[喉痛 - 基于指南的诊断和治疗]
Karen Krüger1, Jan Hendrik Oltrogge2
1Institut für Allgemeinmedizin, Charité - Universitätsmedizin Berlin, Deutschland.
ZFA. Zeitschrift fur Allgemeinmedizin
|June 5, 2023
概括
喉痛通常是病毒性和自我限制的. 临床评分可以指导细菌喉炎的适当抗生素使用,减少急性喉疼痛的不必要处方.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 传染性疾病 传染性疾病
- 临床指南 临床指南
背景情况:
- 喉痛是初级医疗保健访问的常见原因,通常是由病毒感染引起的.
- 抗生素经常被用于喉疼痛,尽管细菌感染占病例的不到35%.
- 基于证据的指导方针存在,以优化抗生素用于喉疼痛管理.
研究的目的:
- 更新德国全科医生和家庭医生协会 (DEGAM) 关于喉疼痛的指南.
- 为诊断和治疗急性喉痛提供基于证据的建议.
主要方法:
- 对国际准则和系统评论进行系统的文献搜索.
- 专注于症状治疗的证据和急性喉痛的抗生素指示.
主要成果:
- 急性喉疼痛通常在没有抗生素的情况下在7天内消失,特别是当没有红旗时.
- 建议在出现症状时使用布洛芬或纳普罗森治疗.
- 临床分数 (Centor,McIsaac,FeverPAIN) 有助于评估细菌炎风险;低风险病例不需要抗生素.
结论:
- 症状治疗有效地管理了急性喉疼痛带来的不适.
- 在怀疑细菌感染时,建议根据临床分数指导风险适应的抗生素处方.
- 抗生素治疗,即使是细菌病例,也只能适度地减少症状持续时间.
相关概念视频
Acute Pharyngitis
984
Introduction
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:
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:
984
Tonsillitis II: Management
146
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
146
Chronic Pharyngitis
3.1K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
3.1K
Tonsillitis I: Introduction
357
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
357
Sputum Studies II: Culture and Sensitivity
431
Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
431
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
467
Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...
467


