The Experts below are selected from a list of 435 Experts worldwide ranked by ideXlab platform
Chris Butler - One of the best experts on this subject based on the ideXlab platform.
-
Patient presentation and physician management of upper respiratory tract infections: a retrospective review of over 5 million primary clinic consultations in Hong Kong
BMC Family Practice, 2014Co-Authors: Kenny Kung, Carmen Ka Man Wong, Samuel Yeung Shan Wong, Augustine Lam, Christy Ka Yan Chan, Sian Griffiths, Chris ButlerAbstract:Background Upper respiratory tract infection (URTI) has a significant healthcare burden worldwide. Considerable resources are consumed through health care consultations and prescribed treatment, despite evidence for little or no effect on recovery. Patterns of consultations and care including use of symptomatic medications and antibiotics for upper respiratory tract infections are poorly described. Methods We performed a retrospective review of computerized clinical data on patients presenting to all public primary care clinics in Hong Kong with symptoms of respiratory tract infections. International Classification of Primary care (ICPC)codes used to identify patients included otitis media (H71), streptococcal pharyngitis (R72), Acute URTI (R74), Acute sinusitis (R75), Acute tonsillitis (R76), Acute Laryngitis (R77), and influenza (R80). Sociodemographic variables such as gender, age, chronic illness status, attendance date, type and duration of drug prescribed were also collected. Results Of the 5,529,755 primary care consultations for respiratory symptoms from 2005 to 2010, 98% resulted in a prescription. Prescription patterns of symptomatic medication were largely similar across the 5 years. In 2010 the mean number of drugs prescribed per consultation was 3.2, of which the commonly prescribed medication were sedating antihistamines (79.9%), analgesia (58.9%), throat lozenges (40.4%) and expectorant cough syrup (33.8%). During the study period, there was an overall decline in antibiotic prescription (8.1% to 5.1%). However, in consultations where the given diagnosis was otitis media (H71), streptococcal pharyngitis (R72), Acute sinusitis (R75) or Acute Laryngitis (R76), over 90% resulted in antibiotic prescription. Conclusion There was a decline in overall antibiotic prescription over the study period. However, the use of antibiotics was high in some conditions e.g. otitis media and Acute Laryngitis a. Multiple symptomatic medications were given for upper respiratory tract infections. Further research is needed to develop clinical and patients directed interventions to reduce the number of prescriptions of symptomatic medications and antibiotics that could reduce costs for health care services and iatrogenic risk to patients.
Kenny Kung - One of the best experts on this subject based on the ideXlab platform.
-
Patient presentation and physician management of upper respiratory tract infections: a retrospective review of over 5 million primary clinic consultations in Hong Kong
BMC Family Practice, 2014Co-Authors: Kenny Kung, Carmen Ka Man Wong, Samuel Yeung Shan Wong, Augustine Lam, Christy Ka Yan Chan, Sian Griffiths, Chris ButlerAbstract:Background Upper respiratory tract infection (URTI) has a significant healthcare burden worldwide. Considerable resources are consumed through health care consultations and prescribed treatment, despite evidence for little or no effect on recovery. Patterns of consultations and care including use of symptomatic medications and antibiotics for upper respiratory tract infections are poorly described. Methods We performed a retrospective review of computerized clinical data on patients presenting to all public primary care clinics in Hong Kong with symptoms of respiratory tract infections. International Classification of Primary care (ICPC)codes used to identify patients included otitis media (H71), streptococcal pharyngitis (R72), Acute URTI (R74), Acute sinusitis (R75), Acute tonsillitis (R76), Acute Laryngitis (R77), and influenza (R80). Sociodemographic variables such as gender, age, chronic illness status, attendance date, type and duration of drug prescribed were also collected. Results Of the 5,529,755 primary care consultations for respiratory symptoms from 2005 to 2010, 98% resulted in a prescription. Prescription patterns of symptomatic medication were largely similar across the 5 years. In 2010 the mean number of drugs prescribed per consultation was 3.2, of which the commonly prescribed medication were sedating antihistamines (79.9%), analgesia (58.9%), throat lozenges (40.4%) and expectorant cough syrup (33.8%). During the study period, there was an overall decline in antibiotic prescription (8.1% to 5.1%). However, in consultations where the given diagnosis was otitis media (H71), streptococcal pharyngitis (R72), Acute sinusitis (R75) or Acute Laryngitis (R76), over 90% resulted in antibiotic prescription. Conclusion There was a decline in overall antibiotic prescription over the study period. However, the use of antibiotics was high in some conditions e.g. otitis media and Acute Laryngitis a. Multiple symptomatic medications were given for upper respiratory tract infections. Further research is needed to develop clinical and patients directed interventions to reduce the number of prescriptions of symptomatic medications and antibiotics that could reduce costs for health care services and iatrogenic risk to patients.
Xing Hongya - One of the best experts on this subject based on the ideXlab platform.
