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Practice Guidelines

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Otitis Media: Rapid Evidence Review - American Family Physician

Sep 15, 2019 - Acute otitis media (AOM) is the most common diagnosis in childhood acute sick visits. By three years of age, 50% to 85% of children will have at least one episode of AOM. Symptoms may include ear pain (rubbing, tugging, or holding the ear may be a sign of pain), fever, irritability, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p350.html

Ear and Hearing Disorders - American Family Physician

Sep 15, 2019 - This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis externa, otitis media, and tinnitus. This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=98

Treatment of the Common Cold - American Family Physician

Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p281.html

Tonsillectomy in Children: AAO-HNS Updates Guideline - Practice Guidelines - American ...

Sep 1, 2019 - The American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) has updated its 2011 guideline on tonsillectomy indications and perioperative care in children one to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0901/p316.html

Hearing Loss in Adults: Differential Diagnosis and Treatment - American Family Physician

Jul 15, 2019 - More than 30 million U.S. adults have hearing loss. This condition is underrecognized, and hearing aids and other hearing enhancement technologies are underused. Hearing loss is categorized as conductive, sensorineural, or mixed. Age-related sensorineural hearing loss (i.e., ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0715/p98.html

Dysphonia (Hoarseness): AAO-HNSF Releases Updated Clinical Guideline for Treatment - ...

Nov 15, 2018 - To improve the quality of care for patients of all ages with dysphonia, the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) updated guidelines to reduce inappropriate variations in care, produce optimal health outcomes, and minimize harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/1115/p606.html

Cerumen Impaction: Diagnosis and Management - American Family Physician

Oct 15, 2018 - Cerumen production is a normal and protective process for the ear canal. However, cerumen should be removed when it causes symptoms (e.g., hearing loss, itching, pain, tinnitus) or prevents assessment of the external auditory canal, the tympanic membrane, or audiovestibular system. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p525.html

Thyroid and Parathyroid Disorders - American Family Physician

Oct 15, 2018 - This collection features AFP content on thyroid and parathyroid disorders and related issues, including hyperthyroidism, hypothyroidism, and thyroiditis. This collection features AFP content on thyroid and parathyroid disorders and related issues, including hyperthyroidism, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=67

Corticosteroids for Sore Throat: BMJ Rapid Recommendation - Practice Guidelines - ...

Jun 15, 2018 - The BMJ Rapid Recommendations team, a collaboration between BMJ and the MAGIC group, issued a weak recommendation to give a single dose of oral corticosteroids to most patients with acute sore throat.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0615/p821.html

Hoarseness in Adults - American Family Physician

Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p720.html

Chronic Cough: Evaluation and Management - American Family Physician

Nov 1, 2017 - Although chronic cough in adults (cough lasting longer than eight weeks) can be caused by many etiologies, four conditions account for most cases: upper airway cough syndrome, gastroesophageal reflux disease/laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p575.html

Cerumen Impaction: An Updated Guideline from the AAO—HNSF - Practice Guidelines - ...

Aug 15, 2017 - This update from the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) provides guidance for persons older than six months diagnosed with cerumen impaction.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0815/p263.html

ACP/CDC Provide Guidelines on the Use of Antibiotics for Acute Respiratory Tract ...

Dec 15, 2016 - 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.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/1215/p1016.html

Interventions to Improve Antibiotic Prescribing for Uncomplicated Acute RTIs - ...

Dec 1, 2016 - What are the effectiveness and adverse consequences of strategies for reducing antibiotic use in adults and children with uncomplicated acute respiratory tract infections (RTIs)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2016/1201/p918.html

AAO-HNS Releases Updated Guideline on Management of Otitis Media with Effusion - ...

