ABSTRACT
Infections are the most common cause of antibiotic prescription and one of the most frequent reasons for consultation in Primary Care. Among them, stand out acute media otitis and diffuse external otitis, acute pharyngitis and acute rhinosinusitis. Commonly they are viral and self-limited, so their complications are rare. Currently, the indiscriminate use of antibiotics have leaded to bacterial resistances; therefore antibiotic prescription should be more careful. Nowadays, several diagnostic strategies are available. In current updated etiological and pathophysiological factors of each infection, diagnostic and therapeutic strategy to be applied in Primary Care as well as the complications of each pathology and the referral indications to be assessed by specialists in the ENT area, will be reviewed.
ABSTRACT
No disponible
Subject(s)
Humans , Otitis Media with Effusion/drug therapy , Adjuvants, Immunologic/therapeutic use , Data Collection/methods , Randomized Controlled Trials as TopicABSTRACT
OBJECTIVE: Otitis media with effusion (OME) is one of the most frequent diseases and the main cause of hearing loss in childhood. The medical treatment for OME includes antibiotics, antihistamine-decongestant combinations, steroids and Eustachian-tube autoinflation as the Valsalva manoeuvre. METHODS: A total of 62 children aged 2 to 8 years with a diagnosis of OME were enrolled in a prospective study to assess the resolution of OME. Patients were given antibiotics treatment with or without associated AM3. RESULTS: After 2 months of treatment, the rate of complete resolution of OME was greater in AM3 treated group than in the non-AM3 treated group (57.6% vs 27.6%) with a statistically significant difference (p<0.017). CONCLUSIONS: These results show that AM3 treatment has a beneficial effect on OME resolution when it is associated to antibiotic treatment.
Subject(s)
Adjuvants, Immunologic/pharmacology , Adjuvants, Immunologic/therapeutic use , Calcium Phosphates/pharmacology , Calcium Phosphates/therapeutic use , Glycopeptides/pharmacology , Glycopeptides/therapeutic use , Otitis Media with Effusion/drug therapy , Child , Child, Preschool , Female , Humans , Male , Prospective StudiesABSTRACT
Objetivos: La otitis media serosa (OMS) es una de las patologías más frecuentes en la infancia y la primera causa de hipoacusia. El tratamiento médico de la OMS ha consistido en antibióticos, descongestionantes y antihistamínicos, corticoides tópicos y medidas de insuflación tubárica, como maniobras de Valsalva. Material y métodos: Se realizó un estudio prospectivo en 62 pacientes con edades comprendidas entre 2 y 8 años, diagnosticados de OMS y tratados con antibiótico y AM3 o antibiótico sólo, para valorar la resolución de esta patología. Resultados: Tras dos meses de tratamiento, la inclusión de AM3 en la pauta terapéutica se asoció a un mayor porcentaje de pacientes en los que se resolvió la OMS (57,6% versus 27,6%), siendo esta diferencia estadísticamente significativa (p<0,017). Conclusiones: Los resultados de este estudio muestran que AM3 tiene un efecto beneficioso en la curación de las OMS asociado al tratamiento antibiótico (AU)
Objetive: Otitis media with effusion (OME) is one of the most frequent diseases and the main cause of hearing loss in childhood. The medical treatment for OME includes antibiotics, antihistamine-decongestant combinations, steroids and Eustachian-tube autoinflation as the Valsalva manoeuvre. Methods: A total of 62 children aged 2 to 8 years with a diagnosis of OME were enrolled in a prospective study to assess the resolution of OME. Patients were given antibiotics treatment with or without associated AM3. Results: After 2 months of treatment, the rate of complete resolution of OME was greater in AM3 treated group than in the non-AM3 treated group (57,6% vs 27,6%) with a statistically significant difference (p<0,017). Conclusions: These results show that AM3 treatment has a beneficial effect on OME resolution when it is associated to antibiotic treatment (AU)
Subject(s)
Male , Female , Child , Child, Preschool , Humans , Adjuvants, Immunologic/pharmacology , Adjuvants, Immunologic/therapeutic use , Glycopeptides/pharmacology , Glycopeptides/therapeutic use , Otitis Media with Effusion/drug therapy , Calcium Phosphates/pharmacology , Calcium Phosphates/therapeutic use , Prospective StudiesABSTRACT
In recent years, outpatient surgery in otolaryngology has advanced because it benefits both patients and health-care systems. We analyzed the surgical procedures that can be performed in outpatient surgery programs, evaluating patient selection, release criteria, and potential complications. A one-year retrospective study was made of 456 patients, of which 369 (80.92%) were discharged from the hospital on the same day as surgery. The operations with the best performance in outpatient surgery were adenoidectomy, tonsillectomy, laryngeal microsurgery, and septoplasty. Most surgical procedures in otolaryngology can be performed without hospitalization. Outpatient surgery is easier for patients and increases their sense of safety. It also has an excellent cost-benefit relation for health-care systems.
Subject(s)
Ambulatory Surgical Procedures/methods , Otolaryngology , Outpatient Clinics, Hospital , Humans , Otorhinolaryngologic Surgical Procedures , Retrospective StudiesABSTRACT
En los últimos años se está desarrollando deforma notable la Cirugía Mayor Ambulatoria (CMA) en Otorrinolaringología (ORL), ya que aporta numerosas ventajas para el paciente y para los sistemas de salud. El objetivo de este trabajo es analizar los procedimientos quirúrgicos que se pueden realizar en un programa de CMA, valorando los criterios de inclusión de pacientes, de alta y las posibles complicaciones. Se realiza un estudio retrospectivo de un año de evolución, con un total de 456 pacientes, de los cuales 369 pacientes se fueron de alta en el día de la intervención, ello supone un porcentaje medio de 80,92 por ciento. Las intervenciones con mayor grado de cumplimiento de CMA fueron adenoidectomía, amigdalectomía, microcirugía laríngea y septoplastia. La mayoría de los procedimientos quirúrgicos en ORL pueden ser susceptibles de CMA, ya que ofrece seguridad y comodidad al paciente, y una excelente relación coste-beneficio para los sistemas de salud (AU)
In recent years, outpatient surgery in otolaryngology has advanced because it benefits both patients and health-care systems. We analyzed the surgical procedures that can be performed in outpatient surgery programs, evaluating patient selection, release criteria, and potential complications. A one-year retrospective study was made of 456 patients, of which 369 (80.92%) were discharged from the hospital on the same day as surgery. The operations with the best performance in outpatient surgery were adenoidectomy, tonsillectomy, laryngeal microsurgery, and septoplasty. Most surgical procedures in otolaryngology can be performed without hospitalization. Outpatient surgery is easier for patients and increases their sense of safety. It also has an excellent cost-benefit relation for health-care systems (AU)
Subject(s)
Humans , Otolaryngology , Outpatient Clinics, Hospital , Otorhinolaryngologic Surgical Procedures , Retrospective Studies , Ambulatory Surgical ProceduresABSTRACT
From the beginning brainstem evoked response audiometry (BERA) has become a technique more and more useful in the daily clinic. In order to know the influence that over BERA have the stimulation parameters, record and individuals variables of each patient, we have developed a study over 50 healthy persons of both sex, with standard technical conditions of the studied different parameters. We agree with other authors in the mean latency values and waves amplitudes, except from the polarity in which our findings are different from those of the literature.
