American family physician最新文献_第7页

ACE Inhibitor or ARB Therapy Can Prevent Diabetic Kidney Disease Progression. ACE抑制剂或ARB治疗可预防糖尿病肾病进展

IF 3.8 3区医学

American family physician Pub Date : 2025-01-01

Arindam Sarkar, Briana Jarrett, Rashmi Rode

引用次数: 0

Probiotics Reduce the Likelihood of Recurrence of UTI in Women With Frequent UTIs. 益生菌可降低女性尿路感染复发的可能性。

IF 3.8 3区医学

American family physician Pub Date : 2025-01-01

Mark H Ebell

引用次数: 0

Antibiotic Treatment Is Effective for Acute Sinusitis in Children. 抗生素治疗儿童急性鼻窦炎有效。

IF 3.8 3区医学

American family physician Pub Date : 2025-01-01

Allen F Shaughnessy

引用次数: 0

Acute Rhinosinusitis: Rapid Evidence Review. 急性鼻窦炎：快速证据回顾。

IF 3.8 3区医学

American family physician Pub Date : 2025-01-01

Faith M Butler, Deborah Rivera Hernandez

{"title":"Acute Rhinosinusitis: Rapid Evidence Review.","authors":"Faith M Butler, Deborah Rivera Hernandez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute rhinosinusitis causes more than 30 million patients to seek health care per year in the United States. Respiratory tract infections, including bronchitis and sinusitis, account for 75% of outpatient antibiotic prescriptions in primary care. Sinusitis is a clinical diagnosis; the challenge lies in distinguishing between the symptoms of bacterial and viral sinusitis. Cardinal features of acute bacterial rhinosinusitis are unilateral facial pain or pressure, fever greater than 102°F (39°C), and purulent nasal discharge with obstruction of the nasal passages. Antibiotics should be considered for patients with 3 or more days of severe symptoms, significant worsening after 3 to 5 days of symptoms, or 7 or more days of symptoms. Diagnostic testing for acute rhinosinusitis with antral puncture is impractical because of its invasiveness. Point-of-care testing for elevated C-reactive protein may be helpful, but it is not widely available. Studies have shown that amoxicillin is as effective as amoxicillin-clavulanate as a first-line treatment for acute bacterial rhinosinusitis for those without a beta-lactam allergy. For patients with a beta-lactam allergy, appropriate antibiotics include doxycycline or a respiratory fluoroquinolone; clindamycin plus a third-generation cephalosporin is an option for children with non-type I hypersensitivity to beta-lactam antibiotics. Supportive care for rhinosinusitis, including use of saline irrigation, nasal steroids or antihistamines, and decongestants, may help reduce the severity of symptoms. Most episodes of rhinosinusitis are self-limited, lasting 7 to 10 days. Complications of rhinosinusitis are rare but may include orbital cellulitis, meningitis, and abscess. Computed tomography and referral to an otolaryngologist should be considered for patients with recurrent rhinosinusitis or concern about complications.</p>","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 1","pages":"47-53"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practice Alert: Pneumococcal Conjugate Vaccines Approved for Adults. 实践警告：肺炎球菌结合疫苗批准用于成人。

IF 3.8 3区医学

American family physician Pub Date : 2025-01-01

Doug Campos-Outcalt

引用次数: 0

In Adults With Degenerative Joint Disease of the Hip, Steroid injections Improve Pain After 3 Months but Not After 6 Months. 在患有髋关节退行性关节病的成人中，类固醇注射在3个月后改善疼痛，但在6个月后没有改善。

IF 3.8 3区医学

American family physician Pub Date : 2025-01-01

Henry C Barry

引用次数: 0

Timely and Effective Outpatient Benzodiazepine Withdrawal Protocol. 及时有效的门诊苯二氮卓类药物戒断方案。