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Medicine by the numbers

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AAP Publishes Recommendations for the Diagnosis and Management of Bronchiolitis - ...

Jan 15, 2007 - Bronchiolitis usually is caused by a viral lower respiratory tract infection and most commonly causes morbidity and mortality in infants. The American Academy of Family Physicians (AAP) has published recommendations for the diagnosis and management of bronchiolitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0115/p265.html

Acute Bronchitis - American Family Physician

Oct 1, 2016 - Cough is the most common illness-related reason for ambulatory care visits in the United States. Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the trachea and large airways without evidence of pneumonia. Pneumonia should be suspected in ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1001/p560.html

Acute Bronchitis - American Family Physician

Mar 15, 1998 - Acute bronchitis is a lower respiratory tract infection that causes reversible bronchial inflammation. In up to 95 percent of cases, the cause, is viral. While antibiotics are often prescribed for patients with acute bronchitis, little evidence shows that these agents provide ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1270.html

Acute Rhinosinusitis in Adults - American Family Physician

May 1, 2011 - Rhinosinusitis is one of the most common conditions for which patients seek medical care. Subtypes of rhinosinusitis include acute, subacute, recurrent acute, and chronic. Acute rhinosinusitis is further specified as bacterial or viral. Most cases of acute rhinosinusitis are caused by ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0501/p1057.html

Amoxicillin/Clavulanate or Ibuprofen No Better Than Placebo for Acute Bronchitis - ...

Feb 1, 2014 - 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.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p225.html

Antibiotic Use in Acute Upper Respiratory Tract Infections - American Family Physician

Nov 1, 2012 - 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...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p817.html

Antibiotics for Acute Maxillary Sinusitis - Cochrane for Clinicians - American Family ...

May 1, 2009 - Although there is some evidence that antibiotics are effective in the treatment of acute uncomplicated sinusitis, this benefit is modest. Most patients with acute sinusitis improve within two weeks without antibiotics. The potential risk of adverse effects from antibiotics may outweigh ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0501/p757.html

Antibiotics for Acute Rhinosinusitis in Adults - Medicine by the Numbers - American ...

Oct 1, 2019 - Because of the relatively high rate of reported adverse effects and the high likelihood of resolution of symptoms with supportive care and symptomatic management, the authors recommend selective antibiotic use in patients with acute sinusitis. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/1001/od1.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

Antibiotics for Viral Upper Respiratory Tract Infections in Children - FPIN's Clinical ...

Mar 15, 2011 - 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.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0315/p747.html

Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis - Cochrane ...

May 1, 2017 - There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0501/p551.html

Bronchodilators for Bronchiolitis - Cochrane for Clinicians - American Family Physician

Nov 1, 2014 - Albuterol does not improve any clinical outcomes in the outpatient or inpatient setting and should not be used in the treatment of bronchiolitis in a child 24 months or younger.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1101/p622.html

Bronchodilators for Bronchiolitis - Medicine by the Numbers - American Family Physician

Sep 1, 2015 - Studies show that none were helped and the impact of harms such as decreased oxygen saturation and tachycardia was uncertain.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0901/od1.html

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

Dec 1, 2007 - ...MARTIN C. MAHONEY, MD, PhD, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York RICHARD M. ROSENFELD, MD, MPH, Long Island College Hospital and State University of New York Downstate Medical Center, Brooklyn, New York Am Fam...

American Family Physician : Editorials

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

Cold Symptoms Unaffected by Regular Analgesic Dosing or Use of Steam - POEMs - American...

Sep 1, 2014 - Advice regarding the use of steam inhalation, ibuprofen alone or with acetaminophen, acetaminophen alone, and regular vs. as-needed use of analgesics did not show any improved effectiveness in treating symptoms of acute respiratory tract infections. Ibuprofen may be beneficial in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p335.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

Croup: An Overview - American Family Physician

May 1, 2011 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0501/p1067.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

Dexamethasone May Reduce Sore Throat Symptoms in Adults at 48 Hours - POEMs - American ...

Aug 15, 2017 - A single dose of oral dexamethasone is no more effective than placebo in resolving acute sore throat symptoms at 24 hours in adults who do not receive immediate antibiotic therapy. However, among a multitude of exploratory secondary outcomes, the authors found that, compared with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0815/p260a.html

Diagnosis and Treatment of Acute Bronchitis - American Family Physician

Dec 1, 2010 - Cough is the most common symptom bringing patients to the primary care physician’s office, and acute bronchitis is usually the diagnosis in these patients. Acute bronchitis should be differentiated from other common diagnoses, such as pneumonia and asthma, because these conditions may ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1345.html

Diagnosis and Treatment of Streptococcal Pharyngitis - American Family Physician

Mar 1, 2009 - Common signs and symptoms of streptococcal pharyngitis include sore throat, temperature greater than 100.4 degrees F (38 degrees C), tonsillar exudates, and cervical adenopathy. Cough, coryza, and diarrhea are more common with viral pharyngitis. Available diagnostic tests include throat...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p383.html

Effectiveness of Bronchodilators for Bronchiolitis Treatment - Cochrane for Clinicians ...

