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首页> 外文期刊>Clinical Pediatrics >Preferred antibiotics for treatment of acute otitis media: comparison of practicing pediatricians, general practitioners, and otolaryngologists.
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Preferred antibiotics for treatment of acute otitis media: comparison of practicing pediatricians, general practitioners, and otolaryngologists.

机译：治疗急性中耳炎的首选抗生素：儿科医生，全科医生和耳鼻喉科医生的比较。

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SUMMARY: The antibiotic preferences of 2,190 pediatricians (peds) 360 general practitioners (GPs), and 273 otolaryngologists (ENTs) in the United States and concurrence with treatment guideline recommendations for acute otitis media (AOM) for suspected drug-resistant Streptococcus pneumoniae (DRSP) and beta-lactamase-producing Haemophilus influenzae before and after an educational workshop were compared. Peds and GPs preferred amoxicillin/clavulanate high-dose, whereas ENTs preferred higher generation cephalosporins. Before the workshop, endorsement of guideline-recommended antibiotics for treatment of AOM caused by DRSP by Peds, GPs, and ENTs was 80%, 75%, and 78%, respectively, and for Haemophilus influenzae was 73%, 63%, and 84%, respectively. After the workshop concurrence with AOM guideline recommendations for DRSP increased to 96%, 95%, and 97% and for H. influenzae increased to 93%, 94%, and 96% for Peds, GPs, and ENTs, respectively (p<0.0001 for all comparisons). Peds, GPs, and ENTs select appropriate antibiotics for AOM 63-84% of the time. After instruction that provides the rationale for guideline-recommended agents based on pharmacokinetics/pharmacodynamics and double tympanocentesis trials, endorsement of recommended antibiotics significantly improved to >90%. Clin Pediatr. 2005;44:575-578.
机译：简介：美国有2190名儿科医生（peds）360名全科医生（GPs）和273名耳鼻喉科医生（ENTs）对抗生素的偏爱，并同意对疑似耐药性肺炎链球菌（DRSP）的急性中耳炎（AOM）的治疗指南建议）和一个教育工作坊之前和之后生产β-内酰胺酶的流感嗜血杆菌的比较。 peds和gps首选阿莫西林/克拉维酸高剂量，而ents首选高代头孢菌素。在研讨会之前，Peds，GP和ENTs对指南推荐的抗生素治疗DRSP引起的AOM的赞同率分别为80％，75％和78％，而流感嗜血杆菌的认可率分别为73％，6​​3％和84 ％， 分别。研讨会同意AOM指南后，对于Ped，GP和ENTs，DRSP分别提高到96％，95％和97％，流感嗜血杆菌分别提高到93％，94％和96％（p <0.0001）所有比较）。脚步，全科医生和耳鼻喉科医师有63-84％的时间为AOM选择合适的抗生素。在根据药代动力学/药效学和两次鼓膜穿刺试验提供指导原则推荐药物的指导后，推荐抗生素的认可率显着提高至> 90％。临床儿科。 2005; 44：575-578。

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