Journal Feed Weekly Wrap-Up

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.
Originally published at JournalFeed, a site that provides daily or weekly literature updates.
Follow Dr. Clay Smith at @spoonfedEM, and sign up for email updates here.

#1: What Happened to Plain Albuterol? Meet the New Combo Inhalers

Spoon Feed
According to a large number of RCTs, both pediatric and adult patients seem to have better asthma control with combined asthma therapy: inhaled corticosteroid (ICS) and short-acting β-agonists (SABA) or long-acting β-agonists (LABA) as opposed to a SABA alone.

Source
Inhaled Reliever Therapies for Asthma: A Systematic Review and Meta-Analysis. JAMA. 2024 Oct 28:e2422700. doi: 10.1001/jama.2024.22700. Epub ahead of print. PMID: 39465893

#2: Sinusitis Guidelines Are Outdated, What’s Changed? 

Spoon Feed
While updates to national guidelines have not been made in the past 10 years, recent data suggest that children with mild acute bacterial rhinosinusitis (ABRS) may not need antibiotics, and that when indicated, amoxicillin has similar efficacy to amoxicillin-clavulanate.

Source
Antibiotics for Pediatric Acute Bacterial Sinusitis. JAMA. 2024 Oct 16. doi: 10.1001/jama.2024.2018. Epub ahead of print. PMID: 39412765

#3: When to Prescribe Antibiotics for Conjunctivitis 

Spoon Feed 
There are no symptoms that reliably predict the presence of bacteria in children with conjunctivitis. Most kids with conjunctivitis get better with or without antibiotics, even if bacteria are present.

Source 
Etiology and Outcomes of Acute Infectious Conjunctivitis in Children. J Pediatr. 2024 Oct 18;276:114368. doi: 10.1016/j.jpeds.2024.114368. Epub ahead of print. PMID: 39428088

 

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