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Optimizing the management of the main acute infections in pediatric ORL: tonsillitis, sinusitis, otitis media.
Braz J Otorhinolaryngol. 2008 Sep-Oct; 74(5):755-762.BJ

Abstract

Sinusitis, acute otitis media and tonsillitis are very frequent in children. Most of these infections are caused by viruses, but are generally treated with antibiotics. Inappropriate use of antibiotics favors the selection, growth and spread of resistant bacteria; these bacteria colonize the airways and affect the entire community. With the emergence of antibiotic-resistant bacteria, respiratory infections have become more difficult to treat. Effective strategies are needed to restrict the use of antibiotics without harming children that truly need these drugs.

AIM

to present a critical analysis of the results of randomized and controlled studies on clinical and laboratory criteria used in diagnosing and treating tonsillitis, sinusitis and otitis.

METHODS

a review of randomized and controlled studies about these conditions published in MEDLINE and SCIELO from 2000 to 2006.

CONCLUSIONS

Given that most of these infections progress favorably without antibiotics, the use of these drugs should be avoided unless the child belongs to a high risk group for complications, or symptoms persist or worsen with despite symptomatic treatment. Physicians and laypersons should have better knowledge about the natural evolution of acute respiratory infections.

Authors+Show Affiliations

Adjunct professor, Laboratório de Investigações Médicas (LIM), number 40, Faculdade de Medicina da Universidade de São Paulo (FMUSP).Adjunct professor, Departamento de Pediatria, Faculdade de Medicina da Universidade de São Paulo (FMUSP).

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19082359

Citation

Sih, Tania Maria, and Lucia Ferro Bricks. "Optimizing the Management of the Main Acute Infections in Pediatric ORL: Tonsillitis, Sinusitis, Otitis Media." Brazilian Journal of Otorhinolaryngology, vol. 74, no. 5, 2008, pp. 755-762.
Sih TM, Bricks LF. Optimizing the management of the main acute infections in pediatric ORL: tonsillitis, sinusitis, otitis media. Braz J Otorhinolaryngol. 2008;74(5):755-762.
Sih, T. M., & Bricks, L. F. (2008). Optimizing the management of the main acute infections in pediatric ORL: tonsillitis, sinusitis, otitis media. Brazilian Journal of Otorhinolaryngology, 74(5), 755-762. https://doi.org/10.1016/S1808-8694(15)31387-2
Sih TM, Bricks LF. Optimizing the Management of the Main Acute Infections in Pediatric ORL: Tonsillitis, Sinusitis, Otitis Media. Braz J Otorhinolaryngol. 2008 Sep-Oct;74(5):755-762. PubMed PMID: 19082359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optimizing the management of the main acute infections in pediatric ORL: tonsillitis, sinusitis, otitis media. AU - Sih,Tania Maria, AU - Bricks,Lucia Ferro, PY - 2006/11/13/received PY - 2007/04/05/accepted PY - 2008/12/17/entrez PY - 2008/12/17/pubmed PY - 2009/8/22/medline SP - 755 EP - 762 JF - Brazilian journal of otorhinolaryngology JO - Braz J Otorhinolaryngol VL - 74 IS - 5 N2 - UNLABELLED: Sinusitis, acute otitis media and tonsillitis are very frequent in children. Most of these infections are caused by viruses, but are generally treated with antibiotics. Inappropriate use of antibiotics favors the selection, growth and spread of resistant bacteria; these bacteria colonize the airways and affect the entire community. With the emergence of antibiotic-resistant bacteria, respiratory infections have become more difficult to treat. Effective strategies are needed to restrict the use of antibiotics without harming children that truly need these drugs. AIM: to present a critical analysis of the results of randomized and controlled studies on clinical and laboratory criteria used in diagnosing and treating tonsillitis, sinusitis and otitis. METHODS: a review of randomized and controlled studies about these conditions published in MEDLINE and SCIELO from 2000 to 2006. CONCLUSIONS: Given that most of these infections progress favorably without antibiotics, the use of these drugs should be avoided unless the child belongs to a high risk group for complications, or symptoms persist or worsen with despite symptomatic treatment. Physicians and laypersons should have better knowledge about the natural evolution of acute respiratory infections. SN - 1808-8694 UR - https://www.unboundmedicine.com/medline/citation/19082359/Optimizing_the_management_of_the_main_acute_infections_in_pediatric_ORL:_tonsillitis_sinusitis_otitis_media_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1808-8694(15)31387-2 DB - PRIME DP - Unbound Medicine ER -