Management of rhinosinusitis in Dutch general practice

被引：17

作者：

Hoffmans, Ruth ^{[1
]}

Schermer, Tjard ^{[2
]}

van Weel, Chris ^{[2
]}

Fokkens, Wytske ^{[1
]}

机构：

[1] Univ Amsterdam, Acad Med Ctr, Dept Otorhinolaryngol, NL-1105 AZ Amsterdam, Netherlands

[2] Radboud Univ Nijmegen, Nijmegen Med Ctr, Dept Primary & Community Care, NL-6525 ED Nijmegen, Netherlands

来源：

PRIMARY CARE RESPIRATORY JOURNAL | 2011年 / 20卷 / 01期

关键词：

acute rhinosinusitis; chronic rhinosinusitis; primary care; antibiotics; nasal steroids; guidelines; RESPIRATORY-TRACT INFECTIONS; FUROATE NASAL SPRAY; ACUTE SINUSITIS; PRIMARY-CARE; ANTIBIOTIC-TREATMENT; EFFICACY; ADULTS; TRIAL;

D O I：

10.4104/pcrj.2010.00064

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

100235 [预防医学];

摘要：

Aims: To determine whether general practitioners (GPs) distinguish between the management of acute rhinosinusitis (ARS) and chronic rhinosinusitis (CRS), especially with regard to prescription of antibiotics and nasal steroids. Methods: A questionnaire on the management of rhinosinusitis was sent to 1000 GPs in the Netherlands. Results: Ninety-six percent discriminated between ARS and CRS. However, the definition of ARS and CRS varied. The percentage of GPs prescribing antibiotics rose as rhinosinusitis severity increased. The prescription rate of nasal corticosteroids was highest for CRS (88.6%). Prescribing nasal corticosteroids in ARS was not very common. Conclusions: Most GPs discriminate between ARS and CRS and 54% accepted (the EP3OS-defined) 12 weeks as the division between ARS and CRS. Antibiotics and nasal steroids are commonly used agents, but the management of rhinosinusitis is not always consistent with guidelines. (C) 2011 Primary Care Respiratory Society UK. All rights reserved. Q Zhang et al. Prim Care Respir J 2011; 20(1): 97-101 doi:10.4104/pcrj.2010.00061

引用

页码：64 / 70

页数：7

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