Nov 1, 2016 - Otitis media with effusion (OME) is defined as the presence of fluid in the middle ear in the absence of signs or symptoms of acute ear infection. This practice guideline from the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) provides recommendations to improve ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/1101/p747.html

Current Concepts in Adult Acute Rhinosinusitis - American Family Physician

Jul 15, 2016 - Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper respiratory infections. A meta-analysis based on individual patient data found that common clinical signs and symptoms were ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p97.html

Common Questions About Streptococcal Pharyngitis - American Family Physician

Jul 1, 2016 - Group A beta-hemolytic streptococcal (GABHS) infection causes 15% to 30% of sore throats in children and 5% to 15% in adults, and is more common in the late winter and early spring. The strongest independent predictors of GABHS pharyngitis are patient age of five to 15 years, absence of...

American Family Physician : Article

https://www.aafp.org/afp/2016/0701/p24.html

AAO-HNSF Releases Guideline on Managing Tinnitus - Practice Guidelines - American ...

Jul 1, 2015 - Tinnitus, the perception of sound without an external source, can be caused by a variety of conditions. Prevalence in the United States is approximately 10% to 15%. It can be categorized as primary (idiopathic and accompanied by or not by sensorineural hearing loss) and secondary ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0701/p65.html

AAO-HNSF Releases Clinical Practice Guideline on Acute Otitis Externa - Practice ...

Nov 15, 2014 - A diagnosis of acute otitis externa (AOE) requires sudden onset (e.g., within 48 hours) within the past three weeks of symptoms (e.g., otalgia, itching, fullness, hearing loss, jaw pain) and signs (e.g., tenderness of the tragus or pinna) indicating inflammation of the ear canal. ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1115/p731.html

Intranasal Corticosteroids for Acute Bacterial Sinusitis - Cochrane for Clinicians - ...

Sep 1, 2014 - Compared with patients not treated with intranasal corticosteroids, those who receive them have greater improvement or resolution of symptoms at two to three weeks, regardless of whether antibiotics are used. In a single head-to-head study, patients taking intranasal corticosteroids ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0901/p286.html

Antibiotics for Sore Throat - Cochrane for Clinicians - American Family Physician

Jul 1, 2014 - Compared with placebo, antibiotics can shorten the duration of sore throat symptoms by about 16 hours and can reduce complications. In countries where the absolute rates of complications are higher, antibiotic therapy is more likely to be effective. The effectiveness of antibiotic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p23.html

AAO-HNSF Releases Guideline on Tympanostomy Tubes in Children - Practice Guidelines - ...

May 1, 2014 - The American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) has released a guideline on the indications for tube placement in children, as well as perioperative counseling.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0501/p754.html

AAP Releases Guideline on Diagnosis and Management of Acute Bacterial Sinusitis in ...

Apr 15, 2014 - Approximately 6% to 7% of children presenting with respiratory symptoms have acute sinusitis. This practice guideline from the American Academy of Pediatrics (AAP), which updates the 2001 guideline, discusses diagnosis and management of acute bacterial sinusitis in children one to 18 ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0415/p676.html

Evaluation and Management of Neck Masses in Children - American Family Physician

Mar 1, 2014 - Neck masses in children usually fall into one of three categories: developmental, inflammatory/reactive, or neoplastic. Common congenital developmental masses in the neck include thyroglossal duct cysts, branchial cleft cysts, dermoid cysts, vascular malformations, and hemangiomas. ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0301/p353.html

Corticosteroids for the Treatment of Sore Throat - Cochrane for Clinicians - American ...

Jan 1, 2014 - In adults with suspected bacterial pharyngitis who require antibiotic therapy, adding a corticosteroid may increase the likelihood of complete pain resolution at 24 hours. Further study is needed to assess the safety of corticosteroids and whether they can be recommended for presumed ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0101/p14.html

Should Children with Acute Otitis Media Routinely be Treated with Antibiotics? No: Most...

Oct 1, 2013 - The evidence supports the use of antibiotics only in certain clinical situations and avoidance of antibiotics in certain children with AOM.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1001/od2.html

IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis - Practice ...

Sep 1, 2013 - The Infectious Diseases Society of America (IDSA) has updated its 2002 guideline on managing group A streptococcal pharyngitis. The illness primarily occurs in children five to 15 years of age. Patients typically present with sudden onset of a sore throat, pain with swallowing, and fever.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0901/p338.html

IDSA Releases Guidelines for Management of Acute Bacterial Rhinosinusitis - Practice ...

