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                    "lastName": "Nyquist A"
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            "abstractNote": "Context.—  \n                  The spread of antibiotic-resistant bacteria is associated with antibiotic \nuse. Children receive a significant proportion of the antibiotics prescribed \neach year and represent an important target group for efforts aimed at reducing \nunnecessary antibiotic use.Objective.—  \n                  To evaluate antibiotic-prescribing practices for children younger than \n18 years who had received a diagnosis of cold, upper respiratory tract infection \n(URI), or bronchitis in the United States.Design.—  \n                  Representative national survey of practicing physicians participating \nin the National Ambulatory Medical Care Survey conducted in 1992 with a response \nrate of 73%.Setting.—  \n                  Office-based physician practices.Participants.—  \n                  Physicians completing patient record forms for patients younger than \n18 years.Main Outcome Measures.—  \n                  Principal diagnoses and antibiotic prescriptions.Results.—  \n                  A total of 531 pediatric office visits were recorded that included a \nprincipal diagnosis of cold, URI, or bronchitis. Antibiotics were prescribed \nto 44% of patients with common colds, 46% with URIs, and 75% with bronchitis. \nExtrapolating to the United States, 6.5 million prescriptions (12% of all \nprescriptions for children) were written for children diagnosed as having \na URI or nasopharyngitis (common cold), and 4.7 million (9% of all prescriptions \nfor children) were written for children diagnosed as having bronchitis. After \ncontrolling for confounding factors, antibiotics were prescribed more often \nfor children aged 5 to 11 years than for younger children (odds ratio [OR], \n1.94; 95% confidence interval [CI], 1.13-3.33) and rates were lower for pediatricians \nthan for nonpediatricians (OR, 0.57; 95% CI, 0.35-0.92). Children aged 0 to \n4 years received 53% of all antibiotic prescriptions, and otitis media was \nthe most frequent diagnosis for which antibiotics were prescribed (30% of \nall prescriptions).Conclusions.—  \n                  Antibiotic prescribing for children diagnosed as having colds, URIs, \nand bronchitis, conditions that typically do not benefit from antibiotics, \nrepresents a substantial proportion of total antibiotic prescriptions to children \nin the United States each year.",
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            "abstractNote": "Context.  \n    —Antibiotic use is associated with increased rates of antibiotic-resistant organisms. A previous study has shown that colds, upper respiratory tract infections, and bronchitis account for nearly one third of all antibiotic prescribing by ambulatory care physicians. How frequently antibiotics are prescribed for these conditions and for and by whom is not known.Objectives.  \n    —To measure antibiotic prescription rates and to identify predictors of antibiotic use for adults diagnosed as having colds, upper respiratory tract infections, and bronchitis in the United States.Design.  \n    —Sample survey of practicing physicians participating in the National Ambulatory Medical Care Survey, 1992.Setting.  \n    —Office-based physician practices.Subjects.  \n    —Physicians (n=1529) completing patient record forms for adult office visits (n=28 787).Main Outcome Measures.  \n    —Antibiotic prescriptions for colds, upper respiratory tract infections, and bronchitis.Results.  \n    —Office visits for colds, upper respiratory tract infections, and bronchitis resulted in approximately 12 million antibiotic prescriptions, accounting for 21% of all antibiotic prescriptions to adults in 1992. A total of 51% of patients diagnosed as having colds, 52% of patients diagnosed as having upper respiratory tract infections, and 66% of patients diagnosed as having bronchitis were treated with antibiotics. Female sex (odds ratio [OR], 1.65; 95% confidence interval [CI], 1.05-2.62) and rural practice location (OR, 2.25; 95% CI, 1.33-3.80) were associated with greater antibiotic prescription rates, whereas black race (OR, 0.44; 95% CI, 0.21-0.93) was associated with lower antibiotic prescription rates. Patient age, Hispanic ethnicity, geographic region, physician specialty, and payment sources were not associated with antibiotic prescription rates in the bivariate analysis. Multivariate logistic regression analysis identified only rural practice location (adjusted OR, 2.58; 95% CI, 1.39-4.76) to be independently associated with more frequent antibiotic prescriptions for colds, upper respiratory tract infections, and bronchitis.Conclusion.  \n    —Although antibiotics have little or no benefit for colds, upper respiratory tract infections, or bronchitis, these conditions account for a sizable proportion of total antibiotic prescriptions for adults by office-based physicians in the United States. Overuse of antibiotics is widespread across geographical areas, medical specialties, and payment sources. Therefore, effective strategies for changing prescribing behavior for these conditions will need to be broad based.",
