The management of upper respiratory tract infections
Upper respiratory tract infections are the commonest reason for consultation in primary care. Group A β-haemolytic Streptococcus (GABHS), the most important bacterial pathogen in this condition, can be cultured from about 300 of patients, more so in children than adults. Clinical features that are...
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| Format: | Article |
| Language: | en |
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Malaysian Medical Association
2001
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| Online Access: | http://eprints.um.edu.my/10149/1/The_management_of_upper_respiratory_tract_infections.pdf http://eprints.um.edu.my/10149/ http://www.e-mjm.org/2001/v56n2/Upper_Respiratory_Tract_Infections.pdf |
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| _version_ | 1831447993463603200 |
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| author | Teng, C.L. Shajahan, Y. Khoo, Ee Ming Nurjahan, I. Leong, K.C. Yap, T.G. |
| author_facet | Teng, C.L. Shajahan, Y. Khoo, Ee Ming Nurjahan, I. Leong, K.C. Yap, T.G. |
| author_sort | Teng, C.L. |
| building | UM Library |
| collection | Institutional Repository |
| content_provider | Universiti Malaya |
| content_source | UM Research Repository |
| continent | Asia |
| country | Malaysia |
| description | Upper respiratory tract infections are the commonest reason for consultation in primary care. Group A β-haemolytic Streptococcus (GABHS), the most important bacterial pathogen in this condition, can be cultured from about 300 of patients, more so in children than adults. Clinical features that are predictive of positive GABHS culture are absence of cough, fever, cervical adenopathy, tonsillar enlargement and tonsillar exudate. Use of a sore throat score can help in the detection of streptococcal throat infection. Symptomatic therapies which are useful include anticholinergic, antihistamine, decongestant, humified hot air and Vitamin C. Antibiotics are universally over-prescribed in this condition as a result of high patient expectation and faulty clinical decision making. Oral Penicillin V for 10 days is the drug of choice. Effective intervention to reduce inappropriate antibiotic prescription probably require a multi-faceted approach targeted at both the patients and the prescribers. |
| format | Article |
| id | my.um.eprints-10149 |
| institution | Universiti Malaya |
| language | en |
| publishDate | 2001 |
| publisher | Malaysian Medical Association |
| record_format | eprints |
| spelling | my.um.eprints-101492019-02-27T04:27:02Z http://eprints.um.edu.my/10149/ The management of upper respiratory tract infections Teng, C.L. Shajahan, Y. Khoo, Ee Ming Nurjahan, I. Leong, K.C. Yap, T.G. R Medicine Upper respiratory tract infections are the commonest reason for consultation in primary care. Group A β-haemolytic Streptococcus (GABHS), the most important bacterial pathogen in this condition, can be cultured from about 300 of patients, more so in children than adults. Clinical features that are predictive of positive GABHS culture are absence of cough, fever, cervical adenopathy, tonsillar enlargement and tonsillar exudate. Use of a sore throat score can help in the detection of streptococcal throat infection. Symptomatic therapies which are useful include anticholinergic, antihistamine, decongestant, humified hot air and Vitamin C. Antibiotics are universally over-prescribed in this condition as a result of high patient expectation and faulty clinical decision making. Oral Penicillin V for 10 days is the drug of choice. Effective intervention to reduce inappropriate antibiotic prescription probably require a multi-faceted approach targeted at both the patients and the prescribers. Malaysian Medical Association 2001 Article PeerReviewed application/pdf en http://eprints.um.edu.my/10149/1/The_management_of_upper_respiratory_tract_infections.pdf Teng, C.L. and Shajahan, Y. and Khoo, Ee Ming and Nurjahan, I. and Leong, K.C. and Yap, T.G. (2001) The management of upper respiratory tract infections. Medical Journal of Malaysia, 56 (2). pp. 260-266. ISSN 0300-5283, http://www.e-mjm.org/2001/v56n2/Upper_Respiratory_Tract_Infections.pdf |
| spellingShingle | R Medicine Teng, C.L. Shajahan, Y. Khoo, Ee Ming Nurjahan, I. Leong, K.C. Yap, T.G. The management of upper respiratory tract infections |
| title | The management of upper respiratory tract infections |
| title_full | The management of upper respiratory tract infections |
| title_fullStr | The management of upper respiratory tract infections |
| title_full_unstemmed | The management of upper respiratory tract infections |
| title_short | The management of upper respiratory tract infections |
| title_sort | management of upper respiratory tract infections |
| topic | R Medicine |
| url | http://eprints.um.edu.my/10149/1/The_management_of_upper_respiratory_tract_infections.pdf http://eprints.um.edu.my/10149/ http://www.e-mjm.org/2001/v56n2/Upper_Respiratory_Tract_Infections.pdf |
| url_provider | http://eprints.um.edu.my/ |