The following principles of appropriate antibiotic use for adults with acute rhinosinusitis apply to the diagnosis and treatment of acute maxillary and ethmoid rhinosinusitis in adults who are not immunocompromised. Most cases of acute rhinosinusitis diagnosed in ambulatory care are caused by uncomplicated viral upper respiratory tract infections. Bacterial and viral rhinosinusitis are difficul...

and other drugs, as well as those asssociated with physical illness and injury, they did not indicate that the CIDI also excludes data from those respondents who consider their symptoms to be trivial or who have not consulted a physician; those who report that their symptoms do not interfere “a lot” with their everyday life and activity (as determined by the respondent); and those who have not ...

There is a demonstrated link between antibiotic resistance and the overuse of antibiotics. In addition, antibiotic misuse, such as the use of an inappropriate antibiotic or patients failing to complete their therapy, may also promote antibiotic resistance. Strategies are needed to tackle current and expected levels of resistance and to slow the development of antibiotic resistance. The 2 main s...

Objective: This review discusses the impact of antibiotic resistance in the intensive care unit (ICU), including the prevalence, morbidity, antibiotic resistance patterns and factors perpetuating antibiotic resistance. In addition, this describes the clinical significance of antibiotic resistance, the mechanisms of resistance, and suggests strategies to combat resistance. Summary: Antibiotic re...

The following principles of appropriate antibiotic use for adults with nonspecific upper respiratory tract infections apply to immunocompetent adults without complicating comorbid conditions, such as chronic lung or heart disease. 1. The diagnosis of nonspecific upper respiratory tract infection or acute rhinopharyngitis should be used to denote an acute infection that is typically viral in ori...

The following principles of appropriate antibiotic use for adults with acute bronchitis apply to immunocompetent adults without complicating comorbid conditions, such as chronic lung or heart disease. The evaluation of adults with an acute cough illness or a presumptive diagnosis of uncomplicated acute bronchitis should focus on ruling out serious illness, particularly pneumonia. In healthy, no...

BACKGROUND The association between antibiotic use in the community and antimicrobial resistance is known. Attention has recently focused on the type of agents being prescribed. OBJECTIVES To implement, evaluate and compare the efficacy of two community intervention programs--continuous versus seasonal medical education--oriented to primary care physicians with emphasis on the appropriate use ...