Vu Francis, Pasche Olivier, Arnold Christine, Monney Christophe, Gonthier Ariane, Clair Carole, Ebiner Jérôme, Buff Evelyn, Bodenmann Patrick
Rev Med Suisse. 2014 Jan 22;10(414):158, 160-3.
The prescribing of antibiotics for uncomplicated skin abscesses and diverticulitis has no benefit. Some antibiotics are more at risk of causing a Clostridium difficile infection. The tests used to exclude a history of a penicillin allergy are safe. A threshold of D-dimer adjusted for the age significantly improves the specificity of the test without affecting the sensitivity. The prescription of paraclinics tests is not an effective "treatment" for the patient's anxiety. In the sleep apnea syndrome, treatment with CPAP (Continuous positive airway pressure) appears to have more benefits compared to the mandibular advancement prosthesis. The work of primary care physicians can be supported by the work of advanced practice nurses. The limitation placed on the working hours of doctors in hospitals seems to affect their ability to spend time with their patients.
为单纯性皮肤脓肿和憩室炎开具抗生素并无益处。某些抗生素引发艰难梭菌感染的风险更高。用于排除青霉素过敏史的检测是安全的。根据年龄调整的D - 二聚体阈值可显著提高检测的特异性，而不影响敏感性。开具辅助检查并非缓解患者焦虑的有效“治疗方法”。在睡眠呼吸暂停综合征中，与下颌前移矫治器相比，持续气道正压通气（CPAP）治疗似乎益处更多。初级保健医生的工作可得到高级执业护士工作的支持。医院对医生工作时间的限制似乎影响了他们与患者相处的时间。
