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Acute Pharyngitis01:30

Acute Pharyngitis

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Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
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Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
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Rabies

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Coronaviruses, including the severe acute respiratory syndrome coronavirus (SARS-CoV), are enveloped viruses characterized by their single-stranded, positive-sense RNA genome and helical nucleocapsid structure. The hallmark of these viruses is their club-shaped spike (S) glycoproteins that protrude from the viral envelope, facilitating attachment to host cells. Typically, coronaviruses infect the upper respiratory tract, often causing mild or asymptomatic disease. However, certain strains like...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...

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Use of Azithromycin Attributable to Acute SARS-CoV-2 Infection.

Carlo Gagliotti1,2, Federico Banchelli1,2, Rossella Buttazzi1,2

  • 1Department of Innovation in Healthcare and Social Services, Emilia-Romagna Region, Bologna, Italy.

Pharmacoepidemiology and Drug Safety
|July 11, 2024
PubMed
Summary
This summary is machine-generated.

Early COVID-19 (SARS-CoV-2) treatment misinformation led to increased azithromycin prescriptions. This study found a significant rise in antibiotic use during acute infection phases, suggesting inappropriate prescribing practices.

Keywords:
ORCHESTRA projectSARS‐CoV‐2 infectionattributable useazithromycindefined daily dosepopulation‐based cohort

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Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Public Health

Background:

  • Preliminary, later disproven, findings suggested azithromycin efficacy for SARS-CoV-2.
  • This led to potential over-prescription of the antibiotic during the COVID-19 pandemic.
  • Lack of individual-level data on azithromycin use in acute SARS-CoV-2 infection.

Purpose of the Study:

  • To analyze individual-level data linking azithromycin use to acute SARS-CoV-2 infection.
  • To quantify azithromycin consumption during different phases of SARS-CoV-2 infection.
  • To assess the impact of virus variants on antibiotic prescribing patterns.

Main Methods:

  • Retrospective population-based cohort study (February 2020 - February 2022).
  • Utilized outpatient prescription data from Emilia-Romagna Region, Italy.
  • Compared azithromycin consumption (DDD) during acute, post-acute, and control periods, stratified by SARS-CoV-2 variants.

Main Results:

  • Azithromycin consumption rates (DDD per 1000 individuals/day) significantly increased during acute SARS-CoV-2 phases across all variants.
  • Percentage of individuals receiving azithromycin and its share of total antibiotic use also rose.
  • Consumption returned to baseline levels in the post-acute phase; 12.9% of total azithromycin use was linked to acute COVID-19.

Conclusions:

  • Increased azithromycin prescribing during acute SARS-CoV-2 infection suggests inappropriate use.
  • Low likelihood of bacterial coinfection in most cases further supports this conclusion.
  • Highlights the need for evidence-based prescribing during public health crises.