Vaduva C, Gómez J I Tato, Zaid D Mora, Rivera-Rodríguez T
Servicio de Otorrinolaringología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
Universidad de Alcalá, Alcalá de Henares, Madrid, España.
Medicine (Madr). 2019 Nov;12(91):5339-5351. doi: 10.1016/j.med.2019.11.021. Epub 2019 Dec 11.
Infections are the most common cause of antibiotic prescription and one of the most frequent reasons for consultation in Primary Care. Among them, stand out acute media otitis and diffuse external otitis, acute pharyngitis and acute rhinosinusitis. Commonly they are viral and self-limited, so their complications are rare. Currently, the indiscriminate use of antibiotics have leaded to bacterial resistances; therefore antibiotic prescription should be more careful. Nowadays, several diagnostic strategies are available. In current updated etiological and pathophysiological factors of each infection, diagnostic and therapeutic strategy to be applied in Primary Care as well as the complications of each pathology and the referral indications to be assessed by specialists in the ENT area, will be reviewed.
感染是抗生素处方最常见的原因,也是基层医疗中最常见的就诊原因之一。其中,急性中耳炎、弥漫性外耳道炎、急性咽炎和急性鼻-鼻窦炎较为突出。这些感染通常由病毒引起且具有自限性,因此其并发症很少见。目前,抗生素的滥用已导致细菌耐药性;因此,抗生素的处方应更加谨慎。如今,有多种诊断策略可供选择。本文将回顾当前每种感染最新的病因和病理生理因素、基层医疗中应采用的诊断和治疗策略、每种疾病的并发症以及耳鼻喉科专家应评估的转诊指征。