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https://www.readbyqxmd.com/read/27614728/different-antibiotic-treatments-for-group-a-streptococcal-pharyngitis
#1
Mieke L van Driel, An Im De Sutter, Hilde Habraken, Sarah Thorning, Thierry Christiaens
BACKGROUND: Antibiotics provide only modest benefit in treating sore throat, although effectiveness increases in participants with positive throat swabs for group A beta-haemolytic streptococci (GABHS). It is unclear which antibiotic is the best choice if antibiotics are indicated. OBJECTIVES: To assess the evidence on the comparative efficacy of different antibiotics in: (a) alleviating symptoms (pain, fever); (b) shortening the duration of the illness; (c) preventing relapse; and (d) preventing complications (suppurative complications, acute rheumatic fever, post-streptococcal glomerulonephritis)...
September 11, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27348161/-outpatient-antimicrobial-treatment-for-acute-tonsillopharyngitis
#2
A Beisenayeva, G Muldaeva, I Azizov, Z Kalbekov, N Kim, E Litvinova, A Ibysheva
UNLABELLED: One of the most significant problems in antimicrobial therapy (AMT) is widespread administration of antimicrobial agents without relevant medical conditions. The aim of the research was the analysis of antimicrobial agent prescribing practices for outpatient treatment of acute tonsillopharyngitis at the Karaganda Polyclinic №1 and Polyclinic №2. The analysis of antimicrobial agents prescribing practices for outpatient treatment of acute tonsillopharyngitis was conducted; medical records of outpatients with acute tonsillopharyngitis treated in 2014 at Polyclinics №1 and №2 were analyzed...
May 2016: Georgian Medical News
https://www.readbyqxmd.com/read/27096391/alteration-of-thiol-disulphide-homeostasis-in-acute-tonsillopharyngitis
#3
Soner Sertan Kara, Ozcan Erel, Tugba Bedir Demirdag, Burcu Ceylan Cura Yayla, Belgin Gulhan, Salim Neselioglu, Meltem Polat, Gokhan Kalkan, Anil Tapisiz, Hasan Tezer
OBJECTIVE: Thiol-disulphide homeostasis (TDH) has a critical role in various clinical disorders. We aimed to assess the association of TDH with acute tonsillopharyngitis (AT) in children. METHODS: This study included 94 (73 viral and 21 bacterial) tonsillopharyngitis patients and 88 control children. Their native thiol, total thiol, and disulphide levels were measured. RESULTS: Viral and bacterial tonsillopharyngitis patients had lower native thiol levels compared with healthy children (P < 0...
April 20, 2016: Redox Report: Communications in Free Radical Research
https://www.readbyqxmd.com/read/26850802/integrative-management-of-pediatric-tonsillopharyngitis-an-international-survey
#4
Silvia Salatino, Alastair Gray
This survey investigated the management of pediatric tonsillopharyngitis, with a focus on natural remedies. 138 pediatricians, general practitioners and ear-nose-throat (ENT) specialists in 7 countries were surveyed by a dedicated questionnaire. A rapid strept test (RST) to diagnose acute tonsillopharyngitis was routinely used by 56/138 participants (41%). The use of RST allowed 200 diagnosis/year compared with 125 diagnosis/year for clinicians who did not use this tool. Homeopathy remedies were prescribed as a supportive therapy by 62% of participants (85/138)...
February 2016: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/26788405/antibiotic-susceptibility-evaluation-of-group-a-streptococcus-isolated-from-children-with-pharyngitis-a-study-from-iran
#5
Shirin Sayyahfar, Alireza Fahimzad, Amir Naddaf, Sara Tavassoli
BACKGROUND: The aim of this study was to evaluate the antibiotic susceptibility of Group A streptococcus (GAS) to antibiotics usually used in Iran for treatment of GAS pharyngitis in children. MATERIALS AND METHODS: From 2011 to 2013, children 3-15 years of age with acute tonsillopharyngitis who attended Mofid Children's Hospital clinics and emergency ward and did not meet the exclusion criteria were enrolled in a prospective study in a sequential manner. The isolates strains from throat culture were identified as GAS by colony morphology, gram staining, beta hemolysis on blood agar, sensitivity to bacitracin, a positive pyrrolidonyl aminopeptidase (PYR) test result, and the presence of Lancefield A antigen determined by agglutination test...
