Department of Otorhinolaryngology and Head and Neck Surgery, 3rd Faculty of Medicine and University Hospital Královské Vinohrady, Charles University in Prague, Prague, Czech Republic.
Charles University Computer Centre, 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
BMC Med Inform Decis Mak. 2021 Aug 9;21(1):239. doi: 10.1186/s12911-021-01599-3.
Rhinosinusitis is an inflammation of the sinonasal cavity which affects roughly one in seven people per year. Acute rhinosinusitis (ARS) is mostly, apart from allergic etiology, caused by a viral infection and, in some cases (30-50%), by a bacterial superinfection. Antibiotics, indicated only in rare cases according to EPOS guidelines, are nevertheless prescribed in more than 80% of ARS cases, which increases the resistant bacterial strains in the population.
We have designed a clinical decision support system (CDSS), RHINA, based on a web application created in HTML 5, using JavaScript, jQuery, CCS3 and PHP scripting language. The presented CDSS RHINA helps general physicians to decide whether or not to prescribe antibiotics in patients with rhinosinusitis.
In a retrospective study of a total of 1465 patients with rhinosinusitis, the CDSS RHINA presented a 90.2% consistency with the diagnosis and treatment made by the ENT specialist.
Patients assessed with the assistance of our CDSS RHINA would decrease the over-prescription of antibiotics, which in turn would help to reduce the bacterial resistance to the most commonly prescribed antibiotics.
鼻窦炎是一种鼻旁窦腔的炎症，大约每年影响七分之一的人。急性鼻窦炎（ARS）主要是由病毒感染引起的，除了过敏病因外，在某些情况下（30-50%）由细菌继发感染引起。根据 EPOS 指南，抗生素仅在极少数情况下适用，但在超过 80%的 ARS 病例中仍被开处方，这增加了人群中耐药细菌株的数量。
我们设计了一个临床决策支持系统（CDSS），RHINA，它基于一个使用 HTML 5 创建的 Web 应用程序，使用 JavaScript、jQuery、CCS3 和 PHP 脚本语言。提出的 CDSS RHINA 帮助普通医生决定是否为鼻窦炎患者开抗生素。
在一项共 1465 例鼻窦炎患者的回顾性研究中，CDSS RHINA 与耳鼻喉科专家的诊断和治疗具有 90.2%的一致性。
在我们的 CDSS RHINA 协助下评估的患者将减少抗生素的过度处方，这反过来又有助于降低最常开处方的抗生素的细菌耐药性。
