Tài liệu Review of essential medicine priorities in ear, nose and throat conditions in children doc

Gray ENT priorities draft 2 - 1 -

Second Meeting of the Subcommittee of the Expert Committee on the

Selection and Use of Essential Medicines

Geneva, 29 September to 3 October 2008

Review of essential medicine priorities in ear, nose

and throat conditions in children

May 2008

Prepared by:

Andy Gray

Senior Lecturer

Department of Therapeutics and Medicines Management

Nelson R Mandela School of Medicine

University of KwaZulu-Natal

Durban, South Africa

Gray ENT priorities draft 2 - 2 -

Contents

1. Intent of the review ............................................................................................3

2. Identification of priority conditions...................................................................4

3. Search for suitable guidelines ............................................................................6

4. Identified guidelines...........................................................................................7

4.1 Acute croup ......................................................................................................7

4.2 Epiglottitis........................................................................................................8

4.3 Epistaxis...........................................................................................................8

4.4 Otitis externa....................................................................................................9

4.5 Otitis media (acute and chronic) ...................................................................11

4.6 Rhinosinusitis.................................................................................................16

4.7 Sore throat (and common cold) .....................................................................23

5. Medications identified .....................................................................................25

References............................................................................................................30

Gray ENT priorities draft 2 - 3 -

1. Intent of the review

The intent of this review is to:

• identify the priority ear, nose and throat (ENT) conditions in children ( up

to 12 years)

• based on good quality treatment guidelines, to identify the essential

medicines necessary for treating these conditions

• to review the existing EMLc and highlight those medicines that are already

included that are indicated in the management of the identified priority

ENT conditions

• to identify the medicines that need to be added to the EML for these

conditions.