NICE/PHE反对使用抗生素治疗喉咙痛

2018-01-26 MedSci MedSci原创

英国国家健康与保健卓越研究所（NICE）和公共卫生研究所（PHE）制定的新指南指出，喉咙痛应该用止痛药而不是抗生素治疗。根据NICE的说法，60％的病例使用抗生素来治疗喉咙痛，但有证据显示大多数人不用它们也会好转。这突出显示了进一步减少不必要的抗生素处方的重大机会，考虑到目前抗微生物药物耐药性的威胁，这一点尤其重要。此外，该指南还指出，一些成年人可能想尝试含有局部麻醉剂、非甾体抗炎药(NSAID)

英国国家健康与保健卓越研究所（NICE）和公共卫生研究所（PHE）制定的新指南指出，喉咙痛应该用止痛药而不是抗生素治疗。根据NICE的说法，60％的病例使用抗生素来治疗喉咙痛，但有证据显示大多数人不用它们也会好转。这突出显示了进一步减少不必要的抗生素处方的重大机会，考虑到目前抗微生物药物耐药性的威胁，这一点尤其重要。此外，该指南还指出，一些成年人可能想尝试含有局部麻醉剂、非甾体抗炎药(NSAID)或防腐剂的含药含片，但应告知这些药物只能帮助减少少量的疼痛。有人强调，医生应该使用两种症状评分工具（FeverPAIN和Centor）来更好地识别患有链球菌引起的喉咙痛的人，这些人最可能从抗生素治疗中获益。NICE副首席执行官Gillian Leng教授表示："有证据显示抗生素对大多数喉咙痛患者并不是有效的治疗方法。"应该给需要它们的人，我们的建议会支持这些决定。但很显然，在所有情况下，例行处方是不恰当的。"英国皇家大学皇家学院院长Helen Stokes-Lampard教授表示，学院支持扑热息痛或布洛芬用于喉咙痛引起的疼痛的一线治疗。"抗生素是必不可少的药物，但引起感染的细菌越来越对它们产生

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2018-02-03 李东泽

是很好的学习材料.不错.以后会多学习.

90 0
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2018-02-13 xzw122

#喉咙痛#

75 0
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2018-01-28 fusion

#NICE#

58 0
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2018-01-28 ms1260584454294838

#抗生素治疗#

59 0
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2018-01-26 有备才能无患

英国国家健康与保健卓越研究所(NICE)和公共卫生研究所(PHE)制定的新指南指出.喉咙痛应该用止痛药而不是抗生素治疗.

70 0
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2018-01-26 惠映实验室

学习.谢谢分享.

76 0
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2018-01-26 微笑人参

学习学习.谢谢谢谢

87 0
[GetPortalCommentsPageByObjectIdResponse(id=284822, encodeId=8d542848225d, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Sat Feb 03 22:01:20 CST 2018, time=2018-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1675783, encodeId=f0c216e578397, content=<a href='/topic/show?id=8856401130b' target=_blank style='color:#2F92EE;'>#喉咙痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40113, encryptionId=8856401130b, topicName=喉咙痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=793727296408, createdName=xzw122, createdTime=Tue Feb 13 20:07:00 CST 2018, time=2018-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1289015, encodeId=12a012890157f, content=<a href='/topic/show?id=077112e9237' target=_blank style='color:#2F92EE;'>#NICE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12792, encryptionId=077112e9237, topicName=NICE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=743b215, createdName=fusion, createdTime=Sun Jan 28 13:07:00 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1345222, encodeId=d06d1345222f5, content=<a href='/topic/show?id=cd305543152' target=_blank style='color:#2F92EE;'>#抗生素治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55431, encryptionId=cd305543152, topicName=抗生素治疗)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/D2FD7704B41C9E22364B1E54ABB223BB/100, createdBy=1df22500220, createdName=ms1260584454294838, createdTime=Sun Jan 28 13:07:00 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282366, encodeId=1ce6282366d1, content=英国国家健康与保健卓越研究所(NICE)和公共卫生研究所(PHE)制定的新指南指出.喉咙痛应该用止痛药而不是抗生素治疗., beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Fri Jan 26 23:32:20 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282345, encodeId=7466282345b4, content=学习.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Fri Jan 26 22:22:59 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282343, encodeId=0138282343b7, content=学习学习.谢谢谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Fri Jan 26 22:11:54 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282342, encodeId=138f28234239, content=学习学习学习.谢谢!分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220317/1c3b2db4747d42e88e5018b394979434/be0fcebf07344e9ab886c37c502e2f29.jpg, createdBy=6bb22051299, createdName=微笑人参, createdTime=Fri Jan 26 22:11:41 CST 2018, time=2018-01-26, status=1, ipAttribution=)]
2018-01-26 微笑人参

学习学习学习.谢谢!分享

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