Choosing Wisely Canada rhinology recommendations

被引：0
作者：
Neil Arnstead
Yvonne Chan
Shaun Kilty
Ragavan Ganeshathasan
Armin Rahmani
Eric Monteiro
机构：
[1] University of Toronto,Department of Otolaryngology – Head & Neck Surgery
[2] University of Toronto,Department of Otolaryngology – Head & Neck Surgery
[3] Trillium Health Partners,Department of Otolaryngology – Head & Neck Surgery
[4] University of Ottawa,Department of Family Medicine
[5] The Ottawa Hospital Civic Campus,Department of Psychiatry
[6] University of Western Ontario,Department of Otolaryngology – Head & Neck Surgery
[7] Western Centre for Public Health and Family Medicine,undefined
[8] University of Toronto,undefined
[9] University of Toronto,undefined
[10] Mount Sinai Hospital,undefined
来源：
Journal of Otolaryngology - Head & Neck Surgery | / 49卷
关键词：
Choosing Wisely Canada; Medical overuse; Sinusitis; Nasal fracture; Rhinology; Anti-bacterial agents; Drug utilization; Computed tomography; Radiography;
D O I：
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中图分类号：
学科分类号：
摘要：
The Choosing Wisely Canada campaign is an initiative that aims to involve physicians and patients in collaborative decision making to avoid unnecessary tests and treatments. The Rhinology Subspecialty Group of the Canadian Society of Otolaryngology – Head & Neck Surgery developed a list of five evidence-based recommendations for the management of acute rhinosinusitis and nasal fractures: (1) don’t prescribe antibiotics to patients with acute sinusitis who do not meet the diagnostic criteria for acute bacterial rhinosinusitis; (2) don’t order a CT scan for uncomplicated acute rhinosinusitis; (3) don’t order plain film sinus x-rays; (4) don’t swab the nasal cavity as part of the work up for rhinosinusitis; and (5) don’t order a plain film x-ray in the evaluation of nasal fractures.
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