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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salut

Acute rhinosinusitis in children—commonly referred to as the common cold—is a predominantly viral and self-limiting condition managed through supportive care and clinical observation. Scientific evidence shows that antibiotics do not reduce symptom duration or severity, nor do they prevent complications in children without clinical features suggestive of bacterial infection. Inappropriate antibiotic use exposes children to unnecessary risks, including gastrointestinal adverse effects, ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salut

Although fibrates (such as fenofibrate, bezafibrate, and gemfibrozil) lower triglyceride levels and increase HDL cholesterol, clinical trials have not shown a meaningful reduction in major cardiovascular events (such as myocardial infarction or stroke) in individuals without previous cardiovascular disease. The evidence points to only modest effects, with no significant impact on mortality or overall survival, and potential adverse effects including myopathy, elevated liver enzymes, or ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salut

Human papillomavirus (HPV) is the most common sexually transmitted infection: around 80% of sexually active individuals will be infected at some point. In most cases—including high-risk genotypes—the infection clears spontaneously within one year without treatment. Only a minority of infections persist and may progress to premalignant lesions that can evolve into cancer if not appropriately monitored and managed. Currently, no treatment has proven effective in eliminating HPV. Clinical ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salut

Bronchiolitis is an acute viral infection of the lower respiratory tract, primarily affecting infants under two years of age and representing one of the leading causes of pediatric hospitalization. It is most commonly caused by respiratory syncytial virus (RSV), although other viruses such as rhinovirus or metapneumovirus may be involved. Scientific evidence, supported by systematic reviews and major clinical guidelines (AEP, AAP, NICE), discourages the routine use of antibiotics for ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salut

Delirium is a common clinical syndrome in older hospitalized adults, especially in intensive care units. It is associated with increased mortality, cognitive decline, institutionalization, and a higher risk of developing dementia. Effective management relies on identifying and treating the underlying causes, prioritizing non-pharmacological interventions such as reorientation, early mobilization, cognitive stimulation, and sleep maintenance. Despite this, benzodiazepines (BZDs) are still ...