Mar 15, 2013 - The Infectious Diseases Society of America (IDSA) has released a guideline for the management of acute bacterial rhinosinusitis in children and adults in the community or emergency department settings. Each recommendation includes a quality of evidence grade (i.e., strong or weak) and a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0315/p445.html

AAO-HNS Releases Guideline on Sudden Hearing Loss - Practice Guidelines - American ...

Mar 1, 2013 - This guideline from the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) focuses on sudden sensorineural hearing loss (SNHL), which affects 5 to 20 per 100,000 persons in the United States. Early diagnosis is essential for effective management.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0301/p377.html

Acute Otitis Externa: An Update - American Family Physician

Dec 1, 2012 - Acute otitis externa is a common condition involving inflammation of the ear canal. The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa presents with the rapid onset of ear canal...

American Family Physician : Article

https://www.aafp.org/afp/2012/1201/p1055.html

Infectious Etiologies of Acute Otitis Media - FPIN's Clinical Inquiries - American ...

Nov 15, 2012 - There is no preferred method for establishing the infectious etiology of acute otitis media (AOM). Bacterial or viral pathogens are found in most cases. Bacterial pathogens are more common than viruses in middle ear fluid samples collected from children with AOM and intact tympanic ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1115/od4.html

AAO-HNS Guidelines for Tonsillectomy in Children and Adolescents - Practice Guidelines ...

Sep 1, 2011 - Although tonsillectomy is common and improves patients' quality of life, there are possible risks and practice variations in the care of patients undergoing tonsillectomy. Recent guidelines from the American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) aim to provide ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0901/p566.html

Guidelines for the Diagnosis and Management of Hoarseness - Practice Guidelines - ...

May 15, 2010 - The American Academy of Otolaryngology–Head and Neck Surgery Foundation has released evidence-based guidelines for the evaluation and management of hoarseness. The goals of the guidelines are to improve diagnostic accuracy; reduce inappropriate medication and imaging use; and promote ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0515/p1292.html

Diagnosis and Management of Cerumen Impaction - Practice Guidelines - American Family ...

Nov 1, 2009 - Cerumen, or earwax, is normally expelled from the ear canal by a self-cleaning mechanism assisted by jaw movement. Physicians should diagnose impaction only when an accumulation of cerumen is associated with symptoms (e.g., otalgia, tinnitus, vertigo) or prevents necessary assessment of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1101/p1011.html

Treatment of Otitis Media with Perforated Tympanic Membrane - FPIN's Clinical Inquiries...

Apr 15, 2009 - Acute otitis media with tympanic membrane perforation in children should be treated with an oral antibiotic.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0415/p650.html

Guidelines for the Diagnosis and Management of Rhinosinusitis in Adults - Practice ...

Dec 1, 2007 - New guidelines from the American Academy of Otolaryngology—Head and Neck Surgery are aimed diagnosing and treating patients with uncomplicated rhinosinusitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1201/p1718.html

Clinical Diagnosis and Evaluation of Sinusitis in Adults - Editorials - American Family...

Dec 1, 2007 - ...seven days, or worsens at any time. Observing patients with uncomplicated acute bacterial rhinosinusitis is consistent with other practice guidelines.4-6 The rationale for recommending observation in patients with uncomplicated acute bacterial rhinosinusitis is based on randomized...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1201/p1620.html

Cochrane for Clinicians - Apr 1, 2007 - American Family Physician

Apr 1, 2007 - Topical salicylic or lactic acid and cryotherapy are effective treatments for nongenital warts. Although cryotherapy is somewhat more effective, it is associated with more pain and blistering than salicylic or lactic acid. The spontaneous cure rate of nongenital warts is 50 to 70 ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0401/p1001a.html

CDC Recommendations for Improving Oral Health - Practice Guidelines - American Family ...

