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Abstract Verheij ThJM, Hopstaken RM, Prins JM, Salomé PhL, Bindels PJ, Ponsioen BP†, Sachs APE, Thiadens HA, Verlee E. NHG-Guideline Acute cough. Huisarts Wet 2011;54(2):68-92. Acute cough is one of the most common reasons for patients to visit a general practitioner. In this revised guideline acute cough is defined as cough lasting less than 3 weeks at presentation. The guideline covers the diagnosis, treatment, and education of patients with cough, pneumonia, bronchiolitis, croup, whooping cough, and Q-fever. It is important to distinguish an uncomplicated respiratory tract infection from a complicated respiratory tract infection that requires antibiotic treatment. In most cases, cough is caused by an uncomplicated respiratory tract infection (viral or bacterial). A patient with an uncomplicated respiratory tract infection has no risk factors for complications (age > 3 months and < 75 years, no relevant comorbidity), is not very ill, doesn’t have signs of a complicated respiratory tract infection and has a fever < 7 days. The symptoms (cough) can last up to 4 weeks. There is no effective therapy. There are two groups of patients with a complicated respiratory tract infection:

  • Patients with a pneumonia (severely ill [tachypnea, tachycardia, hypotension or confusion] OR moderately ill and one-sided auscultatory findings, CRP > 100 mg/l [a CRP of 20-100 mg/l doesn’t exclude a pneumonia, [management depends on presentation and risk-factors], infiltrate on chest X-ray or sick > 7 days with fever and a cough). These patients are prescribed an antibiotic.
  • Patients with other risk factors for complications (age < 3 months or > 75 years and/or relevant comorbidity [in children cardial and pulmonary disease not being astma, in adults congestive heart failure, severe chronic obstructive pulmonary disease, diabetes mellitus, neurological disorders, severe renal failure, compromised immunity]). In these patients, the decision to prescribe antibiotics is based on the presentation, supported, if necessary, by measurement of CRP.

TESTOSTERONE AND ITS ESTERS
Andradurin - (Sweden)
Andriol - (Organon, Australia,; Germany,; Ravasini, Italy,;Neth.; Organon, Switzerland)
Andromar Retard - (Marshall's Pharmaceuticals, UK)
Andronaq (Central Pharmaceuticals, USA)
Andronate (Pasadena Research Labs, USA)
Androtardyl - (Schering, France)
Androxil - (Spain)
Androxon - (Organon, Norway)
BayTestone - (Bay, USA)
Benzotest - (Italy)
Biosterone - (Biopharm, South Africa)
Cetovister - (Spain)
Ciclosterone (Farmigea, Italy)
Delatestryl (Squibb, Canada,; USA)
Deposterona (Mexico)
Depo-Testosterone - (Upjohn, Canada,; USA)
Depotrone - (Propan, South Africa)
Durathate - (Hauck, USA)
Enarmon Depot - (Japan)
Estandrorm - (Spain)
Femalone 25 - (Marshall's Pharmaceuticals, UK)
Framviron - (Oftalmiso, Spain)
Hydrotest - (Italy)
Jectatest-LA - (Reid-Provident, USA)
Lontanyl (Roussel, France)
Malogen (Stickley, Canada)
Malogen LA - (USA)
Malogex - (Stickley, Canada)
Neo-Hombreol - (Netherlands)
Orchisterone - (Italy)
Oreton - (Schering, USA)
Pantestone (Organon, France)
Perandren (Switzerland)
Percutacrine Androgenique Forte - (France)
Primoteston Depot - (Schering, Australia,; Schering AG, Norway,; Schering, South Africa,; UK)
Rektandron (Sweden)
Restandol (Organon, Denmark,; UK)
Retar-Gen A - (Temis-Lostalo, Argentina)

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