December 2015: Infection & Chemotherapy
https://www.readbyqxmd.com/read/26785402/appropriate-antibiotic-use-for-acute-respiratory-tract-infection-in-adults-advice-for-high-value-care-from-the-american-college-of-physicians-and-the-centers-for-disease-control-and-prevention
#6
Aaron M Harris, Lauri A Hicks, Amir Qaseem
BACKGROUND: Acute respiratory tract infection (ARTI) is the most common reason for antibiotic prescription in adults. Antibiotics are often inappropriately prescribed for patients with ARTI. This article presents best practices for antibiotic use in healthy adults (those without chronic lung disease or immunocompromising conditions) presenting with ARTI. METHODS: A narrative literature review of evidence about appropriate antibiotic use for ARTI in adults was conducted...
March 15, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/26525477/-acute-tonsillopharyngitis-the-effectiveness-of-topical-therapy
#7
RANDOMIZED CONTROLLED TRIAL
E V Nosulya, I A Kim, N M Chernykh, O A Karnoukhova
The objective of the present study was to evaluate the clinical effectiveness of a furasol sore throat gargle solution for the treatment of acute tonsillopharyngitis. Forty patients presenting with acute tonsillopharyngitis were allocated to two groups, 20 subjects in each, by means of independent sequential randomization. Prior to the onset of the treatment, all the patients were examined for determining the species composition of pharyngeal microflora with the use of an «AutoScan4 System» analyzer («Siemens», USA) and estimating the resistance to antibacterial preparations (by the disk diffusion method)...
2015: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/26436938/-invasive-disease-due-to-streptococcus-pyogenes-in-a-patient-with-a-h1n1-influenza-infection-report-of-one-case
#8
Gonzalo Guerrero S, Felipe Marín S
Bacterial superinfection is a known complication among patients affected by viral respiratory tract infections. Streptococcus pyogenes, a major bacterial agent involved in acute tonsillopharyngitis, skin and soft tissue infections, was reported as a co-infecting microorganism during the 2009 A H1N1 influenza pandemic. We report a 65-year-old male patient who evolved with multifocal pneumonia and multiple organ failure with a fatal outcome. Influenza A H1N1 was detected by a polymerase chain reaction-based technique from a tracheal aspirate sample...
August 2015: Revista Médica de Chile
https://www.readbyqxmd.com/read/26300650/outpatient-parenteral-antimicrobial-therapy-with-ceftriaxone-for-acute-tonsillopharyngitis-efficacy-patient-satisfaction-cost-effectiveness-and-safety
#9
Samah Al Alawi, Somaya Abdulkarim, Hazem Elhennawy, Anwar Al-Mansoor, Ahmed Al Ansari
BACKGROUND: Outpatient parenteral antimicrobial therapy (OPAT) is the administration of intravenous antimicrobial therapy to patients in an outpatient setting. It may be used for patients who have infections that require parenteral treatment but who are otherwise stable enough to not require admission as inpatients. OBJECTIVE: We aimed to review the treatment of patients with acute tonsillopharyngitis at the OPAT health care clinic in the Bahrain Defense Force Royal Medical Services (BDF-RMS), with regard to efficacy, patient satisfaction, cost effectiveness, and safety...
2015: Infection and Drug Resistance
https://www.readbyqxmd.com/read/26242659/updated-recommendations-for-the-management-of-upper-respiratory-tract-infections-in-south-africa
#10
REVIEW
Adrian John Brink, Mark Cotton, Charles Feldman, Heather Finlayson, Raymond Friedman, Robin Green, Willy Hendson, Maurice Hockman, Gary Maartens, Shabir Madhi, Gary Reubenson, Eddie Silverbauer, Inge Zietsman
BACKGROUND: Inappropriate use of antibiotics for non-severe upper respiratory tract infections (URTIs), most of which are viral, significantly adds to the burden of antibiotic resistance. Since the introduction of pneumococcal conjugate vaccines in 2009 in South Africa, the relative frequency of the major bacterial pathogens causing acute otitis media (AOM) and acute bacterial rhinosinusitis (ABRS) has changed. RECOMMENDATIONS: Since URTIs are mostly viral in aetiology and bacterial AOM and ABRS frequently resolve spontaneously, the guideline includes diagnostic criteria to separate viral from bacterial causes and hence, those patients not requiring antibiotics...