Apr 15, 2006 - The Centers for Disease Control and Prevention (CDC) has released recommendations for preventing dental caries and improving oral health.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1472.html

AHRQ Data on Antibiotic Use in Children with Otitis Media - Practice Guidelines - ...

Jun 15, 2005 - As part of its Medical Expenditure Panel Survey, the Agency for Healthcare Research and Quality (AHRQ) examined the use of antibiotics to treat otitis media in children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0615/p2382.html

Tympanometry - American Family Physician

Nov 1, 2004 - Tympanometry provides useful quantitative information about the presence of fluid in the middle ear, mobility of the middle ear system, and ear canal volume. Its use has been recommended in conjunction with more qualitative information (e.g., history, appearance, and mobility of the ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1713.html

AAP, AAFP, AAO-HNS Release Guideline on Diagnosis and Management of Otitis Media with ...

Jun 15, 2004 - Guidelines on the diagnosis and management of otitis media with effusion (OME) have been released by the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0615/p2929.html

Otitis Media with Effusion Clinical Practice Guideline - Editorials - American Family ...

Jun 15, 2004 - ...Otitis Media with Effusion Clinical Practice Guideline RICHARD M. ROSENFELD, M.D. M.P.H., SUNY Health Sciences Center, Brooklyn, New York. LARRY CULPEPPER, M.D. M.P.H.. Boston University School of Medicine, Boston, Massachusetts BARBARA YAWN, M.D. M.SC., Olmsted Medical Center,...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0615/p2776.html

Acute Otitis Media in Children - Point-of-Care Guides - American Family Physician

Jun 15, 2004 - The American Academy of Pediatrics and the American Academy of Family Physicians recently released an evidence-based practice guideline to help physicians provide the most up-to-date care for children with AOM. The subcommittee that developed the guideline included primary care ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0615/p2896.html

AAP, AAFP Release Guideline on Diagnosis and Management of Acute Otitis Media - ...

Jun 1, 2004 - Guidelines on the diagnosis and management of uncomplicated acute otitis media (AOM) in children between two months and 12 years of age are available from the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0601/p2713.html

A Joint Clinical Practice Guideline for Acute Otitis Media - Editorials - American ...

Jun 1, 2004 - ...A Joint Clinical Practice Guideline for Acute Otitis Media THEODORE G. GANIATS, M.D., University of California, San Diego, California ALLAN S. LIEBERTHAL, M.D., Kaiser-Permanente Center, Panorama City, California LARRY CULPEPPER, M.D., M.P.H., Boston University School of Medicine,...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0601/p2537.html

Sinus and Allergy Health Partnership Releases Report on Adult Chronic Rhinosinusitis - ...

May 1, 2004 - Chronic rhinosinusitis is a group of disorders characterized by inflammation of the mucosa of the nose and paranasal sinuses lasting for at least 12 consecutive weeks. The Sinus and Allergy Health Partnership has released a report to help physicians diagnose this disease more accurately.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0501/p2248.html

AAP Issues Screening Recommendations to Identify Hearing Loss in Children - Practice ...

Jun 1, 2003 - The American Academy of Pediatrics (AAP) has released screening recommendations for assessing hearing loss in children of all ages. Failure to detect children with congenital or acquired hearing loss may result in lifelong deficits in speech and language acquisition, poor academic ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0601/p2409.html

Diagnosis and Management of Group A Streptococcal Pharyngitis - Practice Guidelines - ...

Feb 15, 2003 - The Infectious Diseases Society of America (IDSA) recently updated a 1997 guideline for the diagnosis and management of group A streptococcal pharyngitis. The IDSA defined group A streptococcal pharyngitis as an acute infection of the oropharynx or nasopharynx that is caused by ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0215/p880.html

AAP Issues Recommendations for the Management of Sinusitis in Children - Practice ...

Mar 15, 2002 - The American Academy of Pediatrics (AAP) has issued recommendations for physicians to diagnose, evaluate, and treat patients between one and 21 years of age who present with uncomplicated acute, subacute, and recurrent acute bacterial sinusitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/0315/p1216.html

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