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1.
Ned Tijdschr Geneeskd ; 152(39): 2116-9, 2008 Sep 27.
Article in Dutch | MEDLINE | ID: mdl-18856027

ABSTRACT

The first revision of the guideline 'Influenza and influenza vaccination' from the Dutch College of General Practitioners contains the new indications for influenza vaccination. The most important revisions are: the minimum age has been lowered from 65 to 60 years, the indication for furunculosis patients and their families has been removed, and vaccination is recommended to healthcare professionals who have regular and intensive contact with patients. The purpose of vaccinating healthcare professionals against influenza is to reduce the transmission of the influenza virus to patients at very high risk of complications from influenza and reduce sick leave among healthcare professionals. The use of antiviral agents should only be considered for patients with a very high risk of complications from influenza.


Subject(s)
Family Practice/standards , Influenza Vaccines/administration & dosage , Influenza, Human/prevention & control , Practice Patterns, Physicians' , Age Factors , Antiviral Agents/therapeutic use , Humans , Netherlands , Risk Assessment , Societies, Medical
2.
Ned Tijdschr Geneeskd ; 152(20): 1146-50, 2008 May 17.
Article in Dutch | MEDLINE | ID: mdl-18549139

ABSTRACT

The practice guideline 'Asthma in adults' from the Dutch College of General Practitioners was revised on the basis of the developments over the last years. The most important modifications are as follows: - 'Asthma with persistent obstruction' was replaced by the double diagnosis 'Asthma and COPD'. - The prednisone test to distinguish asthma from chronic obstructive pulmonary disease (COPD) is no longer recommended. - Spirometry is currently preferred for the diagnosis of asthma. An increase of the forced expiratory volume in 1 second (FEV1) of > or = 12% compared with baseline or in case of a smaller lung volume (FEV1 < 1.67 liters) of > or = 200 ml (therefore, no longer > or = 9% of the predicted value) supports the diagnosis 'asthma'. - As of 2007, the guidelines from the Dutch College of General Practitioners for COPD and asthma in adults are divided into two separate practice guidelines: the practice guideline 'COPD' and the practice guideline 'Asthma in adults'.


Subject(s)
Anti-Asthmatic Agents/therapeutic use , Asthma/diagnosis , Asthma/drug therapy , Family Practice/standards , Practice Patterns, Physicians' , Adult , Diagnosis, Differential , Humans , Netherlands , Pulmonary Disease, Chronic Obstructive/diagnosis , Societies, Medical , Spirometry/methods
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