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            "abstractNote": "Group A streptococcal (GAS) necrotizing fasciitis is a rapidly progressive soft tissue infection. Elderly and chronically ill individuals are at greatest risk, particularly when skin breakdown is present. Reports suggest that nonsteroidal antiinflammatory drugs (NSAIDs) increase the risk of developing GAS necrotizing fasciitis, impede its timely recognition and management, and accelerate the course of infection. We present a literature review conducted to examine these hypotheses and present a case of GAS necrotizing fasciitis associated with rofecoxib use. Initial symptoms of fasciitis may be nondescript, mimicking more benign conditions such as cellulitis, arthritis, or musculoskeletal pain. Case reports and retrospective studies suggest that the application of NSAIDs to relieve these nonspecific symptoms can delay diagnosis and treatment of GAS necrotizing fasciitis. However, prospective studies do not support a risk of developing GAS necrotizing fasciitis as a result of NSAID therapy, or a worsening of established streptococcal infection. To avoid the application of NSAIDs in lieu of aggressive medical and surgical management of streptococcal fasciitis, clinicians must understand the early symptoms of GAS necrotizing fasciitis that precede visible soft tissue necrosis. A rational approach to patients presenting with localized soft tissue pain will enhance detection and therapy of this rapidly progressive, life-threatening disease.",
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                    "firstName": "Bruno R",
                    "lastName": "da Costa"
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                {
                    "creatorType": "author",
                    "firstName": "Myriam",
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                    "firstName": "Anne W S",
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            "abstractNote": "Objectives Appropriate reporting is central to the application of findings from research to clinical practice. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) recommendations consist of a checklist of 22 items that provide guidance on the reporting of cohort, case–control and cross-sectional studies, in order to facilitate critical appraisal and interpretation of results. STROBE was published in October 2007 in several journals including The Lancet, BMJ, Annals of Internal Medicine and PLoS Medicine. Within the framework of the revision of the STROBE recommendations, the authors examined the context and circumstances in which the STROBE statement was used in the past.Design The authors searched the Web of Science database in August 2010 for articles which cited STROBE and examined a random sample of 100 articles using a standardised, piloted data extraction form. The use of STROBE in observational studies and systematic reviews (including meta-analyses) was classified as appropriate or inappropriate. The use of STROBE to guide the reporting of observational studies was considered appropriate. Inappropriate uses included the use of STROBE as a tool to assess the methodological quality of studies or as a guideline on how to design and conduct studies.Results The authors identified 640 articles that cited STROBE. In the random sample of 100 articles, about half were observational studies (32%) or systematic reviews (19%). Comments, editorials and letters accounted for 15%, methodological articles for 8%, and recommendations and narrative reviews for 26% of articles. Of the 32 observational studies, 26 (81%) made appropriate use of STROBE, and three uses (10%) were considered inappropriate. Among 19 systematic reviews, 10 (53%) used STROBE inappropriately as a tool to assess study quality.Conclusions The STROBE reporting recommendations are frequently used inappropriately in systematic reviews and meta-analyses as an instrument to assess the methodological quality of observational studies.",
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            "title": "Assessing the relationship between the use of nonsteroidal antiinflammatory drugs and necrotizing fasciitis caused by group A streptococcus",
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                    "creatorType": "author",
                    "firstName": "David M",
                    "lastName": "Aronoff"
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            "abstractNote": "Group A streptococcal (GAS) necrotizing fasciitis is a rapidly progressive soft tissue infection. Elderly and chronically ill individuals are at greatest risk, particularly when skin breakdown is present. Reports suggest that nonsteroidal antiinflammatory drugs (NSAIDs) increase the risk of developing GAS necrotizing fasciitis, impede its timely recognition and management, and accelerate the course of infection. We present a literature review conducted to examine these hypotheses and present a case of GAS necrotizing fasciitis associated with rofecoxib use. Initial symptoms of fasciitis may be nondescript, mimicking more benign conditions such as cellulitis, arthritis, or musculoskeletal pain. Case reports and retrospective studies suggest that the application of NSAIDs to relieve these nonspecific symptoms can delay diagnosis and treatment of GAS necrotizing fasciitis. However, prospective studies do not support a risk of developing GAS necrotizing fasciitis as a result of NSAID therapy, or a worsening of established streptococcal infection. To avoid the application of NSAIDs in lieu of aggressive medical and surgical management of streptococcal fasciitis, clinicians must understand the early symptoms of GAS necrotizing fasciitis that precede visible soft tissue necrosis. A rational approach to patients presenting with localized soft tissue pain will enhance detection and therapy of this rapidly progressive, life-threatening disease.",
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            "place": "",
            "date": "Jul 2003",
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                {
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                    "tag": "Streptococcal Infections",
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                {
                    "tag": "Streptococcus pyogenes",
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