May 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26064752/acute-kidney-injury-complicated-epstein-barr-virus-infection-in-infancy
#11
Gamze Ozgurhan, Mustafa Ozcetin, Aysel Vehapoglu, Zeynep Karakaya, Fatih Aygun
Infectious mononucleosis is an acute lymphoproliferative disorder caused by the Epstein-Barr virus (EBV) and seen most commonly in children and young adults. Clinical presentation of the disease is characterized by fever, tonsillopharyngitis, lymphadenopathy, and hepatosplenomegaly, whereas serological findings of this benign disorder include positive heterophilic antibody formation (transient increase in heterophilic antibodies) and prominence of hematological lymphocytosis of more than 10% of atypical lymphocytes...
2015: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/25546974/analysis-of-antibiotic-consumption-for-treating-respiratory-tract-infections-in-children-and-compliance-with-the-national-clinical-guidelines
#12
Dragana Lakić, Ivana Tadić, Marina Odalović, Ljiljana Tasić, Ana Sabo, Aleksandra Mećava
INTRODUCTION: Respiratory infections are the most common infections in children. The aims of the study were to analyze the use of antibiotics for respiratory infections in the period 2008-2010 in children's population in region of Niš and to estimate the rational use of antibiotics in relation to the recommendations of the National Guidelines for physicians in primary care. MATERIAL AND METHODS: Data source was a Pharmacy Niš database. Antibiotics prescriptions were selected for the following diagnoses: H65-H75 (acute otitis media, mastoiditis), J01 (acute sinusitis), J02-J03 (tonsillopharyngitis), J12-J18 (community acquired pneumonia), J20 (acute bronchitis), J32 (chronic sinusitis), J42 (chronic bronchitis)...
September 2014: Medicinski Pregled
https://www.readbyqxmd.com/read/25509906/-rinsing-in-the-combination-therapy-of-tonsillopharyngitis
#13
REVIEW
E V Nosulia
The paper gives the current aspects of the etiology and pathogenesis of acute tonsillopharyngitis and its complications. Correct evaluation of the clinical manifestations of the disease is noted to be of importance in choosing adequate treatment policy and preventing unfavorable trends in the development of the disease. Antibacterial therapy for streptococcal tonsillopharyngitis is emphasized to be of significance. The paper shows that it is expedient to perform irrigation procedures (different types of rinsing) that ensure a significant contact area and optimal conditions for the better local effect of antibacterial solutions, in particular furasol, a nitrofuran derivative (the active ingredient is furasidine potassium; the excipient is sodium chloride)...
2014: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/25492666/-tuberculosis-and-tularemia-as-part-of-the-differential-diagnosis-in-cervical-lymphadenitis
#14
LETTER
Ergenekon Karagöz, Asım Ulçay, Mustafa Hatipoğlu, Vedat Turhan
We have read with interest the recently published article entitled "Investigation of the presence of Mycobacterium tuberculosis in the lymph node aspirates of the suspected tularemia lymphadenitis cases" by Albayrak et al. published in Mikrobiyol Bul 2014; 48(1): 129-34. They concluded that tuberculous lymphadenitis (TCL) should be kept in mind in suspected tularemia cases and those patients should also be investigated simultaneously for the presence of TCL. With reference to data provided by the Ministry of Health in Turkey, the number of reported cases of pulmonary tuberculosis in comparison to previous years is currently on decline whereas a gradual increase in extra-pulmonary (specifically cervical TCL) cases has been observed...
October 2014: Mikrobiyoloji Bülteni
https://www.readbyqxmd.com/read/24961047/susceptibility-of-common-bacterial-respiratory-pathogens-to-antimicrobial-agents-in-outpatients-from-south-backa-district
#15
Olga Horvat, Mira Mihajlović Ukropina, Vesna Mijatović, Ana Sabo
INTRODUCTION: Acute infections of the upper respiratory tract are the most common reasons why patients visit general practitioners. Overuse of antibiotics in treatment of these conditions is extremely common practice although these infections are most frequently caused by viruses. The aim of this study was to determine the distribution and susceptibility of common pathogens to antimicrobial agents that cause infections of the upper respiratory tract in outpatients and to determine whether the results obtained from the examined sample were in accordance with the recommendations of the current National Guideline...
