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

CAMFIC-Societat Catalana de Medicina Familiar i Comunitària-Societat Catalana d’Otorinolaringologia

Benign paroxysmal positional vertigo (BPPV) is the most frequent cause of vertigo; it involves a spinning sensation caused by brief changes in the head position. The diagnosis of BPPV of the posterior canal is achieved by the Dix-Hallpike maneuver, while the treatment of choice is the Epley, or repositioning, maneuver. BPPV should not be routinely treated with vestibular sedatives (neuroleptic agents, antihistamines, benzodiazepines, betahistine) because they might hinder the spontaneous ...

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

Societat Catalana de Pneumologia (SOCAP)-Societat Catalana de Medicina Familiar i Comunitària (CAMFi

The prevalence of asthma in the adult population is around 5%, and it is a frequent cause of visits to emergency departments and absenteeism. Treatment focuses primarily on reducing inflammation and preventing exacerbations using a stepwise therapeutic strategy to achieve disease control. After the treatment with corticosteroids has been started, long-acting β adrenoceptor agonists (LABA) blockers, such as salmeterol and formoterol may be used. In adult asthmatic patients LABAs should be used ...

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

CAMFIC-Societat Catalana de Medicina Familiar i Comunitària-Societat Catalana d’Otorinolaringologia

Acute pharyngitis is the most prevalent infectious disease in primary care, and its one of the diseases for which more antibiotics are prescribed inappropriately. Apart from some very infrequent causes, the antibiotic treatment is only recommended when the pharyngitis is caused by group A β-hemolytic streptococcus, which is identified with a positive result in the rapid strep test. The unjustified use of antibiotics is associated with the spread of antimicrobial resistance and the presence ...

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

CAMFIC-Societat Catalana de Medicina Familiar i Comunitària-Societat Catalana de Neumologia

Lower respiratory tract infections account for 20% of the cases of infections cared for in primary care. Despite 90% of these non-complicated lower respiratory tract infections are caused by viral agents, approximately two thirds of the patients in Catalonia are treated with antibiotics. The routine treatment with antibiotics in patients with lower respiratory tract infections is not recommended when the presence of pneumonia is clinically ruled out and there is no baseline respiratory ...

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

Societat Catalana de Pediatria

The most frequent cause of acute bronchitis in children are viruses; therefore, antibiotic treatment is not routinely recommended. Antibiotics should be only used when a secondary bacterial infection is strongly suspected. Unnecessary use of antibiotics may cause avoidable adverse effects, and contribute to the development of antibiotic resistant infections.