Infect Chemother.  2017 Dec;49(4):326-352. 10.3947/ic.2017.49.4.326.

Guidelines for the Antibiotic Use in Adults with Acute Upper Respiratory Tract Infections

Affiliations
  • 1Korean Society of Infectious Diseases, Seoul, Korea. ksw2kms@knu.ac.kr
  • 2Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • 3Korean Society of Otorhinolaryngology-Head and Neck Surgery, Seoul, Korea.
  • 4Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea.
  • 5Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University hospital Seoul, Seoul, Korea.
  • 6Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
  • 7Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea.
  • 8Department of Otorhinolaryngology, Ajou University, School of Medicine, Suwon, Korea.
  • 9Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine, Seoul, Korea.
  • 10Korean Association of Otorhinolaryngologists, Seoul, Korea.
  • 11Korean Association of Family Medicine, Seoul, Korea. ksw2kms@knu.ac.kr
  • 12Department of Family Medicine, Myongji Hospital, Seonam University, College of Medicine, Goyang, Korea.
  • 13Korean Medical Practitioners Association, Seoul, Korea.
  • 14Department of Internal Medicine, Nammoon Medical Clinic, Seoul, Korea.
  • 15Division of Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
  • 16Korean Society for Chemotherapy, Seoul, Korea.
  • 17Department of Internal Medicine, Kungpook National University, School of Medicine, Daegu, Korea.

Abstract

These guidelines were developed as part of the 2016 Policy Research Servicing Project by the Korea Centers for Disease Control and Prevention. A multidisciplinary approach was taken to formulate this guideline to provide practical information about the diagnosis and treatment of adults with acute upper respiratory tract infection, with the ultimate aim to promote the appropriate use of antibiotics. The formulation of this guideline was based on a systematic literature review and analysis of the latest research findings to facilitate evidence-based practice, and focused on key questions to help clinicians obtain solutions to clinical questions that may arise during the care of a patient. These guidelines mainly cover the subjects on the assessment of antibiotic indications and appropriate selection of antibiotics for adult patients with acute pharyngotonsillitis or acute sinusitis.

Keyword

Guideline; Antibiotics; Pharyngitis; Tonsillitis; Rhinosinusitis

MeSH Terms

Adult*
Anti-Bacterial Agents
Centers for Disease Control and Prevention (U.S.)
Diagnosis
Evidence-Based Practice
Humans
Korea
Pharyngitis
Respiratory Tract Infections*
Sinusitis
Tonsillitis
Anti-Bacterial Agents

Figure

  • Figure 1 Flowchart for use of antibiotics for acute pharyngotonsillitis

  • Figure 2 How to take a throat swab. ① Press the tongue with a tongue depressor to reveal both palatine tonsils and uvula. ② Without touching the uvula, place a sterile swab deep inside the throat, past the uvula. ③ Gently stroke one palatine tonsil, posterior nasopharynx, and the other palatine tonsil, in the order specified. ④ Collect samples of lesions such as exudate in the area of sample collection. Be careful not to touch other areas in the mouth, such as the tongue and inner cheek, or to contaminate the swab with saliva. Immediately place the swab in a sterile tube and send it to the laboratory [26]

  • Figure 3 Flowchart for early use of empirical antibiotic therapy in patients with acute bacterial sinusitis


Cited by  2 articles

Comparison and Recommendation of Diagnostic Tools for Bacterial Pharyngitis at Primary Care Clinics
Seon A Jo, Sunjoo Kim
Lab Med Online. 2020;10(4):307-313.    doi: 10.47429/lmo.2020.10.4.307.

Principles of selecting appropriate antimicrobial agents
Su-Mi Choi, Dong-Gun Lee
J Korean Med Assoc. 2019;62(6):335-344.    doi: 10.5124/jkma.2019.62.6.335.


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