[Recommendations for management of acute XXXX in adults].

@entity1 @entity883 @entity697 @entity115 @entity7551 @entity114 @entity532 @entity2348 @entity4195 @entity798 @entity166
UNASSIGNED: Acute @entity7551 in adults is one of the most common @entity166 seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is @entity4195 or group A b-haemolytic @entity4195 (GABHS), which causes 5%-30% of the episodes. In the diagnostic process, clinical assessment scales can help clinicians to better predict suspected bacterial aetiology by selecting @entity1 who should undergo a rapid antigen detection test. If these techniques are not performed, an overdiagnosis of @entity883 often occurs, resulting in unnecessary prescriptions of antibiotics, most of which are broad spectrum. Consequently, management algorithms that include the use of predictive clinical rules and rapid tests have been set up. The aim of the treatment is speeding up symptom resolution, reducing the contagious time span and preventing local suppurative and @entity532 . @entity114 and @entity115 are the antibiotics of choice for the treatment of @entity7551 . The association of @entity115 and @entity798 is not indicated as the initial treatment of @entity697 . Neither are macrolides indicated as first-line therapy; they should be reserved for @entity1 allergic to @entity114 . The appropriate diagnosis of @entity2348 and proper use of antibiotics based on the scientific evidence available are crucial. Using management algorithms can be helpful in identifying and screening the cases that do not require antibiotic therapy.
