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A B Treatment In Acute Bronchitis

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CLINICAL PHARMACOLOGY

1 of 22
Antibiotic treatment is contra-indicated in acute bronchitis Bawoh. M PhD. Clinical Pharmacology Yaroslavl State Medical Academy
Antibiotic use in lower respiratory tract infections ,[object Object],[object Object]
Over- and underprescriptions of antibiotics in RTIs Akkerman et al. JAC 2005;56:930-6 AB indicated and prescribed AB not indicated but prescribed AB not indicated, not prescribed AB indicated but not prescribed
ESAC data on outpatient antibiotic use in Europe. Goossens et al. Lancet 2005;365:579-87
Resistance of S. pneumoniae against penicilline G EARSS annual report 2006. www.earss.rivm.nl
Resistance of S. pneumoniae against erythromycine EARSS annual report 2006. www.earss.rivm.nl
What are we treating? ,[object Object],[object Object],[object Object]
Incidence of acute LRTI syndromes in primary care ,[object Object],[object Object],[object Object]
Aetiology of lower respiratory tract infections in the community ( % of cases )
First important notion ,[object Object]
Diagnosis a sthma/COPD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Copyright ©2002 BMJ Publishing Group Ltd. van Schayck, C P et al. BMJ 2002;324:1370 Undetected COPD in smokers with acute cough
Second important notion ,[object Object],[object Object]
Diagnostic value of CRP and PCT for bacterial infections Holm et al BJGP 2007
Other tests to detect bacterial pathogens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Third important notion ,[object Object]
Antibiotics for acute bronchitis I Fahey T et al. Cochrane Database of Systematic Reviews 2008 Issue 3
Antibiotics for acute bronchitis I Fahey T et al. Cochrane Database of Systematic Reviews 2008 Issue 3
Little, P. et al. JAMA 2005;293:3029-3035. Duration of Cough After Physician Visit Until Patient Is Feeling Better RCT in 807 primary care patients
Old question ,[object Object],[object Object]
New answer ,[object Object]

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A B Treatment In Acute Bronchitis

  • 1. Antibiotic treatment is contra-indicated in acute bronchitis Bawoh. M PhD. Clinical Pharmacology Yaroslavl State Medical Academy
  • 2.
  • 3. Over- and underprescriptions of antibiotics in RTIs Akkerman et al. JAC 2005;56:930-6 AB indicated and prescribed AB not indicated but prescribed AB not indicated, not prescribed AB indicated but not prescribed
  • 4. ESAC data on outpatient antibiotic use in Europe. Goossens et al. Lancet 2005;365:579-87
  • 5. Resistance of S. pneumoniae against penicilline G EARSS annual report 2006. www.earss.rivm.nl
  • 6. Resistance of S. pneumoniae against erythromycine EARSS annual report 2006. www.earss.rivm.nl
  • 7.
  • 8.
  • 9. Aetiology of lower respiratory tract infections in the community ( % of cases )
  • 10.
  • 11.
  • 12.  
  • 13. Copyright ©2002 BMJ Publishing Group Ltd. van Schayck, C P et al. BMJ 2002;324:1370 Undetected COPD in smokers with acute cough
  • 14.
  • 15. Diagnostic value of CRP and PCT for bacterial infections Holm et al BJGP 2007
  • 16.
  • 17.
  • 18. Antibiotics for acute bronchitis I Fahey T et al. Cochrane Database of Systematic Reviews 2008 Issue 3
  • 19. Antibiotics for acute bronchitis I Fahey T et al. Cochrane Database of Systematic Reviews 2008 Issue 3
  • 20. Little, P. et al. JAMA 2005;293:3029-3035. Duration of Cough After Physician Visit Until Patient Is Feeling Better RCT in 807 primary care patients
  • 21.
  • 22.

Editor's Notes

  1. Blad
  2. Blad
  3. Blad
  4. Blad