By vgreene, 23 September, 2020 Don’t use: codeine6,8,9/hydrocodone.9 Insufficient evidence on acetylcysteine, carbocysteine.6 Low-dose inhaled steroids, PO prednisolone don’t improve outcomes in pts w/o asthma1
By vgreene, 23 September, 2020 Don’t use OTC cough/cold meds.1,6 Not recommended for young children, per AAP,4 FDA;7 of no proven benefit in children
By vgreene, 23 September, 2020 Abx not recommended for URI unless criteria for acute bacterial rhinosinusitis (>10 days, worsening, or severe)1-3 or Group A strep pharyngitis1 met, per AAP.4 If clinical picture strongly suggests pertussis,5 strongly consider tx while awaiting test res
By vgreene, 23 September, 2020 Consider COVID 19 wet or dry cough or flu Most are viral abx not warranted except for pertussis Group A strep certain acute bacterial rhinosinusitis etc
By vgreene, 23 September, 2020 Nonspecific dry cough no specific cough s sx no classic sound type no abnl exam tests
By vgreene, 23 September, 2020 Specific cough s sx wet productive classic sound type choking hx SOB chest pain sinus sx feeding growth development issues chronic lung esophagus dz recurrent infxn or abnl exam test
