Clinical decision support system RHINA in the diagnosis and treatment of acute or chronic rhinosinusitis

Background Rhinosinusitis is an inflammation of the sinonasal cavity which affects roughly one in seven people per year. Acute rhinosinusitis (ARS) is mostly, apart from allergic etiology, caused by a viral infection and, in some cases (30–50%), by a bacterial superinfection. Antibiotics, indicated...

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Vydáno v:BMC medical informatics and decision making Ročník 21; číslo 1; s. 1 - 6
Hlavní autoři: Hart, L., Polášková, A., Schalek, P.
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 09.08.2021
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Antibiotic resistance
Antibiotics
Applications programs
Artificial intelligence
Bacteria
Bacterial infections
Care and treatment
Clinical decision support system
Clinical decision-making
Decision making
Decision support systems
Diagnosis
Drug resistance
EPOS
Etiology
Evaluation
Family physicians
Health Informatics
Health services
Information Systems and Communication Service
Knowledge
knowledge support systems
Management of Computing and Information Systems
Medical diagnosis
Medical practices
Medical tests
Medicine
Medicine & Public Health
Patient safety
Patients
Physicians
Rhinitis
Rhinosinusitis
Sinusitis
Software
Streptococcus infections
Superinfection
theory
Viral infections
Czech Republic
Clinical decision support system
Rhinosinusitis
Antibiotic resistance
EPOS
ISSN:1472-6947, 1472-6947
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Shrnutí:Background Rhinosinusitis is an inflammation of the sinonasal cavity which affects roughly one in seven people per year. Acute rhinosinusitis (ARS) is mostly, apart from allergic etiology, caused by a viral infection and, in some cases (30–50%), by a bacterial superinfection. Antibiotics, indicated only in rare cases according to EPOS guidelines, are nevertheless prescribed in more than 80% of ARS cases, which increases the resistant bacterial strains in the population. Methods We have designed a clinical decision support system (CDSS), RHINA, based on a web application created in HTML 5, using JavaScript, jQuery, CCS3 and PHP scripting language. The presented CDSS RHINA helps general physicians to decide whether or not to prescribe antibiotics in patients with rhinosinusitis. Results In a retrospective study of a total of 1465 patients with rhinosinusitis, the CDSS RHINA presented a 90.2% consistency with the diagnosis and treatment made by the ENT specialist. Conclusion Patients assessed with the assistance of our CDSS RHINA would decrease the over-prescription of antibiotics, which in turn would help to reduce the bacterial resistance to the most commonly prescribed antibiotics.
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ISSN:1472-6947
1472-6947
DOI:10.1186/s12911-021-01599-3