-
therapy review of nebulized budesonide combined with ambroxol in treatment of childhood Acute Laryngitis
The Journal of Medical Theory and Practice, 2013Co-Authors: Xing HongyaAbstract:Objective:To observe the clinical curative effect and safely of aerosol inhaled budesonide combined with ambroxol for children with Acute Laryngitis.Methods:72 children with Acute Laryngitis were allocated to two groups.34 cases in observe group;38 cases in control group.All these children were based on the same synthetic therapy.The children in observed group(34 cases) were cured with aerosol inhalation of budesonide with air compress pump nebulizer,and others in control group(38 cases) were given methylprednisolone intravenous drip.And then the extinction time of the main symptoms(such as laryngeal stridor,hoarseness,barking cough) and the curative effects in two groups were compared.Results:The time of symptoms and physical symptoms disappering in the observe group was obviously shorter than the control group.The healing rate in the observe group was obviously higher than the control group,the difference of which all had statistical significance(P0.05).Conclusion:The treatment of aerosol of budesonide combined with ambroxol for children with Acute Laryngitis has greater efficacy and fewer side effects than the treatment of methylprednisolone intravenous drip.
Hu Yonghua - One of the best experts on this subject based on the ideXlab platform.
-
Prescription of antibacterial agents for Acute upper respiratory tract infections in Beijing, 2010-2012
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 2016Co-Authors: Wu Yiqun, Yang Chao, Xi Hanxu, Zhang Yang, Zhou Zijun, Hu YonghuaAbstract:The purpose of this study was to describe the prescription of antibacterial agents for Acute upper respiratory tract infections (URIs) in Beijing. A total of 8,588,699 outpatient cases in tertiary hospitals with Acute upper respiratory tract infections (URIs) were selected from the Beijing Medical Claim Data for Employees (BMCDE) from Oct 2010 to Sep 2012. Second-generation cephalosporins, third-generation cephalosporins, fourth-generation cephalosporins, fluoroquinolones, macrolides (except for erythromycin), combinations of penicillins (including beta-lactamase inhibitors), and streptomycins were classified as broad-spectrum antibacterial agents. The rates for antibiotic prescriptions and broad-spectrum antibiotic use were calculated in all cases as well as in various URI diagnosis subgroups and age (18-44, 45-64, and a parts per thousand yen65 years) subgroups. The most frequently prescribed antibiotic classes were identified by calculating the proportions of the different agents in all prescribed antibiotic agents. Overall, the rate of antibiotic prescription is 39.0 %, and cases diagnosed with Acute tonsillitis, sinusitis, and epiglottitis have the highest prescription rate (73.6 %), followed by Acute Laryngitis and bronchitis (52.3 %), Acute pharyngitis (40.1 %), and Acute nasopharyngitis (37.2 %). Broad-spectrum agents were chosen in 82.4 % of the cases that were prescribed antibiotics, ranging from 81.9 % of cases with naspharyngitis to 87.1 % of the cases with tonsillitis, sinusitis, and epiglottitis. Second-generation cephalosporins, macrolides, fluoroquinolones, third-generation cephalosporins, and combinations of penicillins were most frequently prescribed, accounting for more than 80 % of all prescribed antibacterials. Antibacterial drug prescription for outpatients with Acute URIs is common in tertiary hospitals in Beijing, and the prescribed antibacterials are usually broad-spectrum agents.SCI(E)PubMedARTICLEyhhu@bjmu.edu.cn3359-3647
Sian Griffiths - One of the best experts on this subject based on the ideXlab platform.
-
Patient presentation and physician management of upper respiratory tract infections: a retrospective review of over 5 million primary clinic consultations in Hong Kong
BMC Family Practice, 2014Co-Authors: Kenny Kung, Carmen Ka Man Wong, Samuel Yeung Shan Wong, Augustine Lam, Christy Ka Yan Chan, Sian Griffiths, Chris ButlerAbstract:Background Upper respiratory tract infection (URTI) has a significant healthcare burden worldwide. Considerable resources are consumed through health care consultations and prescribed treatment, despite evidence for little or no effect on recovery. Patterns of consultations and care including use of symptomatic medications and antibiotics for upper respiratory tract infections are poorly described. Methods We performed a retrospective review of computerized clinical data on patients presenting to all public primary care clinics in Hong Kong with symptoms of respiratory tract infections. International Classification of Primary care (ICPC)codes used to identify patients included otitis media (H71), streptococcal pharyngitis (R72), Acute URTI (R74), Acute sinusitis (R75), Acute tonsillitis (R76), Acute Laryngitis (R77), and influenza (R80). Sociodemographic variables such as gender, age, chronic illness status, attendance date, type and duration of drug prescribed were also collected. Results Of the 5,529,755 primary care consultations for respiratory symptoms from 2005 to 2010, 98% resulted in a prescription. Prescription patterns of symptomatic medication were largely similar across the 5 years. In 2010 the mean number of drugs prescribed per consultation was 3.2, of which the commonly prescribed medication were sedating antihistamines (79.9%), analgesia (58.9%), throat lozenges (40.4%) and expectorant cough syrup (33.8%). During the study period, there was an overall decline in antibiotic prescription (8.1% to 5.1%). However, in consultations where the given diagnosis was otitis media (H71), streptococcal pharyngitis (R72), Acute sinusitis (R75) or Acute Laryngitis (R76), over 90% resulted in antibiotic prescription. Conclusion There was a decline in overall antibiotic prescription over the study period. However, the use of antibiotics was high in some conditions e.g. otitis media and Acute Laryngitis a. Multiple symptomatic medications were given for upper respiratory tract infections. Further research is needed to develop clinical and patients directed interventions to reduce the number of prescriptions of symptomatic medications and antibiotics that could reduce costs for health care services and iatrogenic risk to patients.