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Workshop
L'EBM nell'ambulatorio
del Pediatra di Base

Sesto S. Giovanni (MI), 24 settembre 2005
Sarteano (SI), 1 ottobre 2005

in collaborazione con

Page last update: 08/01/2008

	Introduzione
	Otite media acuta: dalle evidenze scientifiche all’appropriatezza degli interventi sanitari
	Valutare prove di efficacia e i rischi dei trattamenti: le regole dell’EBM
	Infezioni delle vie urinarie: dalle evidenze scientifiche all’appropriatezza degli interventi sanitari
	Asma nel bambino: dalle evidenze scientifiche all'appropriatezza degli interventi sanitari

Alcuni degli  articoli non disponibili in full text possono essere richiesti a: info@gimbe.org

• PRESENTAZIONE

• EVIDENCE

  • Linee guida

    • Prodigy. Otitis media acute. January 2005

    • Cincinnati Children's Hospital Medical Center. Evidence based clinical practice guideline for medical management of otitis media with effusion in children 2 months to 13 years of age. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2004 Oct

      • NGC record

    • American Academy of Pediatrics. Diagnosis and Management of Acute Otitis Media.  Pediatrics 2004;113:1461-65

      • NGC record

    • Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of otitis media in children. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2004 May.

      • NGC record

    • SIGN. Diagnosis and management of childhood otitis media in primary care. February 2003

  • Evidence reports

    • Clinical Evidence. Acute Otitis Media. Update, March 2004

    • Agency for Healthcare Research and Quality (AHRQ). Diagnosis, natural history, and late effects of otitis media with effusion. 2003

  • Revisioni sistematiche

    • Cochrane

      • Glasziou PP, Del Mar CB, Sanders SL, et al. Antibiotics for acute otitis media in children. The Cochrane Database of Systematic Reviews 2005

      • Kozyrskyj AL, Hildes-Ripstein GE, Longstaffe SEA, et al. Short course antibiotics for acute otitis media. The Cochrane Database of Systematic Reviews 2005

      • Flynn CA, Griffin GH, Schultz JK. Decongestants and antihistamines for acute otitis media in children. Cochrane Database Syst Rev 2005

    • Non-Cochrane

      • Rothman R, Owens T, Simel DL. Does this child have acute otitis media? JAMA 2003;290:1633-40

      • Takata GS, Chan LS, Morphew T, et al. Evidence assessment of the accuracy of methods of diagnosing middle ear effusion in children with otitis media with effusion. Pediatrics 2003;112(6 Pt 1):1379-87

      • Chan LS, Takata GS, Shekelle P, et al. Evidence assessment of management of acute otitis media: II. Research gaps and priorities for future research. Pediatrics 2001;108:248-54.

      • Takata GS, Chan LS, Shekelle P, Morton SC, Mason W, Marcy SM. Related Articles, Links Evidence assessment of management of acute otitis media: I. The role of antibiotics in treatment of uncomplicated acute otitis media. Pediatrics 2001;108:239-47

  • Revisioni narrative, editoriali

    • Damoiseaux RA. Antibiotic treatment for acute otitis media: time to think again. CMAJ 2005;172:657-8

• Ricerca primaria

  • Studi osservazionali

  • Trial clinici

    • Le Saux N, Gaboury I, Baird M, et al. A randomized, double-blind, placebo-controlled noninferiority trial of amoxicillin for clinically diagnosed acute otitis media in children 6 months to 5 years of age. CMAJ 2005;172:335-41
    • Spiro DM, King WD, Arnold DH, et al. A randomized clinical trial to assess the effects of tympanometry on the diagnosis and treatment of acute otitis media. Pediatrics 2004;114:177-81

Valutare prove di efficacia e i rischi dei trattamenti: le regole dell’EBM Chairman: Antonino Cartabellotta

• PRESENTAZIONE

Infezioni delle vie urinarie: dalle evidenze scientifiche all’appropriatezza degli interventi sanitari Chairman: Antonino Cartabellotta Discussant:  Milena Lo Giudice, Maria Laura Chiozza

• PRESENTAZIONE

• EVIDENCE

  • Linee guida

    • European Association of Urology (EAU).  EAU guidelines for the management of urinary and male genital tract infections. Urinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU). Eur Urol 2001;40:576-88

    • PRODIGY - Urinary tract infection in children. April 2002

    • American Academy of Pediatrics

      • Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. American Academy of Pediatrics. Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Pediatrics. 1999 Apr;103(4 Pt 1):843-52. 

      • Downs SM. Technical report: urinary tract infections in febrile infants and young children. The Urinary Tract Subcommittee of the American Academy of Pediatrics Committee on Quality Improvement. Pediatrics. 1999 Apr;103(4):e54.

