临床指南：呼吸科-2016 ACP／CDC建议：成人急性呼吸道感染适当抗生素应用.pdfVIP

CLINICAL GUIDELINE Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Aaron M. Harris, MD, MPH; Lauri A. Hicks, DO; and Amir Qaseem, MD, PhD, MHA, for the High Value Care Task Force of the American College of Physicians and for the Centers for Disease Control and Prevention Background: Acute respiratory tract infection (ARTI) is the most example, persistent fevers, anterior cervical adenitis, and common reason for antibiotic prescription in adults. Antibiotics tonsillopharyngeal exudates or other appropriate combination of are often inappropriately prescribed for patients with ARTI. This symptoms) by rapid antigen detection test and/or culture for article presents best practices for antibiotic use in healthy adults group A Streptococcus. Clinicians should treat patients with anti- (those without chronic lung disease or immunocompromising biotics only if they have confirmed streptococcal pharyngitis. conditions) presenting with ARTI. High-Value Care Advice 3: Clinicians should reserve antibiotic Methods: A narrative literature review of evidence about appro- treatment for acute rhinosinusitis for patients with persistent priate antibiotic use for ARTI in adults was conducted. The most symptoms for more t