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[Consensus guidelines for the management of upper respiratory tract infections].
Medicina (B Aires). 2012; 72(6):484-94.M

Abstract

Upper respiratory tract infections are the most common source of antibiotic prescriptions. Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Treatment of choice for streptococcal infection is penicillin V given in two daily doses. In children, acute otitis media (AOM) is the infection for which antibiotics are most often prescribed. Predominant causative pathogens include Streptococcus pneumoniae, Haemophilus influenzae non-type b and Moraxella catarrhalis. Diagnosis is based on history, physical examination and otoscopic exam. Antibiotic treatment should be initiated promptly in all children<2 years of age, and in older children presenting bilateral AOM, otorrhoea, co-morbidities or severe illness. In Argentina, amoxicillin is the drug of choice given the low penicillin resistance rates for S. pneumoniae. In children who fail amoxicillin therapy, amoxicillin/clavulanate provides better coverage against beta-lactamase producing H. influenzae and M. catarrhalis. Rhinosinusitis is caused mainly by viruses, secondary bacterial complication occurs in less than 5% of cases. Diagnosis is based on physical examination and additional studies are not usually required. Acute bacterial sinusitis is caused by the same pathogens that cause AOM and amoxicillin is the drug of choice.

Authors+Show Affiliations

Sociedad Argentina de Infectología (SADI), Buenos Aires, Argentina. glopardo@intramed.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Practice Guideline
Research Support, Non-U.S. Gov't

Language

spa

PubMed ID

23241293

Citation

Lopardo, Gustavo, et al. "[Consensus Guidelines for the Management of Upper Respiratory Tract Infections]." Medicina, vol. 72, no. 6, 2012, pp. 484-94.
Lopardo G, Calmaggi A, Clara L, et al. [Consensus guidelines for the management of upper respiratory tract infections]. Medicina (B Aires). 2012;72(6):484-94.
Lopardo, G., Calmaggi, A., Clara, L., Levy Hara, G., Mykietiuk, A., Pryluka, D., Ruvinsky, S., Vujacich, C., Yahni, D., Bogdanowicz, E., Klein, M., López Furst, M. J., Pensotti, C., Rial, M. J., & Scapellato, P. (2012). [Consensus guidelines for the management of upper respiratory tract infections]. Medicina, 72(6), 484-94.
Lopardo G, et al. [Consensus Guidelines for the Management of Upper Respiratory Tract Infections]. Medicina (B Aires). 2012;72(6):484-94. PubMed PMID: 23241293.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Consensus guidelines for the management of upper respiratory tract infections]. AU - Lopardo,Gustavo, AU - Calmaggi,Aníbal, AU - Clara,Liliana, AU - Levy Hara,Gabriel, AU - Mykietiuk,Analía, AU - Pryluka,Daniel, AU - Ruvinsky,Silvina, AU - Vujacich,Claudia, AU - Yahni,Diego, AU - Bogdanowicz,Elizabeth, AU - Klein,Manuel, AU - López Furst,María J, AU - Pensotti,Claudia, AU - Rial,María J, AU - Scapellato,Pablo, AU - ,, AU - ,, AU - ,, AU - ,, PY - 2012/12/18/entrez PY - 2012/12/18/pubmed PY - 2014/5/3/medline SP - 484 EP - 94 JF - Medicina JO - Medicina (B Aires) VL - 72 IS - 6 N2 - Upper respiratory tract infections are the most common source of antibiotic prescriptions. Acute pharyngitis is caused mainly by viruses, viral cases can be distinguished from acute streptococcal pharyngitis using Centor clinical epidemiological criteria, by rapid antigen tests or throat culture. Treatment of choice for streptococcal infection is penicillin V given in two daily doses. In children, acute otitis media (AOM) is the infection for which antibiotics are most often prescribed. Predominant causative pathogens include Streptococcus pneumoniae, Haemophilus influenzae non-type b and Moraxella catarrhalis. Diagnosis is based on history, physical examination and otoscopic exam. Antibiotic treatment should be initiated promptly in all children<2 years of age, and in older children presenting bilateral AOM, otorrhoea, co-morbidities or severe illness. In Argentina, amoxicillin is the drug of choice given the low penicillin resistance rates for S. pneumoniae. In children who fail amoxicillin therapy, amoxicillin/clavulanate provides better coverage against beta-lactamase producing H. influenzae and M. catarrhalis. Rhinosinusitis is caused mainly by viruses, secondary bacterial complication occurs in less than 5% of cases. Diagnosis is based on physical examination and additional studies are not usually required. Acute bacterial sinusitis is caused by the same pathogens that cause AOM and amoxicillin is the drug of choice. SN - 0025-7680 UR - https://www.unboundmedicine.com/medline/citation/23241293/[Consensus_guidelines_for_the_management_of_upper_respiratory_tract_infections]_ L2 - http://www.medicinabuenosaires.com/PMID/23241293.pdf DB - PRIME DP - Unbound Medicine ER -