May 1, 2011 - Bronchodilators may transiently improve the clinical status of infants with bronchiolitis and no prior history of wheezing. However, moderately strong evidence shows that key outcomes such as oxygen saturation, need for hospitalization, length of hospitalization, and duration of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0501/p1045.html

Evaluation of Poststreptococcal Illness - American Family Physician

May 15, 2005 - Group A beta-hemolytic streptococcal pharyngitis, scarlet fever, and rarely asymptomatic carrier states are associated with a number of poststreptococcal suppurative and nonsuppurative complications. As in streptococcal pharyngitis, acute rheumatic fever, pediatric autoimmune ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1949.html

Glucocorticoids for Treatment of Croup - Cochrane for Clinicians - American Family ...

Jan 1, 2005 - Compared with placebo, treatment with glucocorticoids results in reduced symptoms, less need for treatment with racemic epinephrine, fewer readmissions to emergency departments, and shorter hospital stays.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0101/p66.html

Honey as a Treatment for Cough in Children - AFP Journal Club - American Family Physician

Jul 15, 2009 - Is honey an effective treatment for cough in children? Although this study failed to provide convincing evidence of effectiveness, honey may be a safe alternative to soothe cough in children older than one year.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0715/p120.html

How Should We Treat Acute Maxillary Sinusitis? - Cochrane for Clinicians - American ...

Sep 1, 2001 - If acute maxillary sinusitis is defined as positive radiographs or positive sinus aspiration cultures, limited evidence indicates that therapy with either amoxicillin or penicillin for seven to 14 days is modestly effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2001/0901/p837.html

Humidified Air for Croup? - Cochrane for Clinicians - American Family Physician

Jan 1, 2007 - Available data do not support a clinically important benefit of humidified air for symptomatic treatment of children with croup. However, it does not appear to be harmful.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0101/p50.html

Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.html

Interventions to Facilitate Shared Decision Making to Address Antibiotic Use for Acute ...

Jan 1, 2017 - 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).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0101/p11.html

Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...

Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0701/p23.html

Oral Antihistamine/Decongestant/Analgesic Combinations for the Common Cold - Cochrane ...

Nov 1, 2012 - Combination cold medications, including antihistamine/decongestant/analgesic, antihistamine/decongestant, antihistamine/analgesic, and analgesic/decongestant formulations, provide modest symptom relief in adults and older children, but are not effective in young children. Only the ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1101/p812.html

Principles of Appropriate Antibiotic Use: Part II. Nonspecific Upper Respiratory Tract ...

Aug 1, 2001 - Widespread use of antibiotics in agriculture, increased antibiotic use in children and excessive use of antibiotics in adults have caused an increase in antibiotic-resistant organisms in the past decade. To address this issue, the Centers for Disease Control and Prevention (CDC) has ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0801/p510.html

Probiotics for the Prevention of Upper Respiratory Tract Infections - Medicine by the ...

Oct 1, 2015 - Studies show that probiotics prevented 1 in 8 upper respiratory tract infections and caused no harms. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/1001/od1.html

Procalcitonin-Guided Antibiotic Therapy for Acute Respiratory Infections - FPIN's ...

Jul 1, 2016 - 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 ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/0701/p53.html

Recurrent Tonsillitis - Clinical Evidence Handbook - American Family Physician

Nov 1, 2002 - Is tonsillectomy effective in severe tonsillitis in children and adults?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/1101/p1735.html

Respiratory Syncytial Virus Infection in Children - American Family Physician

Jan 15, 2011 - Respiratory syncytial virus (RSV) is an RNA virus that causes respiratory tract infections in children. In the North- ern Hemisphere, the peak infection season is November through April. By two years of age, most children will have had an RSV infection. Bronchiolitis, a lower ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p141.html

Should We Prescribe Antibiotics for Acute Bronchitis? - Cochrane for Clinicians - ...

Jul 1, 2001 - While there is evidence that antibiotics offer a slight benefit to patients with acute bronchitis, there is not a compelling reason to treat this patient with antibiotics.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2001/0701/p135.html

Strep Throat - Point-of-Care Guides - American Family Physician

Sep 1, 2003 - The probability of GABHS pharyngitis as the cause of sore throat is greatest in children younger than 15 years, especially those younger than 10.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2003/0901/p937.html

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

Treatment of the Common Cold - American Family Physician

Feb 15, 2007 - The common cold is a viral illness that affects persons of all ages, prompting frequent use of over-the-counter and prescription medications and alternative remedies. Treatment focuses on relieving symptoms (e.g., cough, nasal congestion, rhinorrhea). Dextromethorphan may be beneficial ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0215/p515.html

Treatment of the Common Cold in Children and Adults - American Family Physician

Jul 15, 2012 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0715/p153.html

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