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Antibiotics rarely benefit patients with sinusitis

机译:抗生素很少使鼻窦炎患者受益

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摘要

No subgroup of patients with sinusitis could be identified who might benefit more than others from antibiotics.Fhysicians prescribe antibiotics for most patients who are diagnosed with acute sinusitis, but is this helpful? To find out, researchers performed a meta-analysis of data from nine randomised trials that involved 2547 immunocompe-tent adult patients with clinical symptoms of sinusitis who received either antibiotics or placebo. All trials excluded patients who had signs and symptoms (high fever, periorbital swelling, erythema or intense facial pain) suggestive of serious complications that require antibiotic treatment.
机译:没有哪个鼻窦炎患者亚组可以比其他人从抗生素中受益更大。对于大多数被诊断为急性鼻窦炎的患者,Fhysicians开了抗生素处方,但这有帮助吗?为了找出答案,研究人员对来自9项随机试验的数据进行了荟萃分析,这些试验涉及2547名具有鼻窦炎临床症状的具有免疫功能的成年患者,他们接受了抗生素或安慰剂。所有试验均排除那些有症状和体征(高烧,眶周肿胀,红斑或剧烈的面部疼痛)提示需要抗生素治疗的严重并发症的患者。

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