  • HTA reports

    • Diagnosing urinary tract infection (UTI) in the under fives. Centre for Reviews and Dissemination (CRD) 2004

    • Dipstick urinalysis for screening of childhood urinary tract infection. Centre for Clinical Effectiveness, 2003

  • Evidence reports

    • Clinical Evidence. Urinary tract infection in children. Update, January 2004

  • Revisioni sistematiche

    • Cochrane

      • Michael M, Hodson EM, Craig JC, et al. Short versus standard duration oral antibiotic therapy for acute urinary tract infection in children. Cochrane Database Syst Rev 2005

      • Williams GJ, Lee A, Craig JC. Long-term antibiotics for preventing recurrent urinary tract infection in children. The Cochrane Database of Systematic Reviews 2005

      • Bloomfield P, Hodson EM, Craig JC. Antibiotics for acute pyelonephritis in children. The Cochrane Database of Systematic Reviews 2005

    • Non-Cochrane

      • Deville WL, Yzermans JC, van Duijn NP, et al. The urine dipstick test useful to rule out infections. A meta-analysis of the accuracy. BMC Urol 2004;4:4

      • Gordon I, Barkovics M, Pindoria S, et al. Primary vesicoureteric reflux as a predictor of renal damage in children hospitalized with urinary tract infection: a systematic review and meta-analysis. J Am Soc Nephrol 2003;14:739-44 

      • Keren R, Chan E. A meta-analysis of randomized, controlled trials comparing short- and long-course antibiotic therapy for urinary tract infections in children. Pediatrics 2002;109:E70-0.

        • DARE record

      • Tran D, Muchant DG, Aronoff SC. Short-course versus conventional length antimicrobial therapy for uncomplicated lower urinary tract infections in children: a meta-analysis of 1279 patients. J Pediatr 2001;139:93-9 [abstract]

        • DARE record

      • Williams G, Lee A, Craig J.  Antibiotics for the prevention of urinary tract infection in children: A systematic review of randomized controlled trials. J Pediatr 2001;138:868-74 [abstract]

      • Le Saux N, Pham B, Moher D. Evaluating the benefits of antimicrobial efficacy of low dose prophylactic antibiotics to prevent urinary tract infections in children: a systemic review. CMAJ 2000;163:523–9

        • DARE record

  • Revisioni narrative, editoriali

    • Sandell A. Management of urinary tract infections in children: no evidence exists. BMJ 2003;327:1346

  • Ricerca primaria

    • Studi osservazionali

    • Trial clinici

      • Rao S, Bhatt J, Houghton C, et al. An improved urine collection pad method: a randomised clinical trial. Arch Dis Child 2004;89:773-5

Asma nel bambino: dalle evidenze scientifiche all'appropriatezza degli interventi sanitari Chairman: Antonino Cartabellotta Discussant: Sandro Bianchi, Oggiano Nicola

• PRESENTAZIONE

• EVIDENCE

  • Linee guida

    • Prodigy. Asthma. November 2004

    • National Heart, Lung and Blood Institute (NHLBI), World Health Organization (WHO). Global Initiative for Asthma (GINA). October 2004

      • Pocket Guide for Asthma Management and Prevention in Children

    • SIGN-BTS. British Guideline on the management of asthma. June, 2004

    • Cincinnati Children's Hospital Medical Center. Evidence based clinical practice guideline for managing an acute exacerbation of asthma. Sept, 2000

  • Evidence summaries

    • Clinical Evidence. Asthma and other wheezing disorders in children. Update, October 2004

  • Revisioni sistematiche

    • Cochrane

      • Chavasse R, Seddon P, Bara A, McKean M. Short acting beta agonists for recurrent wheeze in children under two years of age. The Cochrane Database of Systematic Reviews 2005

      • McKean M, Ducharme F. Inhaled steroids for episodic viral wheeze of childhood. The Cochrane Database of Systematic Reviews 2005

      • Everard ML, Bara A, Kurian M, et al. Anticholinergic drugs for wheeze in children under the age of two years. The Cochrane Database of Systematic Reviews 2005

      • Abramson MJ, Puy RM, Weiner JM. Allergen immunotherapy for asthma. The Cochrane Database of Systematic Reviews 2005

      • Ducharme FM, Di Salvio F. Anti-leukotriene agents compared to inhaled corticosteroids in the management of recurrent and/or chronic asthma in adults and children. The Cochrane Database of Systematic Reviews 2005

    • Non-Cochrane

      • Leone FT, Fish JE, Szefler SJ, et al. Systematic review of the evidence regarding potential complications of inhaled corticosteroid use in asthma: collaboration of American College of Chest Physicians, American Academy of Allergy, Asthma, and Immunology, and American College of Allergy, Asthma, and Immunology. Chest 2003;124:2329-40