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It is recommended to start antibiotic treatment as soon as possible after establishing a diagnosis of hospital-acquired pneumonia, and certainly within 4 hours.
NICE
National Institute for Health and Clinical Excellence (NICE)
Give oral antibiotics first line if the person can take oral medicines, and the severity of their condition does not require intravenous antibiotics.If intravenous antibiotics are given, review by 48 hours and consider switching to oral antibiotics if possible. Send a sample (for example, sputum sample, nasopharyngeal swab or tracheal aspirate) for microbiological testing.
ver más ... 2019Benralizumab, as an add-on therapy, is recommended as an option for treating severe eosinophilic asthma that is inadequately controlled in adults despite maintenance therapy with high-dose inhaled ...
NICE
National Institute for Health and Clinical Excellence (NICE)
only if: the person has agreed to and followed the optimised standard treatment plan and the blood eosinophil count has been recorded as 300 cells per microlitre or more and the person has had 4 or more exacerbations needing systemic corticosteroids in the previous 12 months, or has had continuous oral corticosteroids of at least the equivalent of prednisolone 5 mg per day over the previous 6 months (that is, the person is eligible for mepolizumab) or the blood eosinophil count has been ...
ver más ... 2019It is recommended to be aware that an acute cough is usually self-limiting and gets better within 3 to 4 weeks without antibiotics, is most commonly caused by a viral upper respiratory tract ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Refer people with an acute cough to hospital, or seek specialist advice on further investigation and management, if they have any symptoms or signs suggesting a more serious illness or condition (for example, sepsis, a pulmonary embolism or lung cancer).
ver más ... 2019It's not recommended to delay antibiotics in over 65s with UTI due to the risk of sepsis.
Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]
Kmietowicz Z. BMJ
Prompt treatment should be offered to older pacients , especially men and patients living in areas of greater socioeconomic deprivation; however, more research is needed "to establish whether treatment should be started with a broad or narrow spectrum antibiotic and to identify those in whom treatment is delayed is safe".
ver más ... 2019Panel recommends that GPs should lead process of defining diseases to cut overdiagnosis.
Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]
Mayor S. BMJ.
The group has proposed a new process to set diagnostic thresholds and boundaries for conditions based on guidance proposed by the Guidelines International Network, which includes examining the potential harms as well as the benefits of changing a disease definition. The aim of this project is to reduce overdiagnosis.
ver más ... 2019