Treatment of the Common Cold
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Transcript of Treatment of the Common Cold
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MADELINE SIMASEK M.D. DAVID A . BLANDINO M.D.
UNIVERSITY OF PITTSBURGH MEDICAL CENTER, PITTSBURGH, PENNSYLVANIA 2007 AMERICAN ACADEMY OF FAMILY
PHYSICIANS
Treatment of the Common Cold
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Introducción
Infecciones de vías respiratorias altas: 2° diagnóstico más frecuente en consultorio 1° causa de consulta en Urgencias
¼ adultos en EUA padecieron un resfriado la semana previa con o sin medicación
1° razón por la que se compran suplementos vitamínicos y herbales
Literatura extensa (variable, no clara, estudios en grupos pequeños, edad variable, varias combinaciones, resultados subjetivos, varios síntomas)
• Kaufman DW, Kelly JP, Rosenberg L, Anderson TE, Mitchell AA. Recent patterns of medication use in the ambulatory adult population of the United States: the Slone survey. JAMA 2002;287:337-44
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Epidemiología
Viral: Rinovirus
2-4 resfriados al año en adultos
6-8 resfriados al año en niños
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Cuadro clínico
Dolor de garganta
Malestar general Pródromos.
Fiebre
Congestión nasal
Rinorrea 24-48 hrs
Tos
Máxima sintomatología al 3-4 día Resuelve al 7° día Descarga nasal hialina o purulenta
Heikkinen T, Jarvinen A. The common cold. Lancet 2003;361:51-9.
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Terapia Farmacológica Tradicional
No antiviralesNo medicamentos preventivosSintomáticos
AntihistáminicosDescongestionantesAnti –tusígenosExpectorantes
Antibióticos Disminución de síntomas Prevención de sobreinfección Efectos adversos: gastrointestinales, costo, aumento de resistencias
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Tratamiento
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Terapias Complementarias
EchinaceaVitamina CAire Humidificado