High-Value Care Advice 1: Clinicians should not perform testing or initiate antibiotic therapy in patients with bronchitis unless pneumonia is suspected.
除非怀疑肺炎否则不要给支气管炎病人用
High-Value Care Advice 2: Clinicians should test patients with symptoms suggestive of group A streptococcal pharyngitis (for example, persistent fevers, anterior cervical adenitis, and tonsillopharyngeal exudates or other appropriate combination of symptoms) by rapid antigen detection test and/or culture for group A Streptococcus. Clinicians should treat patients with antibiotics only if they have confirmed streptococcal pharyngitis.
只有怀疑a组链球菌咽炎才需要检查,阳性用
High-Value Care Advice 3: Clinicians should reserve antibiotic treatment for acute rhinosinusitis for patients with persistent symptoms for more than 10 days, onset of severe symptoms or signs of high fever (>39 °C) and purulent nasal discharge or facial pain lasting for at least 3 consecutive days, or onset of worsening symptoms following a typical viral illness that lasted 5 days that was initially improving (double sickening).
急性鼻窦炎持续10天或重症3天以上,或典型病毒症状5天好转后再发
High-Value Care Advice 4: Clinicians should not prescribe antibiotics for patients with the common cold.
普通感冒不用
中文翻译：
本文地址：http://www.wjbb.com/know/1387
原文出处：http://annals.org/article.aspx?articleid=2481815
