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    Wyświetlanie 1-2 z 2
    Tytuł:
    Intranasal steroid therapy – EPOS 2020
    Autorzy:
    Rot, Piotr
    Rapiejko, Piotr
    Jurkiewicz, Dariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1397321.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    corticosteroids
    EPOS 2020
    rhinosinusitis
    Opis:
    Introduction: Due to their strong, multidirectional anti-inflammatory activity, intranasal glucocorticoids are the mainstay of treatment in rhinosinusitis, including acute rhinosinusitis, chronic rhinosinusitis, and chronic rhinosinusitis with nasal polyps, as well as allergic rhinitis. Owing to its high systemic safety and high anti-inflammatory efficacy, mometasone furoate – a new-generation intranasal glucocorticoid – was approved in 2019 as an over-the-counter (OTC) medication for Polish patients diagnosed with allergic rhinitis. Scientific societies and expert groups recommend the use of intranasal glucocorticoids in a much broader range of indications. In February 2020, an updated version of the European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS 2020) was published. Aim: This article discusses the role of nasal glucocorticoids in regimens used in the treatment of nasal sinusitis as published in EPOS 2020 with Polish country-specific realities being taken into account.
    Źródło:
    Polish Journal of Otolaryngology; 2020, 74, 3; 41-49
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Acute sinusitis in daily clinical practice
    Autorzy:
    Arcimowicz, Magdalena
    Powiązania:
    https://bibliotekanauki.pl/articles/23211721.pdf
    Data publikacji:
    2021-08-26
    Wydawca:
    Index Copernicus International
    Tematy:
    acute bacterial sinusitis
    acute post-viral sinusitis
    acute sinusitis
    antibiotic treatment
    cold
    diagnostics
    epidemiology
    EPOS
    integrated care pathways
    intranasal corticosteroids
    phytotherapy
    rhinosinusitis
    treatment
    Opis:
    Understanding the appropriate use of diagnostics and treatment in acute rhinosinusitis is of immense importance given the high prevalence of this disease in the general population. The ability to differentiate between the principal phenotypes of acute sinusitis, namely acute viral infection (cold), acute post-viral sinusitis and acute bacterial sinusitis, determines the future management and is fundamental to providing rational therapeutic recommendations – especially as regards antibiotic treatment, which is very often overused in acute sinusitis even though bacterial phenotypes only account for 0.5–2% of all cases of the disease. The latest therapeutic recommendations contained in the EPOS2020 position paper introduce a system based on integrated care pathways (ICPs), which comprise pharmacy-supported self-care and e-health as the first level, followed by primary care as the second, with specialist care being reserved for patients who develop a more severe course of the disease, have suspected complications or suffer from recurrent acute sinusitis. Management of acute sinusitis is primarily based on symptomatic treatment modalities, with phytotherapeutic support, as well as on antiinflammatory treatment, while antibiotic therapy is used in very specific and limited indications. Complications are relatively rare in acute sinusitis and they are not considered to be associated with antibiotic intake. Considering the high prevalence of acute forms of sinusitis, their significant impact on quality of life and high direct and indirect costs of treatment, the right diagnosis and management, without unnecessary escalation of therapy, can substantially translate into a number of public health benefits.
    Źródło:
    Polish Journal of Otolaryngology; 2021, 75, 4; 40-50
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-2 z 2

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