Potential national savings from prescribing guideline-recommended antibiotics for acute rhinosinusitis.

نویسندگان

  • John D Cramer
  • Robert C Kern
  • Bruce K Tan
  • Anju T Peters
  • Charlesnika T Evans
  • Stephanie Shintani Smith
چکیده

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Is there a conflict between general practitioners applying guidelines for antibiotic prescribing and including their patients’ preferences?

Objectives One perceived barrier to guideline adherence is the existence of conflicting patient preferences. We examined whether patient preferences influence the prescription of antibiotics in general practice, and how this affects guideline adherence. We hypothesized that preferences play a larger role in prescribing antibiotics if the guideline allows for preferences to be taken into account...

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Treatment of acute and chronic rhinosinusitis in the United States, 1999-2002.

OBJECTIVE To generalize the prescribing trends of a statistically defined sample of patient visits because of acute or chronic rhinosinusitis in the United States, using reported diagnostic codes from the International Classification of Diseases, Ninth Revision, Clinical Modification. DESIGN Four-year prospective study. SETTING Public use data from the National Ambulatory Medical Care Surve...

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Antibiotic prescribing in patients with acute rhinosinusitis is not in agreement with European recommendations

OBJECTIVE To assess the potential overprescribing in patients with acute rhinosinusitis across six countries with different antibiotic prescribing rates and different prevalence of antibiotic resistance. DESIGN, SETTING AND SUBJECTS A cross-sectional study including GPs from two Nordic countries, two Baltic countries and two Hispano-American countries registered patients with respiratory trac...

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Antibiotic prescriptions for outpatient acute rhinosinusitis in Canada, 2007-2013

INTRODUCTION Acute rhinosinusitis (ARS) is a respiratory disease commonly caused by viral infections. Physicians regularly prescribe antibiotics despite bacterial etiologies being uncommon. This is of concern, as this use adds to the selection pressure for resistance. Here we present the descriptive epidemiology of acute rhinosinusitis and corresponding antibiotic prescribing practices by Canad...

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Examination of antibiotic dosing practices for refractory rhinosinusitis in relation to body weight.

OBJECTIVE Rhinosinusitis is a common condition that is frequently treated as an infectious disease with antibiotics. In general, antibiotic dosing in adults follows a flat scheme with no regard for body size. Wide variability in body weight raises concern whether this dosing scheme results in efficacious dosing for patients of various sizes. If not, larger patients with chronic rhinosinusitis m...

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عنوان ژورنال:
  • American journal of rhinology & allergy

دوره 30 1  شماره 

صفحات  -

تاریخ انتشار 2016