Top stories in health and medicine, February 25, 2013
This series is brought to you by MedPage Today.1. Pediatricians: Watchful Waiting Best for Ear Infections. Stricter diagnostic criteria and broader use of observation to further rein in antibiotic prescribing for acute otitis media emerged in a revision of American Academy of Pediatrics (AAP) guidelines.2. Is Evidence-Based Medicine Only an Illusion? In a system where half of all clinical trials never see the light of publication, doctors are merely “imagining that we’re practicing evidence-based medicine,” says Ben Goldacre, MBBS, a British physician and science journalist.3. Asthma Drug Curbs Chronic Hi...
Source: Kevin, M.D. - Medical Weblog - February 25, 2013 Category: Family Physicians Tags: News Infectious disease Pediatrics Pulmonology Source Type: blogs
Antibiotics no good for acute sinusitis?
JAMA 12/5/07 – House of God Law #13: “The delivery of good medical care is to do as much nothing as possible.” The last time we saw this rule at work was with otitis media.
A study in JAMA by Williamson et al. sought to see just what good comes from the common practice of prescribing antibiotics and nasal steroids for acute bacterial sinusitis. The study included 240 patients seen by family practitioners in the UK. To be included, the patients had to have 2 or more of the classic clinical diagnostic criteria. No radiology or lab studies were used in diagnosis.
Treatment groups were randomized to receive e...
Source: Consider The Evidence: Med/Peds Journal Roundup - December 13, 2007 Category: Internists and Doctors of Medicine Authors: medblog Tags: Uncategorized Source Type: blogs
