Strategies to reduce antibiotic prescribing for acute respiratory infections in primary care
This Cochrane Overview is the first publication produced with the support of Cochrane ’s Fast Track service. This service, which is offered by theCochrane Editorial Unit, supports expedited production of high-quality, high-impact Cochrane Reviews. For more information, please visit theFast Track information page.Key findings:A newCochrane Overview has identified effective and safe clinician-focussed interventions to reduce antibiotic prescribing for acute respiratory infections (ARIs) in primary care.The authors found that point-of-care CRP testing, procalcitonin-guided management and shared decision making probably safely reduce antibiotic prescribing in the management of ARIs compared to usual care.There were no trials in the included reviews which compared interventions against one another, so we do not know which is most effective at reducing antibiotic prescribing for ARIs in primary care. Context: Antibiotic resistance has become a major public health problem, with some infections no longer treatable using currently available drugs. The inappropriate use of antibiotics is associated with the increase of resistance. Most antibiotics are prescribed in primary care, and most commonly for ARIs. In most cases ARIs seen in primary care are spontaneously resolved without antibiotics.The management of ARIs in primary care is therefore a key target for influencing the antibiotic prescribing behaviour of clinicians.What does the review say?:The authors identi...
Authors: Sobani ZA, Yunina D, Abbasi A, Tin K, Simkin D, Rojas M, Tsirlin Y, Mayer I, Rahmani R Abstract Background/Aims: Literature on the safety of endoscopic retrograde cholangiopancreatography (ERCP) in elderly patients is divided. Based on this we decided to examine the safety of ERCP in nonagenarian patients. Methods: A total of 1,389 patients, with a mean age of 63.94±19.62 years, underwent ERCP during the study period. There were 74 patients aged 90 years or older with a mean age of 92.07±1.8. Logistic regression showed that nonagenarian patients had a significantly increased odds of in-pa...
Authors: Abe S, Oda I, Minagawa T, Sekiguchi M, Nonaka S, Suzuki H, Yoshinaga S, Bhatt A, Saito Y Abstract This review article summarizes knowledge about metachronous gastric cancer (MGC) occurring after curative endoscopic resection (ER) of early gastric cancer (EGC), treatment outcomes of patients who developed MGC, and efficacy of Helicobacter pylori eradication to prevent MGC. The incidence of MGC following curative ER increases over time and is higher than in patients undergoing gastrectomy. Increasing age and multifocal EGC are independent risk factors for developing MGC. An MGC following curative ER is usually a small (
Colin H. Ridyard, Catrin O. Plumpton, Ruth E. Gilbert, Dyfrig A. Hughes
Conclusions: There is a relationship between chronic H. pylori infection and gastric juice pH ≥3, which may originate from AG and IM in the body. PMID: 28918609 [PubMed - as supplied by publisher]
This article describes connections between migraine surgery and cosmetic surgery including technical overlap, benefits for patients, and why every plastic surgeon may consider screening cosmetic surgery patients for migraine headache (MH). Contemporary migraine surgery began by an observation made following forehead rejuvenation, and the connection has continued. The prevalence of MH among females in the USA is 26%, and females account for 91% of cosmetic surgery procedures and 81 –91% of migraine surgery procedures, which suggests substantial overlap between both patient populations. At the same time, recent reports...
CONCLUSION: The ultrasonic bone aspirator is a feasible option in endoscopic ear surgery. It enables easy bone removal, with no additional complications and greater efficacy than traditional bone curettes. It should be a part of the armamentarium for transcanal endoscopic ear surgery. PMID: 28918759 [PubMed - as supplied by publisher]
Authors: Hettige R, Hopkins C PMID: 28918756 [PubMed - as supplied by publisher]
LONDON (Reuters) - Bristol-Myers Squibb's immunotherapy drug Opdivo has been recommended for some patients with lung cancer by Britain's healthcare cost watchdog NICE after the drugmaker agreed a discounted price.
This study considered 73 patients
“[These results] provide further support of a favorable risk/benefit ratio for the addition of fentanyl to labor epidurals.”