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复发性急性桃体炎的治疗 - - 一个系统的审查和临床实践建议
Orlando Guntinas-Lichius1, Katharina Geißler1, Antti A Mäkitie2
1Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany.
复发性急性桃体炎需要一个结构化的方法. 基于证据的指导方针有助于优化治疗,减少过度使用抗生素和不必要的桃体切除术,以获得更好的患者结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 基于证据的医学基于证据的医学.
背景情况:
- 经常出现的急性桃体炎带来了诊断和治疗的挑战.
- 关于儿童和成人桃体手术的指示存在争议.
- 需要实用,基于证据的建议来管理复发性桃体炎.
研究的目的:
- 为诊断和治疗复发性急性桃体炎提供实际建议.
- 建立基于证据的桃体切除的决策标准.
- 为了减少治疗和过度使用抗生素的变化.
主要方法:
- 在主要数据库中进行系统的文献搜索 (2014-2023年).
- 由国际头部和部科学小组制定的共识陈述.
- 审查了68篇文章,这些文章构成了建议的基础.
主要成果:
- 诊断评分系统 (Centor,McIssac,FeverPAIN) 有助于识别细菌性桃体炎 (A组链球菌).
- 生活质量得分 (例如,桃体切除术结果清单 14) 对于评估影响至关重要.
- 桃体切除术的指示:每年≥7次,≥5/2年或≥3/3年,并进行标准化疼痛管理.
结论:
- 为了获得最佳的,基于证据的护理,需要严格的治疗算法.
- 这些指导方针旨在减少全球治疗变异性和过度使用抗生素.
- 避免无效的桃体切除术是一个关键的结果.
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