Antibiotics not recommended for acute otitis, says NICE
RCGP supports decision advised in draft guidance Related items fromOnMedica No evidence to back mantra that patients need to complete antibiotic course Ear disorders Managing minor illness in primary care – external ear complaints Acute otitis media GPs welcome NICE advice on bronchiolitis in children
Chronic otitis media with effusion (COME) is a common childhood disease characterized by an accumulation of fluid behind the eardrum. COME often requires surgical intervention and can also lead to significant hearing loss and subsequent learning disabilities. Recent characterization of the middle ear fluid (MEF) microbiome in pediatric patients has led to an improved understanding of the microbiota present in the middle ear during COME. However, it is not currently known how the MEF microbiome might vary due to other conditions, particularly respiratory disorders. Here, we apply an amplicon sequence variant (ASV) pipeline ...
The objective was to identify the frequency and pattern of antibacterial prescribing in respiratory diseases. MATERIAL AND METHODS: Over a period of two years (divided by the presentation of the clinical guideline standards) data was collected from clinical records of children with respiratory disease. Chi-square tests or Fisher's exact test were used to test associations between variables, statistical significance p
This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved. PMID: 30461126 [PubMed - as supplied by publisher]
ConclusionsThis case illustrates the importance of respiratory syncytial virus infection in an immunocompetent child. Pediatricians need to have a high index of suspicion and knowledge of recurrent symptoms associated with severe damage of the lung epithelium to establish the correct diagnosis.
Adenovirus is a common cause of respiratory illness in childhood and is associated with approximately 5% to 15% of upper and lower respiratory tract infections. Immunocompetent individuals usually have a mild and self-limited disease course, with syndromes typically including pharyngitis, bronchiolitis, keratoconjunctivitis, otitis media, and gastroenteritis. Neurologic manifestations in immunocompetent children are less common and include aseptic meningitis, myelitis, subacute focal encephalitis, seizures, paralysis, and Reye-like syndrome. Disseminated adenovirus disease is rare in immunocompetent children, occurring in ...
Conclusions: Concerning adherence patterns include high antibiotic rates for bronchitis, particularly in adolescents, and underuse of narrow-spectrum penicillins in the 0–4 years group.
The objective of this study was to determine if infant RSV bronchiolitis is associated with increased risk of otitis media, pneumonia, and antibiotic utilization, and if risk is modified by maternal asthma.
Exposure to acute air pollution and risk of bronchiolitis and otitis media for preterm and term infants, Published online: 21 December 2017; doi:10.1038/s41370-017-0006-9Exposure to acute air pollution and risk of bronchiolitis and otitis media for preterm and term infants
Professor Dame Sally Davies, England's Chief Medical Officer, recently warned that the world could face a " post-antibiotic apocalypse.” She urged that, unless action is taken to halt the practices that have allowed antibiotic resistance to spread and ways are found to develop new types of antibiotics, we could return to the days when simple wounds, infections or routine operations, are life-threatening. To mark World Antibiotic Awareness Week, 12th-18th November 2018, we are highlighting Cochrane evidence which supports decision-making in the appropriate use of antibiotics.&nb...