Guideline adherence for diagnostic faeces testing in primary care patients with gastroenteritis.

Background: Gastroenteritis (GE) is a common reason for primary care consultation. Dutch clinical practice guidelines (CPG) recommend diagnostic faeces testing (DFT) only in primary care patients with severe illness, comprised immunity or increased transmission risk. For its superior accuracy, shorter turnaround time and ease of use, polymerase chain reaction (PCR)-based DFT has largely replaced conventional techniques.

The disease recurrence rate after the canal wall up or canal wall down technique in adults.

Objectives/hypothesis: To review which type of cholesteatoma surgery, canal wall up (CWU) or canal wall down (CWD), provides the lowest risk for residual and/or recurrent disease in adults with primary acquired cholesteatoma.

Data Sources: PubMed, Embase, CINAHL, the Cochrane Library, Scopus and Web of Science.

Study Design: We selected articles comparing CWU with CWD, reporting on disease recidivism (combined residual and recurrent disease) or independent residual or disease recurrence rates.