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Pharyngitis
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
The referral criteria for tonsillectomy in the presence of recurrent sore throats that are used currently in the United Kingdom are based on the following SIGN guidelines: Sore throats are due to acute tonsillitis.The episodes of sore throat are disabling and prevent normal functioning.Seven or more well-documented, clinically significant, adequately treated sore throats in the preceding yearorfive or more such episodes in each of the preceding yearsorthree or more such episodes in each of the preceding 3 years.
Urinary tract infection
Published in Samar Razaq, Difficult Cases in Primary Care, 2021
Which of the following statements regarding antibiotic use in children is/are correct? High-dose short-course amoxicillin treatment has been shown to reduce the spread of drug-resistant pneumococcus.Up to 90% of patients presenting with a sore throat are likely to be symptom-free at 1 week, whether treated with antibiotics or not.An uncomplicated lower UTI in a child should be treated for 10–14 days.Chronic suppurative otitis media should always be treated with oral antibiotics, because of the higher antibiotic concentrations required in the middle ear to treat it.Current guidance recommends antibiotic courses of greater than 3 weeks for osteomyelitis.
Herbs in Health Management
Published in Raj K. Keservani, Anil K. Sharma, Rajesh K. Kesharwani, Nutraceuticals and Dietary Supplements, 2020
Sore throat is a very common problem due to viral and bacterial infections. In such conditions, fresh leaves of Tulsi are boiled with water and decoction is used either as a drink or for gargle. This water can also be drink during bronchitis and asthmatic conditions.
Complaint-driven preferences & trust: patient’s views on consulting GP trainees
Published in Education for Primary Care, 2022
Sarah de Bever, Suzanne C. van Rhijn, Anneke Wilhelmina Maria Kramer, Jettie Bont, Nynke van Dijk, Mechteld Renée Maria Visser
For this study we define a presenting complaint as the reason why a patient visits a GP. This can be related to a symptom, like a sore throat, or to a specific disease, such as a review of diabetes. Every complaint is related to specific preferences regarding timeliness, availability, gender concordance or having a longitudinal, personal relationship with the doctor. Patients attending with a minor ailment prioritise the timeliness of their appointment. If a complaint is urgent, availability is prioritised. Patients with sexual health problems tended to prefer gender concordance when choosing a doctor. It depends on the urgency. For urgent matters you have to consult the substitute, whoever that may be. For matters that can wait, if the preferred doctor is on a skiing holiday, you wait until he is back. (Participant 2)I find a female doctor a little more pleasant [to consult], but that’s personal. Because she understands better how females and hormones work and what troubles you have if you’re going through menopause. (Participant 15)
Non-interventional observational study broadens positive benefit-risk assessment of an immunomodulating herbal remedy in the common cold
Published in Current Medical Research and Opinion, 2019
Hans-Heinrich Henneicke-von Zepelin, Petra Nicken, Belal Naser, Jennifer-Christin Kuchernig, Nicole Brien, Annette Holtdirk, Jörg Schnitker, Klaus-Ulrich Nolte
The primary outcome was the risk-benefit ratio of the herbal remedy under everyday conditions. The “benefit” was based on the diary records of the cold symptoms and overall assessment of efficacy. The cold symptoms were combined into a global cold score (item “overall severity of the cold”), a rhinitis score (mean of items “blocked nose”, “runny nose”, “I often have to blow my nose” and “I often have to sneeze”), a bronchitis score (mean of items “cough”, “hoarseness”, “productive cough” and “pain in the chest area”), a general complaints score (item “aching head and limbs”) and a total score. The symptom “sore throat/swallowing difficulties” was analyzed separately. The “risk” comprised adverse drug reactions during the treatment and the patient’s overall assessment of tolerability.
Novel approaches to decrease inappropriate ambulatory antibiotic use
Published in Expert Review of Anti-infective Therapy, 2019
Theresa A. Rowe, Jeffrey A. Linder
These data suggesting that delayed prescriptions reduce antibiotic prescriptions, but for most ambulatory patients, the use of delayed antibiotic prescriptions is conceptually flawed[78]. First, delayed antibiotic prescriptions are often used for viral infections like the common cold, acute bronchitis, and viral pharyngitis. Second, guidelines are clear about which patients with respiratory infections should receive antibiotics [76,79–82]. Third, delayed antibiotic prescriptions – most often given with the instructions to use the antibiotic if the patient is not feeling better ‘in a few days’ – ignores the natural history of viral infections. For example, the common cold can last 2 weeks. Acute bronchitis lasts 3 weeks. The sore throat from viral pharyngitis typically lasts 5 days. Fourth, delayed antibiotics place the clinical decision-making burden of antibiotic use on patients. Fifth, some patients may fill the prescription regardless of the progression of their symptoms. Sixth, delayed antibiotic prescriptions introduce the risk that patients with worsening or changing symptoms will take the antibiotics rather than seeking medical care. Finally, and perhaps most importantly, delayed antibiotic prescriptions send a mixed message to patients and confuses patients about the appropriate use of antibiotics[83].