Treatment of acute rhinosinusitis diagnosed by clinical criteria or ultrasound in primary care

Autor: Ilkka Kunnamo, Matti Revonta, Helena Varonen, Jarkko Ruotsalainen, Henrik Malmberg, Seppo Savolainen, Marjukka Mäkelä
Rok vydání: 2003
Předmět:
Zdroj: Scandinavian Journal of Primary Health Care. 21:121-126
ISSN: 1502-7724
0281-3432
Popis: Scand J Prim Health Care 2003;21:00-00. ISSN 0281-34323 Objectives r - r To compare antibiotics and placebo in patients with clinically diagnosed acute maxillary sinusitis (AMS). To study whether sinus ultrasound examination would help to detect those patients who benefit from antibiotic therapy. Design r - r A double-blind, randomised, placebo-controlled multicentre trial. Setting r - r Nine primary care sites in Finland. Subjects r - r 150 adult patients (mean age 39.7 years) with a clinical diagnosis of sinusitis. Intervention r - r Antibiotics (amoxicillin 750 mg 2 2, doxycycline 100 mg 2 2 or penicillin V 1500 mg 2 2) or placebo twice daily for 7 days; all patients were examined with sinus ultrasound after randomisation. Main outcome measure r - r Clinical success (patients' report of recovery) in telephone interview at 2 weeks. Results r - r A total of 146 patients completed the 2-week follow-up. Patients receiving antibiotics achieved...
Databáze: OpenAIRE