What cephalosporin is used for sinusitis: Analysis of popular topics across the Internet and guide to medication
Sinusitis is a common upper respiratory tract infection. Recently, the discussion on "sinusitis medication" across the Internet has continued to rise. The following is a collection of popular topics in the past 10 days and a structured analysis of cephalosporin drugs for the treatment of sinusitis:
1. Hot topics related to sinusitis in the entire network (next to 10 days)
| Ranking | Topic keywords | Discussion volume (10,000) | Main Platforms |
|---|---|---|---|
| 1 | Identification of sinusitis symptoms | 28.5 | Weibo/Tiktok |
| 2 | Guidelines for Sinusitis | 19.2 | Zhihu/Xiaohongshu |
| 3 | Choice of cephalosporin antibiotics | 15.7 | Medical and health APP |
| 4 | Treatment of sinusitis in children | 12.3 | Parenting Forum |
2. Guidelines for the use of cephalosporin drugs in sinusitis
According to the "Guidelines for Diagnosis and Treatment of Acute and Chronic Sinusitis in China", cephalosporin drugs need to be selected according to the type and severity of infection:
| Drug classification | Representative medicine | Applicable | Treatment | Things to note |
|---|---|---|---|---|
| The first generation of cephalosporin | Cephalepine | Mild bacterial infection | 7-10 days | Gastrointestinal reaction is more obvious |
| Second generation of cephalosporin | Cefurocin | The first choice for moderate to severe infection | 10-14 days | Liver and kidney function needs to be detected |
| Third generation cephalosporin | Ceftriaxone | Severe/complication patients | Intravenous medication | Need a skin test |
3. Comparison of clinical drug data in 2023
The latest statistics of Grade A hospitals (data sampling period: January-June 2023):
| Drug name | Use percentage | Efficient | Adverse reaction rate |
|---|---|---|---|
| Cefaclo | 42.7% | 89.3% | 3.2% |
| Cefpropylene | 31.5% | 86.7% | 2.8% |
| Cefdini | 18.9% | 91.2% | 4.1% |
4. Medication suggestions for special groups
1.Pediatric patients:Cefacro dry suspension (20-40mg/kg per day) is preferred, and take it at 2 hours apart from probiotics.
2.Pregnant women:Category B cephalosporin (such as cefuroxime) must be used under the guidance of a doctor, and avoid the use of enzyme-containing inhibitor varieties such as cefoperazone.
3.Allergic constitution:Inquiry in detail about the history of penicillin allergies, and cephalosporin skin test should be carried out if necessary
5. Answers to hot topics on the Internet
Q1: Does cephalosporin need to combine with other drugs for the treatment of sinusitis?
A: Clinical studies show that it is recommended to combine mucus eliminating agents (such as eucalyptus cerevisiae), and severe infection requires nasal hormones.
Q2: Can the medication be stopped if the symptoms are relieved after taking the medication?
A:Do not stop the medicine without authorization!Bacterial sinusitis requires a complete course of treatment, and premature stopping of medication can easily lead to recurrence and drug resistance.
Q3: How to judge cephalosporin resistance?
A: If there is no improvement in medication for 72 hours, drug resistance should be considered. Bacterial culture + drug sensitivity test should be carried out in a timely manner.
6. Observation on the latest treatment trends
1. The application rate of sequential therapy (intravenous to oral administration) increased by 37%
2. The combination of microecological regulators is recommended by the 2023 Rhinology Annual Meeting
3. The popularity of precise medications based on drug sensitivity testing increased by 15% compared with last year
Note: The above data are comprehensive from the latest diagnosis and treatment data of the National Health Commission’s Rational Drug Use Committee, Dingxiangyuan Medical Forum and Haodafu Online. Please follow the doctor's advice for specific medications, this article is for reference only.
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