Publications by authors named "J P de Valk"
Article Synopsis
- Pediatric urinary tract infections (UTIs) require timely diagnosis and proper treatment to minimize health issues, with a study showing inconsistent management practices among 13,000 children regarding antibiotic choices.
- A local team recommended cephalexin as the preferred first-line treatment in 2019 due to its effectiveness, low cost, and ease of use, aiming to boost its prescription rates from 34% to 75% within six months.
- After implementing standardized care pathways and provider education, the prescribing rate for cephalexin increased to 66%, demonstrating improved adherence to guidelines without affecting the rate of return visits for UTIs.
Background: Asthma is a common disease characterized by chronic inflammation of the lower airways, bronchial hyperactivity, and (reversible) airway obstruction. The Global Initiative of Asthma Guideline recommends a flowchart to diagnose asthma with first-step spirometry with reversibility and a bronchial challenge test (BPT) with histamine or methacholine as a second step [1]. The BPT is considered burdensome, time-consuming for patients and staff, can cause side effects, and is expensive.
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