March 2014: Medicinski Pregled
https://www.readbyqxmd.com/read/24772132/effect-of-a-workshop-in-rational-pharmacotherapy-for-interns-during-family-medicine-clerkship-in-samsun-turkey
#16
Mustafa Fevzi Dikici, Fusun Yaris, Fusun Artiran Igde, Fulya Yarar, Oznur Altuntas, Aysenur Alper Gurz
OBJECTIVE: We aimed to investigate the effect of rational pharmacotherapy workshop for interns on the rationality, cost and number of drugs prescribed. METHODS: The participants were asked to prescribe a medication for acute noninflammatory osteoarthritis (ANOA), acute bacterial rhinosinusitis (ARS), acute otitis media (AOM), acute uncomplicated cystitis (AC), and acute bacterial tonsillopharyngitis (ABT) before and after workshop. Total 3000 prescriptions were scored regarding rationality of the drug choice (0-10), format (0-5), instructions (0-4), legibility (0-1) and total (0-20 points)...
March 2014: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/24629757/antibiotics-in-respiratory-tract-infections-in-hospital-pediatric-emergency-departments
#17
Claudia Guzmán Molina, Marta Velasco Rodríguez-Belvís, Albert Coroleu Bonet, Oriol Vall Combelles, Oscar García-Algar
BACKGROUND: Respiratory tract infections are one of the most frequent problems in pediatric clinics and generate an elevated prescription of antibiotics. The aim of this study was to find out the standard of care practice about antibiotic use in these infections in a pediatric emergency department and to evaluate compliance with clinical guidelines. METHODS: A pediatric emergency department database was reviewed from July 2005 to October 2007 under the category "respiratory infection", including variables such as age, antibiotic prescription and compliance with current clinical recommendations...
September 2014: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/24152503/differential-diagnosis-of-cervical-lymphadenitis-mimicking-malignancy-due-to-tularemia-our-experiences
#18
Vedat Turhan, Ufuk Berber, Abdullah Haholu, Murat Salihoglu, Asim Ulcay
BACKGROUND: Tularemia is a disease caused by a Gram-negative coccobacillus Francisella tularensis. This bacterium may cause different types of clinical pictures owing to acquisition route and entrance site, such as ulceroglandular, oropharyngeal, glandular, pneumonic, typhoid and ocular forms. Oropharyngeal tularemia (OPT) is the most common form of tularemia in some regions. OPT may cause tonsillopharyngitis followed by cervical lymphadenopathies (LAPs). Without treatment LAP may persist for several months and may mimic other diseases causing cervical LAPs...
July 2013: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/23783139/diagnosis-of-acute-tonsillopharyngitis-in-primary-care-a-new-approach-for-low-resource-settings
#19
Zuleyha Alper, Yesim Uncu, Halis Akalin, Ilker Ercan, Melda Sinirtas, Nazan Gonul Bilgel
BACKGROUND: Diagnosing GABHS (Group A-beta Hemolytic Streptococcus) tonsillopharyngitis by clinical scoring is a recommended approach in developed countries, but there is still much controversy for low resource settings. AIM: We aimed to assess the impact of Centor criteria with the support of practical laboratory tests. METHODS: We prospectively included patients complaining sore throat (N = 282). We evaluated them in terms of Centor scoring and performed white blood cell count (WBC), C-reactive protein (CRP), rapid antigen detecting test, and throat culture...
June 2013: Journal of Chemotherapy
https://www.readbyqxmd.com/read/23633318/different-antibiotic-treatments-for-group-a-streptococcal-pharyngitis
#20
REVIEW
Mieke L van Driel, An I M De Sutter, Natalija Keber, Hilde Habraken, Thierry Christiaens
BACKGROUND: Antibiotics provide only modest benefit in treating sore throat, although effectiveness increases in participants with positive throat swabs for group A beta-haemolytic streptococci (GABHS). It is unclear which antibiotic is the best choice if antibiotics are indicated. OBJECTIVES: To assess the evidence on the comparative efficacy of different antibiotics in: (a) alleviating symptoms (pain, fever); (b) shortening the duration of the illness; (c) preventing relapse; and (d) preventing complications (suppurative complications, acute rheumatic fever, post-streptococcal glomerulonephritis)...
2013: Cochrane Database of Systematic Reviews
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