Acute bacterial sinusitis — involving purulent nasal discharge and nasal obstruction; facial pain, pressure, or fullness; or both — persists for 10 days or more with no improvement or worsens within 10 days after improvement. However, the natural history of acute sinusitis in adults is very favorable; approximately 85% of persons have a reduction or… Read More…
Posts Tagged ‘antibiotics’
Urinary Tract Infections in Older Men
Posted by Carla Rothaus • February 12th, 2016
Urinary tract infection in men without indwelling catheters is uncommon among men younger than 60 years of age, but the incidence increases substantially among men 60 years of age or older. Effective treatment of urinary tract infection in men requires determining whether the infection site is the kidney, bladder, or prostate; the duration and choice of therapy… Read More…
Amoxicillin for Severe Acute Malnutrition
Posted by Carla Rothaus • February 5th, 2016
Severe acute malnutrition affects approximately 19 million children under 5 years of age worldwide and contributes substantially to mortality and the disease burden among children. Only one previous randomized trial has examined the routine use of antibiotics in the community-based treatment of severe acute malnutrition. Isanaka et al. conducted a randomized, double-blind, placebo-controlled trial in… Read More…
Antimicrobial Therapy for Intraabdominal Infection
Posted by Chana Sacks • May 20th, 2015
When the paramedics wheeled Mr. L into the Emergency Department, you knew exactly what to do. Low blood pressure: establish good IV access and start fluids. Fever of 102 and left lower quadrant abdominal pain: obtain blood cultures, order antibiotics, and get him to the CT scanner once his vitals stabilize. In medical school, you think… Read More…
Initial Antibiotic Choice for Community Acquired Pneumonia
Posted by John Staples • April 2nd, 2015
The basic symptoms which occur in pneumonia … are as follows: acute fever, sticking pain in the side, short rapid breaths, serrated pulse and cough. – Maimonides (1138–1204 AD) Antibiotic treatment of community-acquired pneumonia (CAP) is one of the most remarkable medical developments of the 20th century, yet the choice of initial antibiotics is not… Read More…
Azithromycin for Prevention of COPD Exacerbations
Posted by Daniela Lamas • August 24th, 2011
Summer’s coming to a close and the patient sitting in your office is worried. A bad cough and wheeze sent him to the hospital for three days last winter, and he feels like he’s never quite gotten back to normal. He stopped smoking a few years ago, and uses the long-acting bronchodilators and inhaled corticosteroids… Read More…