成人鼻炎临床实践指南的执行摘要更新
Spencer C Payne1, Margo McKenna2, Jennifer Buckley3
1Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
概括
针对成人鼻炎的最新临床实践指南强调了诊断准确性和明智的治疗. 它延长了急性细菌性鼻炎的警等待,并澄清了抗生素的使用,包括用克拉夫兰酸盐的阿莫西西林.
科学领域:
- 耳鼻喉科-头部和部外科手术
- 传染性疾病 传染性疾病
- 过敏和免疫学 过敏和免疫学
背景情况:
- 发表了针对成人鼻炎的最新临床实践指南.
- 以前的指南是从2015年开始的.
- 新的证据需要更新指南.
研究的目的:
- 总结更新的指南的理由,目的和关键行动声明.
- 协助实施指导方针的建议.
- 解决诊断准确性,辅助测试和成人鼻炎的治疗问题.
主要方法:
- 使用AAO-HNSF临床实践指南开发手册开发的指南.
- 更新组包括耳鼻喉科,传染病,家庭医学,过敏/免疫学,护理和消费者倡导者.
- 方法包括数据评估,主题优先级和行动声明的开发.
主要成果:
- 14个建议涵盖诊断,辅助测试 (放射学,内镜,CT),过敏/免疫测试和治疗.
- 确定了改变管理的慢性疾病:喘,囊性纤维化,免疫功能低下状态,状动力障碍和阿司匹林加重的呼吸道疾病.
- 针对所有患者的急性细菌性鼻炎,无论严重程度如何,都需要长时间的警等待.
- 推阿莫西西林与克拉夫兰酸盐作为急性细菌鼻炎的第一线抗生素治疗.
- 增加了针对慢性鼻炎的生物药物和经验性抗生素使用的建议.
结论:
- 更新的指南包含了新的证据和方法.
- 强调患者教育,咨询和质量改善.
- 提供了一个新的决策算法,并澄清了管理策略.
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