How to avoid the inappropriate use of antibiotics in upper respiratory tract infections? A position statement from an expert panel.

Autores:

Piltcher OB, Kosugi EM, Sakano E, Mion O, Testa JR, Romano FR, et al

Ano:

2018

Publicação:

Braz J Otorhinolaryngol. 2018;84:265-79

Introduction:

acterial resistance burden has increased in the past years, mainly due to inap- propriate antibiotic use. Recently it has become an urgent public health concern due to its impact on the prolongation of hospitalization, an increase of total cost of treatment and mortality associated with infectious disease. Almost half of the antimicrobial prescriptions in outpatient care visits are prescribed for acute upper respiratory infections, especially rhino- sinusitis, otitis media, and pharyngotonsillitis. In this context, otorhinolaryngologists play an important role in orienting patients and non-specialists in the utilization of antibiotics rationally and properly in these infections.

Corticosteroid nasal irrigations are more effective than simple sprays in a randomized double-blinded placebo-controlled trial for chronic rhinosinusitis after sinus surgery.

European Position Paper on Rhinosinusitis and Nasal Polyps 2012