolate is a safe alternative to long-acting muscarinic antagonists delivered by metered-dose inhaler for patients with moderate to severe COPD.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0515/p643.html
Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...
Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0301/p295.html
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